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Exercise prescription & referralCanadawww.exerciseismedicine.canapé DateAgeRelevant diagnoses REDUCE SEDENTARY BEHAVIOURMove more/Sit less/ Use stairs / Limit screen biophysical ACTIVITY RECOMMENDATIONS
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How to fill out exercise prescription amp referral

How to Fill out Exercise Prescription & Referral:
01
Start by gathering all necessary information about the patient, including their medical history, current health status, and any specific goals or limitations they may have.
02
Begin filling out the exercise prescription form by entering the patient's personal information, such as their name, age, gender, and contact details.
03
Next, provide details about the referring healthcare professional, including their name, contact information, and any specific instructions or recommendations they may have given.
04
Assess the patient's current fitness level by conducting a thorough evaluation. This may include measurements of height, weight, body composition, and cardiovascular fitness.
05
Based on the evaluation results, set realistic and achievable goals for the patient in terms of exercise and physical activity. These goals should be tailored to their specific needs and abilities.
06
Determine the type of exercise that would be most beneficial for the patient, taking into consideration their age, fitness level, and any medical conditions or restrictions they may have. This may include aerobic exercises, strength training, flexibility exercises, or a combination of different activities.
07
Specify the frequency, duration, and intensity of the exercises recommended for the patient. Provide clear guidelines on how often they should exercise, how long each session should last, and how hard they should push themselves during the workout.
08
Include any additional instructions or precautions that the patient should be aware of while performing the recommended exercises. This may involve modifications for special populations (e.g., pregnant women, elderly individuals) or guidelines for safety and injury prevention.
09
If necessary, provide a list of specific exercises or activities that the patient can perform to achieve their goals. Include detailed instructions on how to perform each exercise correctly and safely, and consider incorporating progression strategies as the patient becomes fitter and more advanced.
Who Needs Exercise Prescription & Referral?
01
Individuals with pre-existing medical conditions or injuries that require specialized exercise recommendations and supervision. This may include individuals with cardiovascular disease, diabetes, hypertension, or musculoskeletal disorders.
02
Patients who are starting or transitioning into an exercise program after a sedentary period. Exercise prescription and referral are particularly important in these cases to ensure a gradual and safe progression.
03
Athletes or individuals participating in specific sports or activities that require tailored exercise programs to enhance performance, prevent injuries, and promote optimal conditioning.
04
Older adults who may have unique needs and considerations regarding exercise prescription, such as modifications for balance and flexibility, joint health, and maintaining independence.
05
Individuals who are seeking professional guidance and support to ensure they are engaging in appropriate and effective exercise routines that align with their fitness goals.
Remember, exercise prescription and referral should always be done by qualified healthcare professionals, such as physicians, physical therapists, or certified exercise specialists, to ensure the safety and effectiveness of the program for each individual.
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What is exercise prescription amp referral?
Exercise prescription amp referral is a formal document that outlines a specific exercise program recommended by a healthcare provider.
Who is required to file exercise prescription amp referral?
Healthcare providers, such as physicians, physical therapists, or exercise physiologists, are required to file exercise prescription amp referral.
How to fill out exercise prescription amp referral?
Exercise prescription amp referral can be filled out by documenting the specific exercise recommendations, duration, intensity, and frequency for a patient.
What is the purpose of exercise prescription amp referral?
The purpose of exercise prescription amp referral is to provide patients with a structured exercise program to improve their health and fitness.
What information must be reported on exercise prescription amp referral?
Exercise prescription amp referral must include the patient's personal information, the recommended exercise program, any modifications or restrictions, and the healthcare provider's signature.
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