Dear Physician, OSF St. Mary Medical Center Rehabilitative Services Department is beginning a Fibromyalgia and Arthritis aquatics course to promote a more healthful lifestyle and improved symptomatic control. The name of the Fibromyalgia course is R.E.S.T (Relax! Exercise! Socialize! and Tone!), and the arthritis course is called Twinges in the Hinges. Classes will be held every Tuesday and Thursday for six-week sessions. The classes are designed as exercise courses, not as therapy. The general format of the classes will include gentle aerobic exercise, strengthening, and Ai Chi a relaxation technique. We believe that in the best interests of the individuals it is important for all participants to communicate with their physician and receive clearance for their participation in this program. Thus, in order to ensure the safety and well being of each participant we are asking that class members receive their doctor's consent to participate. By signing this consent form you are releasing __________________________________ to participate in R.E.S.T or Twinges in the Hinges. Thank you for allowing your patient to participate. If you have any questions or concerns please feel free to contact Carrie Swanson at 344-9600. Sincerely, I hereby release ___________________________ to participate in the aquatic course offered by OSF St. Mary Medical Center Rehabilitation Services Staff. I understand the class is not therapy, but a gentle aerobics class designed specifically for those with Fibromyalgia or Arthritis.
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