Healthcare Provider Referrals

A downloadable PDF referral form will be available here soon. A referral is not required to access services at Balanced by EM. Referrals are welcomed when additional clinical information can help me better understand a patient’s needs and provide a thoughtful, appropriate starting point for movement.

A referral may be helpful for patients who are:

  • Transitioning from physiotherapy, rehabilitation, or other clinical care
  • Recovering from an injury, surgery, or period of reduced activity
  • Managing persistent pain, stiffness, weakness, or mobility limitations
  • Working to improve balance, stability, posture, or functional strength
  • Unsure how to safely return to exercise or regular activity
  • Rebuilding confidence in movement after pain or injury
  • Navigating pregnancy, postpartum recovery, or other changing movement needs
  • Needing more individualized support than a general fitness setting can provide

Services may include:

  • Clinical Pilates
  • Individual Start Sessions
  • Private Pilates programming
  • Small-group Pilates when appropriate
  • Progressive strength, mobility, stability, and balance work
  • Support with returning to everyday activities, exercise, sport, or other meaningful movement

Referral information can help me understand:

  • Relevant diagnosis, injury, surgery, or clinical history
  • Current stage of recovery
  • Precautions or movements to avoid
  • Areas of concern or limitation
  • Treatment goals and recommendations
  • What the patient is hoping to return to or improve

Care coordination is welcome. When appropriate, I’m happy to work alongside the patient’s healthcare provider so that movement programming respects current recommendations and supports continuity of care. Pilates services are intended to complement, not replace, medical treatment or rehabilitation.

Until the PDF referral form is available, please use the contact form on this page to connect regarding patient referrals, care coordination, service suitability, or questions about the most appropriate place for a patient to begin.

Healthcare Provider Referral and Care Coordination Contact Form

Please include patient name and contact information, reason for referral, and any other pertinent information. Please also include the best method of contact for yourself/clinic.

Privacy and sharing of information - Required

This form is not for health information, and I consent to my contact information being used to respond to my inquiry. My message will be sent to this clinic via unencrypted email. Do not include symptoms, diagnoses, medications, or other sensitive details.
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