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Exercise Referral Informed Consent
Patient
Name:Referrer Name:Age:DOB:NHS No:Sex:Referrer
Designation:Address:Referrer
Address:Post Code:Usual GP:Telephone:Practice:Referral Reason:
CHD Risk FactorsMental
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How to fill out exercise referral informed consent
How to fill out exercise referral informed consent
01
Start by obtaining an exercise referral form from a qualified healthcare professional or fitness instructor.
02
Read through the form carefully to ensure you understand all the information and requirements.
03
Provide your personal details including your name, contact information, and any relevant medical history.
04
Complete the consent section by signing and dating the form, indicating that you understand and agree to participate in the exercise referral program.
05
If applicable, provide any additional information or documentation required by the specific exercise referral program.
06
Return the completed form to the healthcare professional or fitness instructor who provided it.
07
Keep a copy of the filled-out form for your records.
08
Follow any additional instructions or guidelines provided by the exercise referral program.
Who needs exercise referral informed consent?
01
Anyone who wishes to participate in an exercise referral program needs to fill out exercise referral informed consent.
02
This typically includes individuals who have been referred by a healthcare professional to engage in exercise as part of a rehabilitation program or to manage a specific health condition.
03
It is important to obtain informed consent to ensure all participants understand the risks, benefits, and responsibilities associated with the exercise referral program.
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What is exercise referral informed consent?
Exercise referral informed consent is a legal document that outlines the risks, benefits, and responsibilities associated with participating in an exercise referral program.
Who is required to file exercise referral informed consent?
Individuals who are referred to an exercise program by a healthcare professional are required to file exercise referral informed consent.
How to fill out exercise referral informed consent?
Exercise referral informed consent can be filled out by providing personal information, acknowledging risks and benefits, and signing the document.
What is the purpose of exercise referral informed consent?
The purpose of exercise referral informed consent is to ensure that individuals are aware of the risks and benefits associated with participating in an exercise program.
What information must be reported on exercise referral informed consent?
Information such as personal details, medical history, risks, benefits, and responsibilities must be reported on exercise referral informed consent.
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