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  • Acsm Health Status Questionnaire - Ymca Of The Fox Cities

Get Acsm Health Status Questionnaire - Ymca Of The Fox Cities

Onfidential. NAME: ADDRESS: CITY: STATE: ZIP: DATE OF BIRTH: / / Daytime Phone: WITH DISEASE (physician approval needed if any checked) Do you have any personal history of coronary or atherosclerotic disease? Any personal history of metabolic disease (thyroid, renal, liver)? Have you had diabetes for less than 15 yea.

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How to fill out the ACSM health status questionnaire - YMCA of the Fox Cities online

The ACSM health status questionnaire is an essential document designed to assess your health and safety before engaging in physical activities. This guide provides detailed instructions on filling out the form online, ensuring that all information is completed accurately for optimal evaluation.

Follow the steps to complete the form successfully.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering your personal information in the designated fields. Fill in your name, address, city, state, zip code, and date of birth accurately to ensure proper identification.
  3. Next, provide your daytime phone number. This information is important for any follow-up regarding your health assessment.
  4. Proceed to answer the questions related to your medical history. Respond with 'YES' or 'NO' to each question, particularly those that require physician approval if certain conditions apply.
  5. Continue with the section regarding symptoms. Again, answer each question truthfully, only marking 'yes' for symptoms you have experienced to allow for a thorough understanding of your health status.
  6. The next section involves questions about risk factors. As before, answer with 'YES' or 'NO' to provide insight into your health risks without needing physician approval.
  7. Use the additional health conditions section to disclose any other relevant health information that may impact your exercise program. The more details you provide, the better adapted your program can be.
  8. Finally, verify that the information you have entered is correct to the best of your knowledge. Sign and date the document in the designated fields to authorize the release of your medical information.
  9. Once you have completed the form, save your changes, and download or print a copy for your records. You may also share the form as needed.

Complete the ACSM health status questionnaire online to ensure a safe and tailored physical activity plan.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232