Medical Clearance Form

Click the link below to download the medical clearance form.

Please give the form to your healthcare provider and have him/her complete it and fax it to us at the number on the bottom of the form.

If you are having trouble downloading it, please contact us at:

For UM participants: UM-PAD-Study@med.umich.edu or call us at 734-232-0484
For UAB participants: PAD@uabmc.edu or call us at 205-975-9319