Please fill out and sign this form before your horse's session:


    Rolfing® structural integration

    I hereby apply for a standard series of processing in Rolfing (structural integration) for my horse(s).

    I fully understand the purpose of Rolfing is to balance and align the physical body so that it is supported and maintained by gravity in three-dimensional space. This is done through direct manipulation and education so that greater economy and freedom of body-movement are achieved.

    I understand Rolfing is not involved with the treatment of disease of any kind, nor does it substitute for medical diagnosis or treatment when such attention is needed.

    The Rolfer does not treat, prescribe or diagnose an illness, disease, or any other physical or mental disorder of the horse. Nothing said or done by a Rolfer should be misconstrued to be such.

    I understand it is necessary for the Rolfer to touch my horse’s body in order to assist my horse(s) in establishing balance and alignment in the body.

    I give Lauren Harmon my permission and consent to do all those things necessary in helping my horse(s) establish balance and alignment, including, but not limited to touching my horse’s body. I give the Rolfer full privilege and license to work on my horse in such a way as to restore and establish balance and alignment therein.

    Furthermore, I understand that any relief of physical or emotional symptoms is coincidental in the organization of the total horse and is not the basic goal of Rolfing.
  • Hidden
  • MM slash DD slash YYYY
  • By signing and submitting this document, you consent to Lauren Harmon working with your horse(s) and the terms on this form.