The next client you are working with is a middle age male, and based of ACSM pre-participation Health Screening algorithm should seek medical clearance for vigorous intensity exercise but it is not needed for moderate intensity exercise. He is wanting to exercise at 70% of his heart rate reserve and he would like to have a max test to determine his VO2max.

What information from the pre-participation Health Screening flowchart would allow one to determine the previous mentioned clearance needs? (2pts.)

Before working with this client would you recommend that he have a medical exam? Justify your answer(3pt.)

If you indicate that the client needs medical clearance, detail who will provide the clearance and what type of evaluation will occur. (2 pts.)