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Get Exercise Prescription Template

EXERCISE PRESCRIPTION & REFERRAL FORM PATIENT S NAME: DOB: DATE: HEALTH CARE PROVIDER S NAME: SIGNATURE: PHYSICAL ACTIVITY RECOMMENDATIONS Type of physical activity: Aerobic REFERRAL TO HEALTH & FITNESS.

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Complete Exercise Prescription Template in a few minutes by simply following the instructions listed below:

  1. Choose the document template you want from the collection of legal form samples.
  2. Choose the Get form key to open it and move to editing.
  3. Submit the requested boxes (these are yellowish).
  4. The Signature Wizard will allow you to add your electronic autograph after you?ve finished imputing data.
  5. Insert the date.
  6. Look through the entire form to be certain you?ve filled out all the data and no changes are needed.
  7. Hit Done and download the resulting template to your gadget.

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Keywords relevant to Prescription Exercise Program

  • strengthening
  • referral
  • org
  • moderate
  • recommendations
  • Guidelines
  • Fitness
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