Info for Referring Physicians

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Exercise Program
Suggested Pre-Referral Evaluation and Management Guidelines	Refer patients in need of a safe, and effective exercise program. For persons with chronic health conditions or special needs, consider the Fit-Script Program
Suggested Additional Test/Management Prior to Specialty Visit	If patient is apparently healthy they can start adding moderate physical activity (walking) into their day.
Patient Education/Information (includes preps)	Individual appointments for nearly all populations and fitness levels. Programs are fee for service by may be reimbursed by some insurances. Aerobic Physical Activity Action Plan Perceived Exertion Scale Resistance/Strength Training Stretching and Flexibility Training Resistance Exercises: Laying Down Resistance Exercises: Laying Down, Phase II Resistance Exercises: Seated Resistance Exercises: Seated, Phase II Resistance Exercises: Standing Resistance Exercises: Standing, Phase II Health Education Resource Center
Appointment Timeframe	Will be contacted in 48 hours to schedule next available appointment.
How to Get Results to Consultant	UMHS Patients: See MiChart External Patients: Hand carry non-UM records to visit
Clinic Contact Information	MFit Fitness Center at the Ann Arbor Ice Cube: Phone: 734-998-8700 Website E-mail Referral Form
Clinic Location Sites	MFit Fitness Center at the Ann Arbor Ice Cube Intramural Sports, Central Campus, and North Campus Recreation Centers www.mhealthy.umich.edu/fitness
UM Consulting Physician
Revised on:	09/06/2012