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Medical Waiver Form

To participate in our coaching services please fill out the following medical form before your first session.

First name

Last name

Email

Date of Birth

Do you have doctor's approval or recommendation to participate in physical activities and health changes? *

Yes

No

Are you suffering from a medical condition, illness, or injury? *

Yes

No

If you answered yes, please elaborate:

Initials

I declare that the info I’ve provided is accurate & complete

I hereby acknowledge this release from liability for accidental injury or illness which I may incur as a result of participating in any physical activity or wellness routine. I hereby assume all risks connected with any and all of Core Consulting programs.

Thanks for submitting!

© 2024 By Corey Tess

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