WAIVER OF PHYSICIAN PERMISSION - program.dotfit.com 2026

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The document is a waiver of physician permission for a client participating in a weight loss program with dotFITTM. It acknowledges the client's moderate to high health risk and their understanding that participation may affect their medical conditions. The client waives the requirement for written permission from their physician, confirming they have been recently examined and are fit to participate.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the client’s name in the designated field at the top of the form. This ensures that all information is accurately attributed.
Next, fill in the date on which you are completing the waiver. This is important for record-keeping purposes.
Review the statement regarding health risks and ensure you understand its implications. Acknowledge your understanding by signing in the provided space labeled 'Signature of Client'.
If applicable, a parent or guardian must sign for clients under 18 years old in the designated area.
Complete the physician's name and contact information fields, including phone and fax numbers, to facilitate communication if necessary.

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2009	4.1 Satisfied (28 Votes)

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