DELAY BECOMING MUCH MORE ACTIVE Sample Clauses

DELAY BECOMING MUCH MORE ACTIVE. If you are not feeling well because of a temporary illness such as a cold or a fever – wait unit you feel better; or • If you are or may be pregnant – talk to your doctor before you start becoming more active.

DELAY BECOMING MUCH MORE ACTIVE.  If, you are not feeling well because of a temporary illness such as a cold or fever – wait until you feel better; or  If you are or may be pregnant – talk to your doctor before you start becoming more active. Physician Approval Form Physician Instructions: Please complete and return to Ft. Belvoir Civilian Health and Fitness Coordinator POC by: o Returning a copy via your patient o Mailing to: Ft. Belvoir DFMWR Sports and Fitness ATTN: Civilian Health and Fitness Program POC, Xxxxx Xxxxxxxx 0000 Xxxxxxx Xxxx, Xxxxxxxx 0000 Xxxx Xxxxxxx, XX 00000 Patient name: Participation in the Ft. Belvoir Civilian Health and Fitness Program is as follows: [ ] Medical Approval for full participation; no restrictions/limitations [ ] Medical Approval with restrictions/limitations [ ] Not Medically Cleared I understand that the program includes mild to moderate intensity exercise, and is conducted in unsupervised groups or individually. I also understand that participation is voluntary, allowing the participant to stop and rest at any time he or she desires. The following restrictions apply (write “none” if no restrictions apply): Physician’s Printed Name: Physician’s Signature: and authentication stamp: Office Telephone Number: Date: Fitness Staff Approval Form I hereby acknowledge that has completed all necessary pre-participation paperwork and has been entered into the Rec-Trac system. Upon approval, the participant’s six month health and fitness program period may begin immediately. (Fitness Staff Printed Name) (Date) (Fitness Staff Signature) Commander’s Civilian Health and Fitness Program Participant Name: DOB: Resting Heart Rate: Height: Weight: Systolic Blood Pressure (mmHg): Diastolic Blood Pressure (mmHg): BMI: (Body Mass Index = [Body Weight (lbs) / Height (in2)] x 725 Physical Activity Level Calculation Please complete electronically and return to xxxxx.l.shepherd2.naf@xxxx.xxx Triceps/Chest Hip/Waist Thigh Micro-Fit Assessment Fitness Component Test Raw Measure Final Body Composition Skin Fold Calipers % Fat Flexibility Sit and Reach cm Muscular Endurance Push ups Sit ups Max 1 Min Muscular Strength Bicep Curl Lbs Cardiovascular Ergo Bike ml/kg/min Total Fitness Score: Functional Movement Screen TIBIAL TUBEROSITY: HAND LENGTH: EXERCISE RAW SCORE FINAL SCORE COMMENTS Deep Squat Hurdle Step L R Inline Lunge L R Shoulder Mobility L R Impingement Clearing Test L R Active Straight Leg Raise L R Trunk Stability Pushup Press-Up Clearing Test Rotary Stability L R Po...