Please download this form, complete it, and send back to Dr. Venus by October 2nd, 2017: MEDICAL POLICY
Also, download and complete this questionnaire so that we can start working on your personalized fitness analysis: QUESTIONNAIRE
(It is in Word doc format so that you can type in your answers.)
Email forms to: vramos@memorialcare.org (In order to ensure the privacy of your health information, please use this email address.)
The Medical Policy needs to be returned by 10/2/17. The Questionnaire can be emailed or you can turn in a hard copy when you arrive at the event.