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Wilkes University Sports Medicine
StudentAthlete Medical Information
Date:Name:Sport(s):
Last DOB:First
Cell Phone:1. Have you had a medical illness or injury since your last checkup or sports physical?YESNOYESNOYESNOPlease
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How to fill out student-athlete medical information

How to fill out student-athlete medical information:
01
Obtain the necessary forms: Contact your school or athletic department to obtain the required medical information forms for student-athletes. These forms usually include a medical history questionnaire and a physical examination form.
02
Provide personal information: Fill out the forms with your personal information, including your full name, date of birth, contact details, and emergency contact information.
03
Fill out medical history: The medical history questionnaire will ask for details about your past medical conditions, surgeries, allergies, and any medications you are currently taking. Answer all questions honestly and provide as much detail as possible.
04
Include immunization records: Check if the forms require you to provide immunization records. If they do, make sure to include all the necessary vaccines you have received and their corresponding dates.
05
Complete physical examination: Schedule a physical examination with your healthcare provider. They will perform a thorough examination to assess your overall health and fitness to participate in sports. The physical examination form will need to be filled out by the healthcare provider, so bring the necessary forms to your appointment.
06
Obtain necessary signatures: Make sure to sign and date all the required sections of the forms. If you are a minor, a parent or guardian will also need to sign the forms.
07
Submit the forms: Once you have completed filling out the forms and obtained the necessary signatures, submit the documents to the appropriate department at your school or athletic program. Follow any specific instructions provided for submission and ensure that all required documents are included.
Who needs student-athlete medical information?
01
School athletics department: The school athletics department needs student-athlete medical information to ensure that all participants are physically fit and healthy to engage in sports activities. This information helps in providing appropriate care and support for student-athletes and helps coaches and trainers make informed decisions regarding their participation.
02
Coaches and trainers: Coaches and trainers rely on student-athlete medical information to be aware of any pre-existing medical conditions, allergies, or medications that may impact an athlete's performance or require special attention during training or competitions. This information helps them create appropriate training and conditioning plans and ensure the safety and well-being of the student-athletes.
03
Healthcare providers: Student-athlete medical information is also important for healthcare providers who may be involved in the care and treatment of athletes. It helps them understand the medical history and any specific conditions that may require special attention or modifications in treatment plans. This ensures that student-athletes receive appropriate healthcare support during their participation in sports.
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What is student-athlete medical information?
Student-athlete medical information includes a student's medical history, current health status, injuries, medications, and any other relevant medical data.
Who is required to file student-athlete medical information?
Student-athletes, along with their parents or guardians if they are under 18, are required to file student-athlete medical information.
How to fill out student-athlete medical information?
Student-athlete medical information can be filled out by completing the required forms provided by the school or sports organization, providing accurate and up-to-date medical information.
What is the purpose of student-athlete medical information?
The purpose of student-athlete medical information is to ensure the health and safety of student-athletes participating in sports by providing necessary medical data to coaches and medical staff.
What information must be reported on student-athlete medical information?
Student-athlete medical information must include medical history, current health status, allergies, medications, injuries, and emergency contact information.
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