Any information disclosed within this document will be held in confidence by Uthrive Athletic and details will not be disclosed with your GP or any other healthcare professional without your prior consent. This document is intended to aid the partners and/or contractors of Uthrive Athletic in compiling an exercise program tailored to your individual needs and to identify any possible problems or contraindications which may affect physical exercise. Your full disclosure is essential in order for us to ensure your exercise program is both as effective and safe as possible.
All information disclosed within this document is correct to the best of my knowledge and belief at the time of completion. I also understand that this information will be used in order to create a safe and effective exercise program tailored to my current health status.