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Falls Prevention and Exercise Classes Intake Form Patient Information Name: Address: Telephone: Name:Estate of Birth: Emergency Contact Information (Optional) Telephone:Health Related Questionnaire

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How to fill out falls prevention and exercise

01

Consult with a healthcare provider before starting any exercise program.

02

Identify specific fall risk factors such as muscle weakness, balance issues, or medication side effects.

03

Choose exercises that target strength, balance, and flexibility.

04

Perform exercises regularly and consistently.

05

Monitor progress and make adjustments as needed.

06

Stay hydrated and maintain a healthy diet to support overall health and prevent falls.

Who needs falls prevention and exercise?

01

Older adults

02

Individuals with mobility issues

03

People with a history of falls or balance problems

04

Those taking medications that affect balance or cognition

05

Anyone looking to improve their overall physical health and reduce the risk of falls

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What is falls prevention and exercise?

Falls prevention and exercise involves strategies and physical activities aimed at reducing the risk of falls among individuals, especially older adults.

Who is required to file falls prevention and exercise?

Healthcare providers, caregivers, and individuals working with the elderly are required to implement falls prevention and exercise programs.

How to fill out falls prevention and exercise?

Falls prevention and exercise programs can be filled out by following guidelines provided by healthcare professionals and organizations specializing in fall prevention.

What is the purpose of falls prevention and exercise?

The purpose of falls prevention and exercise is to improve balance, strength, flexibility, and overall physical function to reduce the risk of falls and related injuries.

What information must be reported on falls prevention and exercise?

Information such as type of exercises, frequency of sessions, progress tracking, and any incidents or improvements observed during the program must be reported on falls prevention and exercise.

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