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Patient Label2150 Stadium Drive, 2nd Floor | Boulder, CO 80309CONFIDENTIAL MEDICAL QUESTIONNAIRE Please fill out the entire form. Patient Name: ___ PCP: ___DOB: ___Age: ___Referring Provider: ___Occupation:
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01
Obtain the CU Sports Medicine AMP form from the official website or sports office.
02
Read the instructions carefully to understand what information is required.
03
Fill in your personal details, including name, date of birth, and contact information.
04
Provide information about your sports involvement, including the type of sport and level of participation.
05
List any previous injuries or medical conditions related to sports.
06
Complete the medical history section by answering all relevant questions accurately.
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If applicable, have a physician or healthcare provider sign off on the form.
08
Review the entire form for accuracy and completeness before submission.
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Submit the completed form by the specified deadline through the required method (online or in-person).

Who needs cu sports medicine amp?

01
Athletes participating in varsity or club sports at CU.
02
Students seeking a comprehensive evaluation of their sports-related health and fitness.
03
Individuals recovering from sports injuries who require a treatment plan.
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Anyone looking for preventive care and advice on sports medicine.
05
Coaches or trainers needing medical assessments for their team members.
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CU Sports Medicine AMP (Athletic Medical Participation) is a program designed to ensure that student-athletes receive appropriate medical evaluations and ongoing care pertinent to their sports participation.
All student-athletes participating in university-sponsored sports programs are required to file CU Sports Medicine AMP.
To fill out CU Sports Medicine AMP, student-athletes must complete the required forms provided by the university's athletics department, ensuring that all sections are accurately filled out and submitted before the deadline.
The purpose of CU Sports Medicine AMP is to assess the health and fitness of student-athletes, ensuring they are physically ready to participate in their respective sports.
The information required includes personal identification details, medical history, current health status, and any previous injuries or conditions that may affect sports participation.
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