A client has been out for the past month, with almost zero communication. They called earlier in the week requesting to start back up, stating that they had the flu for the past 3 weeks and are feeling better now. Is doctor’s clearance something necessary before continuing to train this individual? I ask this because he has shown in the past a habit of dropping out and not communicating, when asked for clearance from a doctor he gets rather irate and views it as another obstacle in his way to his goals.
Keep in mind that even having a doctor write a note can cost a patient money. I had to have a sheet of paper signed to go diving this summer, and I had to negotiate with my doctor’s office to not charge me for an office visit since I’d just had a clean bill of health at my annual physical 3 months ago. So it might seem a simple request to you, but to the client, it’s a trip to the doctor or the collection of a note from the doctor, and possibly a fee.
How about just asking your client some simple screening questions? How are you feeling now? Did your doctor tell you that it was OK to go back to work / work out? And then document client responses in your file for that person.
Again, this assumes we’re not talking about a serious chronic condition. My personal scope of practice is in working with apparently healthy individuals. Someone whose Par-Q indicates they need doctor’s clearance, I’m sending them for doctor’s clearance.