Module 40 Lab
Health Risk Analysis
This lab is designed to provide an opportunity for you to practice completing the clinic form prior to your Field Practicum. Your submitted form will not be graded, but submitting a photo of your completed form is required to receive credit. If you have any questions regarding the form, refer to the Learning Module. The MFT Instructor for your Field Practicum will explain the form again and answer any of your questions.
Print each form linked below and add them to your clipboard in order.
Scenario: Use the forms listed above to complete the "Health Risk Analysis" section of the same Medical-Fitness Chart form that you used for Module 39 Lab by using the information listed below. Print legibly.
Take a close-up photo of the Health-Risk Analysis section of the Medical-Fitness Chart form that you completed.
Scenario: Use the forms listed above to complete the "Health Risk Analysis" section of the same Medical-Fitness Chart form that you used for Module 39 Lab by using the information listed below. Print legibly.
- You measured your client's Height to be 5'10"
- You measured your client's Weight to be 216 pounds
- You measured your client's Waist Circumference to be 45"
- Your client informed you that his doctor says he has Pre-Diabetes.
Take a close-up photo of the Health-Risk Analysis section of the Medical-Fitness Chart form that you completed.
Lab Report