top of page

With new circumstances comes new ways of doing things.  

Your details are confidential.  Your accurate and complete information assists us to provide the best possible service to you.

If you haven't already, you are encouraged to read our disclaimer as your participation in our online Pilates classes assumes consent.

Client Information & Consent
Do you have any serious known or current medical conditions? Tick any that apply and provide details below:
I understand that participation in online Pilates classes is at my own risk and that I am responsible for exercising at a level that is appropriate for me.

Pilates Screening and Consent Form //

BORDERTOWN

6 Woolshed St

08 8752 2330

NARACOORTE

157 Smith St

08 8762 1515

KEITH

13a McBain St

08 8755 1530

KINGSTON SE

4 East Tce

08 8767 4600

© 2025 Good Country Physiotherapy

SERVICING THE LIMESTONE COAST SOUTH AUSTRALIA

PO Box 175 BORDERTOWN SA 5268

  • Facebook Social Icon
  • Instagram
  • Linkedin
bottom of page