This diabetes management fitness intake form is designed for trainers, coaches, and wellness professionals who need a clear starting point before working with clients who have diabetes. It gathers core contact details alongside diagnosis history, recent A1C information, and emergency contact information so you can review each client with more context from the start.
The template goes beyond a basic client intake form by covering the details that matter in exercise planning, including diabetes type, date of diagnosis, and current management approach such as insulin pump use, multiple daily injections, oral medications, or diet and exercise alone. That structure makes it easier to understand how a client's condition is currently managed before discussing workout intensity, scheduling, nutrition, or recovery.
It is especially useful for onboarding workflows that need to support safer communication around blood glucose monitoring, hypoglycemia and hyperglycemia response planning, and coordination with an endocrinologist or other healthcare provider when appropriate. You can use it as a practical foundation for consultations, fitness assessments, or ongoing coaching programs that require more than a standard health questionnaire.
