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APN’s & Fitness Nurses perfect together

Hi Fitness Nurses,

This video actually caught the attention of the current physician who I am in negotiations with in how I will provide my Fitness Nursing services to his patients.

Below is an actual e-mail correspondence between me and a wonderful Nurse Practitioner.  At we want to keep Fitness Nursing in nursing as much as we can.  One way to do that is to get the attention, then develop the relationship with  Advanced Practice Nurses.  How do we reach the  ‘unreachable doc’?  We can talk with and work with the Nurse Practitioner and ask how do they communicate with the physician in their specially-trained way.  Introduce your ideas to them.  (Physicians are so welcomed to support Fitness Nursing) 

You need an exercise clearance and you need it now!  Some people may get discouraged and won’t sign up to exercise if they are told they need a physician’s clearance.  (Which is only 2 risk factors) But as Fitness Nurses we should welcome risk factors.  Many people don’t have health insurance, some will pay cash/credit for it and some simply don’t want their physician ‘seeing them’ in such ‘bad shape’.  I’ve personally lost clients to ‘fear/guilt of going to the doctor’ too. 

The client has to be made aware how important it is , for their well-being and their best results, to have clearance by a qualified medical professional prior to starting the exercise program.  Let them know that ‘this time’… they will be safe. 
What’s the best route to take?
The road to the Nurse Practitioner(APN).  Assessible and Qualified and Pleasant.  And there’s, of course, that nurse connection.

This e-mail below has had the names ommitted for privacy.  You can write e-mails like this to NP’s too, very easily. 
For more info on how and when to do this in your FN business, call into our monthly PREVIEW Fitness Nursing calls.
The next one is January 22, 2011, 9pm EST; 6pm PST.  Go to to register for this FREE preview call.

—– Original Message —–
From: ——–
Sent: Wednesday, January 12, 2011 12:22:29 PM GMT -05:00 US/Canada Eastern
Subject: NPs
Hi Lori
T— forwarded your email to me.
I work in a physician group practice as a primary care NP.
My specialty is osteoporosis and I’ve been doing vit D levels on pts since 2003. Most of the docs in my practice send their pts with osteo to me since I can afford to spend more time on evaluation, treatment, exercise recommendations, PT referrals, and importance of Ca and Vit D. So every pt gets a vitamin D level prior to tx osteo and annually thereafter.
I would be happy to discuss your needs.
My cell: ——-222 or send to this email.
In a message dated 1/12/2011 6:40:49 P.M. Eastern Standard Time, writes:
Hi Ms. D,
Thank you so much for your timely response.
That’s great you have been doing vitamin D levels on your patients long before “Dr. Oz” said to
do so and made it “popular”. I have been a lover of the sun and all foods that contain Vitamin D
and help with absorption of Vitamin D most of my life, but especially after my mother died.
She had osteoporosis. Except for being African-American she had all the risk factors for it.
My mission and intention is to raise the awareness of the importance of Vitamin D in African-American
women. As you know, just being born A.A. puts you at risk for Vitamin D deficiency.
I deliver a program called “Vitamin D Diva”. is part of my personal Restorative Fitness Nursing Services business.
I am also an Osteo-Care Fitness Nurse and I mentor other nurses who are interested in fitness nursing.
There are over 1,000 nurses who have expressed interest.

One of the problems I have personally seen in the fitness industry is that personal trainers, gyms, and exercise classes,
don’t necessarily follow ASCM (American College of Sports Medicine) guidelines when it comes to
risk and physician’s clearance.  They don’t want to lose clients.  Most ‘ordinary’ people fall into a risk
stratification category which would require an o.k. by a qualified healthcare professional.
Like a woman over 55 and on BP medication,
would by definition of ASCM, recommended clearance to start exercising.
Physician’s are so crazy and not as accessible as Nurse Practitioners (APN’s). I had a great physical by a NP once.
It just occurred to me and a colleague that what if fitness nurses could go directly to NP’s (who they had in their rolodex)
if they had a client who wanted to start exercising, but needed a clearance. 
Also they may work close to physicians and they could mention your services, if they liked you.
I am developing a form for APN’s to use. It would be as simple as possible, like a check list and the Fitness Nurse,
would have to spell out what they would exactly be doing (exercise) with this client. (we follow the nursing process
when developing our Fitness Nursing Assessment and implementing our plan of care utilizing exercise)
So, I’m looking to share/include NP’s (APN’s) as friends to Fitness Nursing and also a way for you (and other NP’s) to
make an easy buck, while doing great work. Do you think NP’s would be interested in helping Fitness Nurses
with this small hurdle? The Nurse Practitioner would only have to agree to see clients from a Fitness Nurse who
they know, so that particular client could exercise. Your charge would be whatever it is.  has more information about the goal of Fitness Nursing.
Sorry about the book I just wrote. I hope I have intrigued you.
Please don’t hesitate to contact me with your questions/comments.
Thank you again,
Lori ‘Minky’ Radcliffe, RN, BS, FNC, CFPC
Osteo-Care Fitness Nurse

From: —–
Sent: Wednesday, January 12, 2011 8:05:34 PM GMT -05:00 US/Canada Eastern
Subject: Re: NPs

Hey that all sounds great. I don’t know why NPs would not embrace having pts referred to them for clearance to exercise.
No brainer. The only “sticky” point…


For the rest of this email exchange, please sign up at 
Once you sign up, you will get the link immediately.

Interested APN’s who’d like to be on a link to a webpage coming soon to called, FN-Friendly APN’s, please contact Lori at:
info@fitnessnursing, with APN in the subject line.  It will be a listing of you and your specialty, where your practice is located (can be anywhere) and services you offer.

Remember,if you want more information on how to start working as a Fitness Nurse with just a few clients a month, trying certain business models, enjoying what you do and to building your income, sign up at:

Till next time,
Yours in Fitness & Nursing,
Lori (a.k.a. Minky)


About fitnessnurse

President & Founder, and Creator of Certified Fitness Nurse Academy, Paleo Fitness Nurse

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