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TRANSPORTS MEDICINE 215 W 6th Street Cookeville, TN 38501 9317832900 www.crmchealth.orgTo student athletes and their parents/caregivers: Before you can play a sport, the TSSAM (Tennessee Secondary
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Obtain a copy of the sports medicine specialist form from the relevant healthcare provider or organization.
02
Fill out the patient information section completely and accurately, including name, date of birth, address, and contact information.
03
Provide a detailed medical history, including any past injuries, surgeries, or medical conditions that may be relevant to the evaluation.
04
Specify the reason for seeking a sports medicine specialist, such as a sports-related injury or performance issue.
05
List any current medications or supplements being taken, as well as any allergies or sensitivities.
06
Sign and date the form, certifying that all information provided is true and accurate.

Who needs sports medicine specialist form?

01
Athletes who have suffered sports-related injuries and require specialized medical treatment.
02
Individuals looking to improve their athletic performance and prevent injuries.
03
Coaches and trainers who need to provide medical information for their athletes.
04
Sports teams and organizations requiring medical clearance for participation in activities.
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The sports medicine specialist form is a document used by medical professional specialists to report their qualifications and practices related to sports medicine.
Medical professionals who specialize in sports medicine are required to file the sports medicine specialist form.
To fill out the sports medicine specialist form, one needs to provide personal details, qualifications, practice information, and any relevant certifications pertaining to sports medicine.
The purpose of the sports medicine specialist form is to ensure that healthcare professionals are properly credentialed, allowing for the monitoring of practitioners in the field of sports medicine.
Information that must be reported includes personal identification details, educational background, medical licenses, and a summary of the specialist's experience in sports medicine.
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