Exercise prescription template 2025

1. Click ‘Get Form’ to open the exercise prescription template in our editor.
2. Begin by entering the patient’s name, date of birth, and the current date in the designated fields at the top of the form.
3. Next, fill in the health care provider’s name and provide their signature to validate the prescription.
4. In the 'Physical Activity Recommendations' section, select the type of physical activity recommended (e.g., Aerobic or Strength) by checking the appropriate box.
5. Specify the number of days per week and minutes per day for each type of activity. Ensure that these align with physical activity guidelines for optimal health benefits.
6. Complete the referral section by providing details such as name, phone number, address, and website of the health & fitness professional.
7. Finally, set a follow-up appointment date and add any additional notes that may be relevant for future reference.

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