CJFF Doctors Medical Release

To Concerned Physician
____________________ has chosen to start a path to wellness through physical
training. Your patient has taken a major step in turning his/ her life around. I am
honored that Ive been chosen by this client to provide fitness training and more than
happy to train this person, but as a certified personal trainer I am bound to certain
guidelines when certain risk factors related to the clients heath and health history
develop. In order for this client to train at my facility he/ she, needs written consent
from you, the Care Giver. If permission is granted, feel free to advise me on any
exercises that we may need to exclude from or add to our work out program to provide
the best physical program possible.
Thank you for your cooperation
CJ
CJs Functional Fitness LLC
Name of Physician______________
Approval & Recommendation:

__________________________________
Physician Signature & Date

CJFF/ 15711 Condon Ave, Lawndale Ca. 90260/ 1.310.963.7728/www.cjff.org

NASM and AFAA Certified