Athletic Training Medical Forms

Pre-Participation Medical Paperwork

Howard University Athletic Department

Dear Student-Athletes and Parents/Guardians,

On behalf of the athletic training staff, we are excited about the upcoming academic year and athletic season. We look forward to working with you. Our staff is committed to maintaining and improving the quality of health and athletic performance of our student-athletes.

As part of the athletic department, and under the direction of the team physician Dr. Terry Thompson; the athletic training staff provides high quality medical care for all student-athletes. Athletic trainers are allied health professionals recognized by the American Medical Association.

All full time staff and intern athletic trainers are responsible for the prevention, evaluation, management, rehabilitation and treatment of injuries/illnesses that may occur during participation in athletic endeavors. The prevention of these injuries/illnesses, where possible, is of utmost concern. The athletic training staff works in conjunction with team physicians at Howard University Hospital, the Student Health Center staff, surrounding medical facilities, Howard University Athletic Department staff and the student-athletes to carry out these tasks.

As an integral part of our preventative efforts, we ask that you read and complete the paperwork found in this packet. After completion of the entire packet, please mail the forms to the address below. This information must be received by July 1 so that participation can begin immediately upon your arrival. Student athletes are not permitted to participate until the completed packet is received. We ask that you also read and review our policies found on the Sports Medicine web page (www.howard-bison.com), and acknowledge that you have read them on the Authorization form.

Medical Forms Check-list:

______ Immunizations Form**

______ Pre-participation Physical Exam (STAMPED) by your Physician

______ New Student-Athlete Medical History Questionnaire

______ Sports Medicine Services, Medical Authorization, Assumption of Risk & Health Disclosure (A-D)

______ ADHD Medical Exceptions Notifications Form

______ Personal Data-Emergency Contact Form

______ Baseline Concussion Testing Form

______ Insurance Card Copy (front & back of card please)

______ Sickle Cell Testing Results

**-Applies to Incoming Freshman and Transfer Students

We look forward to working with you and hope that your year is injury free. If you have questions you may contact us anytime.