My Sanford Chart allows you secure online access to your personal health information and your child's health information. It's available anywhere you have internet access. There is no cost to you and registering is quick and simple.
Bring this sheet with you when you visit your doctor. Working together, you can use this sheet to develop your exercise program.
Special tests I need before begin an exercise program (if any):
My chronic health conditions are:
Exercises to help with these conditions are:
Exercises I should not do include:
Community resources and contacts (like the local YMCA) that might be useful to me:
Personal supports (like family members or exercise partners) who might help me include:
Other questions I have about beginning an exercise program are:
Warning signs I need to watch for are:
Other questions I have about beginning an exercise program:
Steps to take to get started include:
The three things I want to accomplish most by exercising are:
Physical activities I enjoy:
Physical activities I would like to try:
My initial exercise program will be:
Aerobic exercises I will do:
Strength and balance exercises I will do:
Flexibility exercises I will do:
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