Health Screening Form

Health Screening Form

This health screening form is for physical training centers that accept registration from individuals that would want to undergo a series of training related to physical wellness. Use this health screening report template if you are looking to screen clients before they can join your training. You can screen clients through this screening form template by asking them for their personal measurements, their current occupation and lifestyle, their medical history and nutrition habits if any. This health screening template is a six (6) part form with your terms and condition that discusses how the business proceeds with cancellation and late session arrivals. Create a HIPAA Compliant Health Screening Form today. Form Preview
  • Part 1. Contact Details

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  • Part 2. Personal Measurements

  • Part 3. Occupation & Lifestyle

  • Part 4. Medical History

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  • Part 6. Your Nutrition Habbits

  • 1.) CANCELLATIONS

    Cancellations should be made at least 24 hours in advance of a scheduled session. Sessions cancelled less than 24 hours in advance will be charged in full to the client.

    2.) LATE ARRIVALS

    Each session shall be 45min in length. Sessions will not be extended (unless time is available) due to the lateness of the client or due to interruptions caused by the client.

    3.) ALL THE INFORMATION I HAVE GIVEN IS CORRECT

    All the information on this form is correct and to the best of my knowledge. I have sought and followed any necessary medical advice. I understand that all the information given will be kept confidential.

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