Coaching Agreement Template for Rehabilitation & Corrective Exercise

Use in FirstRep document

Client Information

Essential for understanding client history and needs in Rehabilitation & Corrective Exercise.

Aa Client Name *

Enter full name

D Date of Birth *

Select date of birth

Aa Contact Information *

Enter phone number and email

... Injury/Surgery Details *

Describe your injury or surgery

Medical History

To assess any prior conditions that could affect exercise programming.

... Previous Injuries

List any past injuries

... Current Medications

List medications currently taken

... Chronic Conditions

List any chronic conditions

Goals and Expectations

To set clear and achievable goals for rehabilitation.

Aa Primary Goal *

What is your main goal?

Aa Timeline for Goals *

State expected timeline for recovery

... Concerns About Progress

Any concerns regarding your recovery?

Liability and Consent

To ensure clients understand the risks involved in rehabilitation exercises.

Y/N Acknowledgment of Risks *

Y/N Consent to Participate *

Communication with Healthcare Providers

Establishing a plan for liaising with physical therapists and doctors.

Aa Primary Care Physician *

Enter physician's name

Aa Physical Therapist *

Enter PT's name and contact

v Preferred Communication Method *

Progress Monitoring

To track rehabilitation progress and adjust plans as necessary.

v Progress Review Frequency *

... Progress Notes

Document progress here

Why Use This Template

Streamlined Communication

Facilitates clear communication between trainers and healthcare providers.

Enhanced Client Safety

Ensures potential risks are acknowledged and understood.

How to Use

Fill in all client information and medical history accurately.

Review goals and expectations with the client to ensure alignment.

Customization Tips

Adjust fields to fit specific client needs and conditions.
Add sections for additional medical history if necessary.
Include space for client testimonials or feedback.

Build and send rehabilitation & corrective exercise templates digitally with FirstRep. Free for up to 3 clients.

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Frequently Asked Questions

What if my injury is not listed in the template?

Feel free to add additional details in the injury/surgery section to ensure thorough understanding.

Can I modify this agreement for different clients?

Yes, customize the fields to cater to individual client needs and conditions.