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EXERCISE SCREEN NAME DATE DOB DOI TIME IN DX: SCREEN Standing 1. PreScreen WAS 2. 3minute Step Screen (pulse)INITIAL1st Recheck2nd Recheck3rd Checkmate:Date:Date:Date: /10 /10 /10 PRE post PRE postal
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Form Exercise Screen Spine is a document used for assessing and recording the physical exercise regimens and spinal health screening of individuals, typically in a clinical or fitness assessment context.
Individuals undergoing physical assessments related to spinal health and fitness programs may be required to file this form, often including athletes, patients in rehabilitation, or participants in preventive health screenings.
To fill out Form Exercise Screen Spine, individuals need to provide personal information, record their exercise history, report any spinal issues or concerns, and sign the form to acknowledge the accuracy of the information.
The purpose of the form is to evaluate an individual's physical fitness, spinal health, and the appropriateness of exercise programs tailored to their needs.
The form typically requires personal details, medical history, current exercise routines, any existing spinal conditions, and any recent injuries related to the spine.
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