Forms

ALL personal information shared will be kept confidential per the Health Insurance Portability and Accountability Act (HIPPA) of 1996. 

 

New Client Forms

Pregnant or Postpartum Patients

 

Medical Release

Before disclosing any personal information for purposes of communication with your medical professional, your signature must be obtained on this MEDICAL RELEASE form.

Website & Social Media Release

To give Kines Training & Coaching LLC and/or Angela Rodriguez permission to use photographs or written personal stories for marketing purposes on Kines Training & Coaching LLC social media sites, your signature must be on obtained on this MEDIA RELEASE form.