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7o Shaker Road Gray Maine 04039 207 400-7 1 1 1 WWW.TL2Fitness. com Physician Release Form Your patient wishes to start a personalized exercise program. As a participant in this program your patient will be instructed in proper exercise techniques working one on one with a personal trainer or in a small group setting in fitness classes. Are there any medical factors in your patient s history or any medications that are currently being taken which would affect exercise programming or your...
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