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ACSM-EP screening emphasizes current activity level, presence of known disease, desired intensity, and signs/symptoms. This client is currently active at a moderate intensity (≥30 min, ≥3 days/week, ≥3 months). He has a known cardiovascular-related condition (hypertension) but denies signs/symptoms and is controlled on medication. For active individuals with known disease who are asymptomatic, ACSM permits continuation of moderate exercise but recommends medical clearance before advancing to vigorous intensity. A routine exercise test is not universally required absent symptoms; decisions about testing are left to the medical provider. Completely prohibiting exercise until “normal” blood pressure is achieved is unnecessary; well-managed hypertension allows moderate activity. Therefore, the prudent and ACSM-consistent path is to maintain current moderate training and obtain medical clearance prior to initiating vigorous jogging. This reduces risk during the higher cardiovascular demands of vigorous work while supporting continuity of beneficial activity and adherence to the EP scope of practice regarding referral and shared decision making.