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Pulmonary Therapy Assessment Form

Program Structure Pulmonary Rehab

Please Note: Pulmonary Rehab is 100% telemedicine, and there are no in-person appointments.



  • 3 Days per Week (Monday, Wednesday, Friday): 1-hour sessions (via Zoom)
  • Class times may vary based on patient skill level and availability
  • Patients submit a Daily Therapy Journal each day – this allows their assigned clinician to continuously monitor their vitals even when they are not in class

Patient Onboarding

Patients have an initial Zoom consultation with their assigned clinician prior to starting 3 days/week pulmonary rehab to discuss past medical history and establish a proper treatment plan. Each patient receives a starter kit prior to starting pulmonary rehab that contains the necessary equipment needed to participate in class and take their vitals at home – this will contain:

  • Incentive Spirometer – with (Respiratory Muscle Trainer)
  • Pulse Oximeter
  • Exercise Bands
  • vPEP (Flutter Device)
  • Pedometer
  • Harmonica
  • Hand and Foot Bike

Program Length

Our pulmonary rehab program is 12 Weeks (36 Sessions):

  • During the initial assessment, patients are given a tentative graduation date based on their starting date in pulmonary rehab
  • Upon graduating LTV pulmonary rehab, patients have an exit interview with their assigned clinician where they will discuss ways they can continue exercising and staying active

What Happens During Class?

In addition to exercise, our pulmonary rehab program educates patients on proper diet and nutrition to treat

COPD and teaches them a variety of breathing techniques they can utilize upon completion of the program.

RMMG telemedicine pulmonary rehab models the same structure each class:

  • Check-in (record vitals)
  • Warm-up
  • Main exercise
  • Cool down
  • Check-out (record vitals)

** Each patient will continue to have a monthly follow-up conference with their assigned clinician to assess their progress in pulmonary rehab and establish new goals to accomplish during their time in our program.

Fax Completed Referral to 800-307-3523 or use the form below

Pulmonary Therapy Assessment

The comprehensive Lifetime Vitality Pulmonary Therapy Assessment form is designed to gather essential information about your respiratory health and any pulmonary issues you might be experiencing. The insights gained from this assessment will help us tailor a therapy plan suited to your specific needs, ensuring you receive the most effective treatment and support. For questions, comments, or to speak with one of our practitioners directly, please email us at and one of our therapists will reply as soon as possible.

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