Get the free P.O.W.E.R. Program Medical Clearance Form - Old Dominion ...
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P.O.W.E.R. Program Medical Clearance Form Old Dominion University Department of Recreation and Wellness Norfolk, VA 23529 Phone: (757× 6833384 Fax: (757× 6833386 Dear Dr.___, (Patient Name)___ is
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How to fill out power program medical clearance
How to fill out power program medical clearance
01
Obtain a copy of the power program medical clearance form.
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Read the instructions on the form carefully.
03
Start by filling out your personal information, including your name, address, phone number, and date of birth.
04
Provide information about your medical history, including any pre-existing conditions or illnesses.
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Answer the questions related to your physical fitness and any limitations you may have.
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Submit the form to the appropriate authority or organization responsible for reviewing and approving power program medical clearances.
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Wait for a response regarding the approval or any further instructions.
Who needs power program medical clearance?
01
Any individual participating in a power program that requires medical clearance should obtain power program medical clearance.
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What is power program medical clearance?
Power program medical clearance is a form that needs to be completed by individuals who wish to participate in a power program.
Who is required to file power program medical clearance?
Any individual who plans to participate in a power program is required to file power program medical clearance.
How to fill out power program medical clearance?
Power program medical clearance can be filled out by providing the necessary personal and medical information requested on the form.
What is the purpose of power program medical clearance?
The purpose of power program medical clearance is to ensure that participants are medically cleared to safely engage in the activities of the power program.
What information must be reported on power program medical clearance?
Information such as medical history, current medications, and any known medical conditions must be reported on power program medical clearance.
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