Get Helth Club Form

Filling out the Helth Club Form online is an essential process for reporting incidents at fitness facilities. This guide provides clear steps to assist users in completing the form accurately and efficiently.

Follow the steps to successfully complete the Helth Club Form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering today’s date and the date of the incident in the designated fields. Ensure the timings are recorded in AM/PM format.
3. Fill in the name of the club, its address, and contact number. This identifies the facility where the incident occurred.
4. Provide the name and phone number of the contact person who can be reached for further information regarding the incident.
5. Enter your name and job description in the section titled ‘Name/Job Description of Person Completing this Form’.
6. In the ‘About the Injured Person’ section, fill in the details of the injured individual: their name, age, and optionally, their gender. Document how long they have been a member of the club.
7. Record the injured person's address and their home, work, and cell phone numbers for follow-up communication.
8. Provide a detailed description of the incident in the relevant section. Include specific circumstances and actions taken during the incident.
9. Document any possible injuries sustained by the individual, such as cuts or fractures, to give context to the incident.
10. Specify whether emergency services (911) were called. Select the appropriate option of YES or NO.
11. List any treatments that were administered at the club to address the injuries.
12. Indicate if the injured person was referred to a hospital or doctor, selecting YES or NO accordingly.
13. If applicable, provide the physician’s name, hospital name, address, and phone number for any treatment that was received.
14. Detail the type of equipment involved in the incident by listing the make and model.
15. State whether the maintenance department was notified. Select YES or NO, and if yes, note any corrective actions that were taken.
16. If there were witnesses to the incident, indicate their presence with YES or NO. If applicable, request brief statements from the witnesses regarding the incident.
17. Finally, sign the form in the section designated for the manager's signature.
18. Attach a copy of the member's contract and any other relevant paperwork. Once completed, save your changes, and you may choose to download, print, or share the form as needed.

Take action now to complete your Helth Club Form online accurately!