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Health History
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General Health
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Informed Consent
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1. Manual Therapy & Therapeutic Tools
I understand that during my sessions at Elevate NH, I may receive manual therapy including hands-on soft tissue work and joint mobilizations, which may include:
Myofascial release
Trigger point therapy
Assisted stretching
Graston® (IASTM) technique
Cupping therapy
2. Red Light Therapy & NormaTec Compression Therapy
I understand that red light therapy uses low-level wavelengths to stimulate cellular function, potentially aiding in recovery, inflammation reduction, and performance. I confirm that I do not have photosensitivity or epilepsy triggered by light exposure, and will wear appropriate protective eyewear as instructed.
3. Movement Therapy & Corrective Exercise
I understand that corrective and functional movement-based exercises may be prescribed as part of my wellness and neuromuscular rehabilitation plan, including mobility drills, postural and gait retraining, balance and coordination drills, and core activation and stabilization techniques.
4. Assumption of Risk & Hold Harmless Clause
I acknowledge that I am voluntarily participating in services provided by Elevate NH and understand that there are inherent risks associated with physical activity, manual therapy, and the modalities listed above.
5. Consent to Treat
By completing this form, I consent to the above services being rendered by certified professionals at Elevate NH. I have had the opportunity to ask questions and all my questions have been answered to my satisfaction. I understand that I may withdraw consent and stop participation at any time.
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Service Agreement
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Program Details
Client Name
—
Practitioner
Josh Tamblyn
Session Frequency
2× per week
Date
—
What's Included
Each session is a fully integrated treatment combining manual therapy and movement therapy — one cohesive approach designed to create lasting change in how your body functions.
Manual Therapy
Myofascial release targeting hip capsule, TFL, psoas, and thoracic restrictions
Right hip capsule mobilization to restore internal rotation range
Soft tissue work on posterior hip external rotators
Thoracic spine manual therapy to restore rotation and extension
Session-to-session tissue preparation that amplifies movement training effectiveness
Movement Therapy
Functional Patterns (FP) methodology — gait-based, rotational movement patterning
RG Bar and Leverking training for posterior chain loading without hip impingement
Med ball work for explosive power and trunk integration
Breathing and intra-abdominal pressure (IAP) restoration
Pelvis-thorax dissociation training — directly relevant to skating mechanics
Access & Facility
24/7 Recovery Suite access
Use of facility during non-class training hours
Ongoing movement and postural assessment each session
Progress updates to family as the program develops
Investment
What's Included
Details
Integrated Manual Therapy Sessions
10× · 45–60 min
Training Sessions
10× · 60 min
24/7 Recovery Suite Access
Included
Facility Use During Non-Class Training Hours
Included
Total Investment$1,250
What to Expect
Michael's assessment revealed a complex but highly addressable movement pattern. He is strong and athletic — the goal is to get his body working as an integrated unit, directly impacting performance on the ice.
1
Early Phase — Sessions 1–6
Breathing mechanics, IAP restoration, and right hip manual work. Expect meaningful changes in hip feel and early thoracic mobility improvements.
2
Mid Phase — Sessions 7–14
Rotational patterning and progressive loading. Pelvis-thorax dissociation begins translating into coordinated movement and improved skating mechanics.
3
Ongoing
Load progression and sport-specific patterning. Goal is building the tissue environment so structural findings are not a limiting factor in performance or longevity.
Important Notes
This program is movement and manual therapy — not medical treatment or physical therapy
Findings requiring physician follow-up will be communicated promptly
Programming will be adjusted if symptoms change or worsen
Cancellations require 24 hours notice
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I confirm that all health information provided is accurate and complete. I have read and understood the informed consent and service agreement, and I agree to all terms outlined therein.
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