Medical-Fitness Technician Certification Course
Field Practicum - Forms
Download the PDF's listed below. Print the forms as needed.
Stack the forms on your clipboard in order.
Stack the forms on your clipboard in order.
1. Medical-Fitness Chart
2. Screening Questionnaire
3. Informed Consent
4a. BMI Chart
4b. WHR & Health Risk Charts
5. Fitness Test Formulas
6. Score Interpretation
7. Exercise Rx Chart
8. Exercise Rx - Client
9. Follow-Up Timeframes
10. Aerobic Training Log
11. Strength Training Log
12. Follow-Up Consultation
13. Med-Fit Progress Chart
14. Training Roster
15. Field Practicum Log
16. Competency Checklist
- Your Med-Fit Clinic will supply copies.
- -- If you are doing the Virtual Clinic for your Field Practicum, print 5 copies.
- Keep 1 blank copy on your clipboard to use for your next new client.
- Place the completed form in the new client's Clinic Folder.
- Replace the used form with a new blank form on your clipboard.
2. Screening Questionnaire
- Print 1 copy.
- Keep that copy on your clipboard.
- Use your copy to screen your new clients.
3. Informed Consent
- Print 1 copy.
- Keep that copy on your clipboard.
- Refer to your copy if your client has questions.
4a. BMI Chart
4b. WHR & Health Risk Charts
- Print 1 copy of each in Color.
- Cut each form in half.
- Laminate half of 4a & half of 4b together back-to-back x 2.
- Keep both laminated half-sheets on your clipboard.
- Let your client refer to 1 copy as you refer to the other copy during their Health Risk Analysis.
5. Fitness Test Formulas
- Print 1 copy.
- Keep that copy on your clipboard.
- Refer to your copy as needed for Fitness Testing and calculating Scores.
6. Score Interpretation
- Print 1 copy.
- Keep that copy on your clipboard.
- Use your copy to explain to your client the meaning of their Fitness Scores .
7. Exercise Rx Chart
- Print 1 copy.
- Keep that copy on your clipboard.
- Refer to your copy as needed for writing your client's Exercise Rx.
8. Exercise Rx - Client
- Your Med-Fit Clinic will supply copies.
- -- If you are doing the Virtual Clinic for your Field Practicum, you will be provided a customized form to print 5 copies.
- Keep 1 blank copy on your clipboard to use for your next client.
- Give the completed Exercise Rx form to your client.
- Replace the used form with a new blank form on your clipboard.
9. Follow-Up Timeframes
- Print 1 copy.
- Keep that copy on your clipboard.
- Refer to your copy as needed for your Follow-Up recommendations.
10. Aerobic Training Log
- Your Med-Fit Clinic will supply copies.
- -- If you are doing the Virtual Clinic for your Field Practicum, print 5 copies.
- Keep 1 copy on your clipboard.
- Keep the other copies readily available to give to your clients.
- Give 1-3 blank copies to your client for each 4 weeks until their Follow-Up Assessment.
- Refer to your copy when explaining to your client how to log their aerobic training sessions.
11. Strength Training Log
- Your Med-Fit Clinic will supply copies.
- -- If you are doing the Virtual Clinic for your Field Practicum, print 5 copies.
- Keep the other copies readily available to give to your clients.
- Give 1-3 blank copies to your client for each 4 weeks until their Follow-Up Assessment.
- Refer to your copy when explaining to your client how to log their strength training exercises.
12. Follow-Up Consultation
- Your Med-Fit Clinic will supply copies.
- -- If you are doing the Virtual Clinic for your Field Practicum, print 3 copies.
- Keep the copies readily available to use for your Follow-Up Consult appointments.
13. Med-Fit Progress Chart
- Your Med-Fit Clinic will supply copies.
- -- If you are doing the Virtual Clinic for your Field Practicum, print 5 copies.
- Keep 1 blank copy on your clipboard to use for your next new client.
- Place the completed form in your new client's Clinic Folder.
- Replace the used form with a new blank form on your clipboard.
14. Training Roster
- Your Med-Fit Clinic will supply copies.
- -- If you are doing the Virtual Clinic for your Field Practicum, print 1 copy.
15. Field Practicum Log
- Print 1 copy.
- Keep that copy on your clipboard.
- Use this form during your Field Practicum.
16. Competency Checklist
- Print 1 copy.
- Keep that copy on your clipboard.
- Use this form during your Field Practicum.