Exercise prescription 2026

1. Click ‘Get Form’ to open the Exercise Prescription & Referral Form in the editor.
2. Begin by entering the Patient Name, Today’s Date, Date of Birth, and Next Appointment in the designated fields. This information is crucial for tracking the patient's progress.
3. In the AEROBIC section, select the Type of activity from options like Walking, Swimming, Cycling, or Other. Specify how much activity is needed (10 minutes, 15-30 minutes, etc.) and how many times a week it should be performed.
4. Move to the STRENGTH section. Choose your preferred activities such as Sit ups or Push ups. Indicate how many sets and repetitions are required and how often these should be done each week.
5. If a referral to an Accredited Exercise Physiologist is necessary, fill in their Name, Phone, and Address. This ensures proper guidance for exercise implementation.
6. Review all entries for accuracy before saving or sharing your completed form.

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