American Association of Sports Medicine Technicians
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Screening for Medical Clearance

    Mark all that apply.
    ​If you marked any of the above symptoms, STOP. The participant must obtain medical clearance before participating in a Fitness Test or any Exercise Program. The participant may need to use a fitness facility that provides medically qualified supervision.
    If you marked "None of the above," continue with Questions 2 & 3 below.
    Q2: Exercise
    Ask a few questions in order to quantify the participant's current amount and intensity of physical activity. ​Even if the participant doesn't exercise at all, they can usually proceed with the Fitness Tests, depending on their Medical History (Q3).
    Days/week x Minutes/Day = Minutes/Week; Intensity: Low / Moderate / High
    If you marked "Yes" (and Q1 was "None of the above" = asymptomatic), the Participant does NOT need Medical Clearance. If in doubt or even if the participant does exercise regularly, you may want to continue with Question 3 below. If you marked "No," you must continue with Q3 below.
    Mark all that apply.
    ​Medical Clearance Criteria
    • If the participant has been experience any symptoms (Q1: Yes), the participant must obtain medical clearance before participating in a fitness test or light to moderate exercise.
    • Whether the participant is currently exercising or not (Q2: Yes or No), as long as the participant does not have a significant Medical History (Q3: None), the participant does not need medical clearance to participate in a fitness test or light to moderate exercise.
    • If the participant does have a significant Medical History (Q3: Yes), as long as the participant has been exercising (Q2: Yes) without symptoms (Q1: None), the participant does not need medical clearance to participate in a fitness test or light to moderate exercise. Medical clearance would be recommended only before engaging in vigorous exercise.
    • If the participant has not been exercising recently (Q2: No) and they have a significant Medical History (Q3: Yes), the participant must obtain medical clearance before participating in a fitness test or light to moderate exercise. The participant may need to use a facility that provides medically qualified supervision.
    • If you or the participant has any concerns, encourage them to talk with their personal physician and to get medical clearance for fitness testing or light to moderate exercise.
    If Medical Clearance is Required: This form will be forwarded to your supervising Sports Medicine Specialist who will then email instructions to the participant on how to obtain medical clearance. The participant will be referred back to you if/when they obtain a signed, dated, and verifiable Medical Clearance Form from their personal physician.
Submit

Informed Consent
AASMT
Because Exercise is Powerful Medicine and Fitness is the Cure.

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