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2013 USTA/ITF TOURNAMENT PHYSICIAN FORM Tournament Name Tournament Location Tournament Dates ********************************************************** Physician Name Medical Specialty Office Address
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How to Fill out the 2013 USTAITF Tournament Physician Form:

01
Start by downloading the 2013 USTAITF Tournament Physician form from the official USTAITF website.
02
Fill in the required personal information section at the top of the form, including your name, address, phone number, and email.
03
Provide your medical credentials, such as your license number, specialty, and clinic/hospital affiliation.
04
Indicate your availability during the tournament period by checking the appropriate boxes or providing specific dates and times.
05
Specify any previous experience you have in providing medical coverage for sports events or tournaments.
06
Describe any relevant training or certifications you have received in sports medicine or related fields.
07
Provide information on your medical liability coverage, including the insurance provider, policy number, and coverage limits.
08
Sign and date the form to certify that all the information provided is accurate and complete.

Who Needs the 2013 USTAITF Tournament Physician Form?

01
Medical professionals interested in offering medical coverage during the 2013 USTAITF Tournament must complete the form.
02
Physicians specialized in sports medicine or related fields who wish to provide their expertise and services during the tournament should fill out this form.
03
Healthcare professionals with experience in providing medical care and treatment for athletes at sports events or tournaments may also need to complete the form.
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