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Arthritis Foundation s Exercise Program The Healthy Lifestyles Fitness Center 200 Chesapeake Blvd., Suite 2500 Elton, MD 21921 410-620-3101 / fax 410-620-3606 STEP 1: Application Form Name Home Phone:
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How to fill out arthritis exercise physician form
How to fill out arthritis exercise physician form:
01
Begin by carefully reading the instructions and requirements provided on the form. Make sure you understand what information is required and how to provide it accurately.
02
Provide the necessary personal details in the designated sections of the form. This usually includes your full name, date of birth, address, and contact information.
03
Consult with your physician or healthcare provider to accurately fill out the medical information section of the form. This may include details about your arthritis diagnosis, current medications, any limitations or restrictions to consider, and any specific recommendations for exercise.
04
Follow the instructions for documenting your exercise routine. This may involve recording the type of exercises, their frequency, duration, and any modifications or adaptations necessary for your condition.
05
If required, obtain your physician's signature or endorsement on the form. This may indicate their approval of the exercise plan and their confirmation of your medical information.
Who needs arthritis exercise physician form:
01
Individuals diagnosed with arthritis who are seeking guidance or recommendations from a healthcare professional on exercise routines specifically tailored to their condition.
02
Patients who are currently undergoing treatment for arthritis and are required to submit a documented exercise plan to their healthcare provider.
03
People participating in research studies or clinical trials focused on arthritis and exercise, where the completion of a physician form is necessary for enrollment or continued participation.
Note: It is essential to consult with your healthcare provider or physician regarding specific requirements for filling out the arthritis exercise physician form, as these may vary depending on the organization or healthcare facility.
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