FitSmart Verification of Medical Limitations/Restrictions Form
FSN VOD 2022 (follow the link to view/download the form pdf)
This form must be returned to our offices within 30 days of signing. Failure to remit form within 30 days may result in denial of cancellation and may require the re-submission of an updated form from your physician.
For additional Frequently Asked Questions regarding FitSmart memberships, please review the FitSmart Challenge Knowledge Base.