Your patient would like to participate in an on-going osteoporosis prevention exercise program. The RSVP BONE BUILDERS P
RSVP is a non-profit that meets important community needs by mobilizing volunteers to ... All services are free of charg
Improves Muscle Strength. ⢠Increases Bone Density and Balance. ⢠Enhances Energy and Well Being. A Strength Trainin
Volunteer Program, its sponsor, the Friends Program, the site where the RSVP. BONE BUILDERS Osteoporosis exercise progra
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Retired and Senior Volunteer Program (RSVP) BONE BUILDERS EXERCISE PROGRAM MEDICAL RELEASE STATEMENT FOR EXERCISE
Patient Name (Please Print) ___________________________________________ Address Your patient would like to participate in an on-going osteoporosis prevention exercise program. The RSVP BONE BUILDERS Program is based on a program originally developed at Tufts University. Research published in the New England Journal of Medicine and JAMA have demonstrated conclusively that weight training and balance exercises give participants the strength and stability to significantly reduce incidents of falling and fracturing bones. Your patient needs your medical clearance in order to join a class. Your patient can provide you with more detailed information about the program if desired. You can also contact us at (603) 228-1193.
My patient has no current medical problems that prevent his/her participation in RSVP BONE BUILDERS progressive weight and balance training program. Physician’s Name Address _______________________________________________ Phone
Signature _____________________________
Date ___________
202 N. State Street, Concord NH 03301 603-228-1193 Fax: 603-226-3884 www.friendsprogram.org
