Get Physicians Statement And Clearance Form - Brockport

Filling out the Physicians Statement And Clearance Form for the College at Brockport is an essential step in ensuring your safety while participating in exercise programs. This guide provides a comprehensive overview of each section in the form, making the process straightforward and accessible for all users.

Follow the steps to complete the form effectively.

1. Press ‘Get Form’ button to obtain the form and open it in the document editor.
2. Review the introduction section of the form, which emphasizes the importance of medical clearance for exercise participation and your safety.
3. Fill out the patient information section, including your name, date, and any other requested details to ensure accurate identification.
4. Complete the section that permits your physician to release pertinent medical information. Sign and date this section to give consent.
5. In the reason for medical clearance section, provide a brief explanation, which helps contextualize your request for clearance.
6. Have your physician fill in their details, including name, phone number, fax number, and address, to ensure that your medical records can be verified.
7. The physician must check one of the statements regarding your participation in the exercise program and provide any necessary restrictions if applicable.
8. Make sure your physician signs and dates the form to validate their agreement and assessment.
9. Once completed, the form can be saved, downloaded, printed, or shared as required.

Complete your Physicians Statement And Clearance Form online today to get started on your fitness journey.