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Dominican University Athletic Training and Insurance Forms

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The following forms must be filled out thoroughly and accurately before a student-athlete will be cleared by the Dominican University Athletic Training Staff for practice and/or competition. All forms must be turned in to:

Ryan Collins, ATC
Dominican University
Head Athletic Trainer
7900 West Division
River Forest, IL 60305
phone: (708) 524-6226
fax: (708) 488-5095

• Preparticipation Physical Evaluation Form (*Note: All physicals for the 2008-2009 academic year must be completed after June 1, 2008.)

• General Medical History Form

• Women's Health History Questionnaire

• Athletic Participation Informed Consent Form

• Emergency Contact Form

• Insurance Explanation Letter

• Parent/Guardian Insurance Information Form

• Disclosure of Health Information Form