Lymphedema Exercise Class Emergency Contact Form

Safe, coordinated lymphedema exercise classes start with complete participant information

Managing lymphedema requires specialized care, and exercise classes designed for lymphedema patients need detailed information to ensure participant safety. This Lymphedema Exercise Class Emergency Contact Form helps physical therapists, certified lymphedema therapists (CLTs), and wellness centers collect essential medical history, emergency contacts, compression garment details, and swelling patterns in one organized place.

Why this form matters for lymphedema care providers

Lymphedema exercise classes require more than standard emergency contact information. Instructors need to understand each participant's cancer treatment history, current compression garment regimen, swelling patterns, and any precautions that might affect exercise modifications. This form captures all critical details—from therapist coordination to medication information—ensuring your team can respond appropriately in any situation.

Built with Paperform, this template offers conditional logic that adapts questions based on participant responses, ensuring you gather relevant medical details without overwhelming participants with unnecessary questions. The professional, accessible design makes it easy for participants to complete the form from any device before their first class.

Streamline class coordination with automation

Once a participant submits their information, you can use Stepper (stepper.io) to automatically notify the lead instructor, add the participant to your class roster, and create reminder workflows for compression garment checks or follow-up assessments. Integration with tools like Google Sheets, Airtable, or your practice management software keeps participant records synchronized across your team.

For programs that require signed liability waivers or medical clearance forms, Papersign (papersign.com) lets you send documents for secure eSignature immediately after form submission, creating a complete digital record that's always linked to the participant's original intake information.

Trusted by lymphedema therapists and wellness centers

Whether you're a hospital-based lymphedema clinic, outpatient therapy center, or specialized wellness studio, this form template provides the foundation for safe, effective exercise programming. The HIPAA-aware design (note: Paperform is not HIPAA compliant but offers SOC 2 Type II security) helps you collect sensitive medical information with appropriate security measures in place.

Customize the template to match your program's specific requirements—add class scheduling options, payment collection for program fees, or photo upload fields for compression garment documentation. With Paperform's flexible editor, you can adapt this form to any lymphedema exercise program while maintaining a professional, patient-friendly experience.