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Elite Fitness Lab, LLC — Version EFL-2026-09-08-V2. Complete annually on the anniversary of signing and report health changes sooner. You do not need to repeat this form every time you book.


EFL Table Work Intake & Consent

For all table work, including athlete mobility and Recovery & Mobility. Complete before your first table-work session and renew annually; discuss any changes with your therapist at every visit.

Participant Information

Date of birth
Month
Day
Year
Is participant under 18?
Yes
No

Emergency Contact

Session Information

Guardian Information

Informed Consent

Table-work information — EFL-2026-09-08-V2


This consent applies to the hands-on services discussed with my provider at Elite Fitness Lab, LLC, including assisted stretching, table-based mobility and, when provided by an appropriately licensed provider, massage therapy. The provider will explain the proposed service, relevant risks and alternatives, areas to be worked on, and positioning or draping before proceeding. Only services within the provider's lawful qualifications and scope will be offered.


Possible effects include temporary soreness, tenderness, bruising, skin irritation or an adverse reaction to a product, and aggravation of an existing condition. The relevance of these risks depends on the proposed service and my health information. I may choose a different approach or decline service. No outcome is guaranteed. These services do not replace medical evaluation or treatment.


I will disclose relevant injuries, surgeries, medical conditions, medications, allergies, sensitivities, pregnancy where relevant, and instructions or restrictions from a healthcare professional. I will tell the provider about changes before each visit. The provider may modify, defer, or decline service or recommend medical evaluation when appropriate.


I choose the areas and techniques to which I consent after discussion. I can request different pressure, positioning, clothing or draping, refuse work on any area, or stop the session at any time. Consent may be withdrawn during a session regardless of this signature. For a minor, guardian consent does not override the child's request to stop. Appropriate privacy and draping will be maintained; no sexual services are offered or authorized.


My health information is collected to support safe service and related recordkeeping. This consent does not authorize use of my health history, photographs, or results for marketing. EFL will maintain confidentiality subject to applicable law and separately authorized disclosures.


I have read this general information and may ask questions before receiving services. Completing this annual intake does not authorize a specific technique or treatment area before it has been explained and agreed to. My provider will obtain and document informed consent before proceeding. This acknowledgment is not a promise that I will not be injured and not a blanket release of negligence claims.


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