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Fitness Assessment
Thank you for your interest in a Fitness Assessment at the DSU Wellness Center! Complete
and return this form to the Customer Service Desk or email the completed form to
ndsu.wc.fitness@ndsu.edu
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How to fill out wellness center forms

How to fill out wellness center forms
01
Start by providing your personal information such as name, address, phone number, and date of birth.
02
Fill out the medical history section including any past illnesses, surgeries, or medications.
03
Be thorough when describing your current symptoms or reasons for visiting the wellness center.
04
If applicable, complete any insurance or payment information requested on the forms.
05
Review the forms for accuracy and sign and date where required.
Who needs wellness center forms?
01
Individuals who are seeking care or services at the wellness center.
02
Patients who are new to the wellness center and need to establish their medical history.
03
Existing patients who need to update their information or provide consent for treatment.
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What is wellness center forms?
Wellness center forms are documents used to gather information about an individual's health and wellness activities at a wellness center.
Who is required to file wellness center forms?
Individuals who visit a wellness center and participate in health and wellness activities are required to file wellness center forms.
How to fill out wellness center forms?
Wellness center forms can be filled out by providing accurate information about one's health and wellness activities during their visit to the wellness center.
What is the purpose of wellness center forms?
The purpose of wellness center forms is to track and monitor an individual's health and wellness activities, in order to promote overall well-being.
What information must be reported on wellness center forms?
Information such as medical history, current health condition, wellness activities participated in, and any concerns or goals related to health and wellness must be reported on wellness center forms.
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