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Ine program: 1. 2. 3. 4. Assess patient s exercise habits as a vital sign at each patient visit and encourage patient to be physically active. Refer appropriate patients to EngAge Wellness Exercise is Medicine program (minimum age 50 years). Complete form and fax to 402-552-7209. Patient will be contacted to schedule an appointment. You will receive communication regarding patient s participation and progress. Patient s Name:.

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