ࡱ>  bjbjUU "r?? cxx99!!!55558md5%z_|e$g$g$g$g$g$g$&)hg$Q!q9="qug$99$4y"9l8e$qe$: ,,  pɋ 5: !!D$% **  0!!qqqx :    Physician Approval For Physical Activity Please fill out the following part of this release form for your physician. The grayed in boxes are for you to enter information right in the document or you can print this out and fill it in. Take the form to your physician and when complete, either fax it to us at 860-927-7913 or bring it to your first visit. Client/Patient  FORMTEXT      Date  FORMTEXT      Street Address  FORMTEXT      City  FORMTEXT      State  FORMTEXT      Zip  FORMTEXT      Home Phone  FORMTEXT      Cell Phone  FORMTEXT      Physician Name  FORMTEXT      Street Address  FORMTEXT      City  FORMTEXT      State  FORMTEXT      Zip  FORMTEXT      Physician Phone Number  FORMTEXT       Your patient has voluntarily decided to engage in a one-on-one personal training exercise program with Fitness Matters, LLC. The primary objective of our program is the promotion of holistic health and fitness through personally prescribed physical activity. A certified Personal Fitness Specialist will design the individualized exercise program. The program includes periodic physical fitness assessments and supervised exercise. The supervised exercise programs include functional and aerobic exercise, muscle strengthening, flexibility, and balance conditioning. It will also address core strengthening, agility, and power movements, if applicable. If your patient has completed physical therapy or cardiac rehab, Fitness Matters will ask permission to obtain information from the therapist or doctor to learn of any contraindications to exercise. All programs follow the guidelines established by the American College of Sports Medicine, unless otherwise specified. All Personal Fitness Specialists are certified in CPR, Fitness First Aid, and hold national certifications. Please indicate below if your patient has any of the following medical conditions: Coronary Heart Disease FORMCHECKBOX High Blood Pressure  FORMCHECKBOX High Cholesterol FORMCHECKBOX Reactive Airways Disease FORMCHECKBOX Knee/Back Ailments or Recurring Problems FORMCHECKBOX Peptic Ulcer Disease FORMCHECKBOX Musculoskeletal Disorder FORMCHECKBOX Diabetes FORMCHECKBOX  Could you please add any other medical condition or exercise contradictions we need to be aware of in monitoring this clients progress and response to the exercise program?  FORMTEXT       FORMTEXT       Your patient will engage in the following physical activities: (Check if OK) Aerobic Excerise (Bike, treadmill, etc.) FORMCHECKBOX Muscle Conditioning  FORMCHECKBOX Flexible Excercises FORMCHECKBOX Balance Exercises FORMCHECKBOX Abdominal/Lower Back Strengthening/Core FORMCHECKBOX  Would you like to receive monthly progress reports or to have your patient communicate his/her progress at an office visit? Report Office Visit FORMCHECKBOX  Yes  FORMCHECKBOX  No Patients Nameis under my care and has my permission to begin a supervised exercise program with Fitness Matters, LLC. My patient is currently working with a physical therapist. 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