Sports Medicine

Welcome future Knights! Below you will find all necessary paperwork required by our Sports Medicine Department in order to begin the process of being medically cleared for your sport. Please read over all documents carefully and completely. Please be sure to sign, initial, and date in all of the appropriate locations. You may fax the completed paperwork to 407-823-6744 or email directly to your sport assigned athletic trainer.. 

***Please include a copy both front and back of your medical insurance card. Include any dental insurance and prescription cards as well.***

Assignment of Benefits Get Acrobat Reader

Athletic Participation Release and Waiver Get Acrobat Reader

Health History Questionnaire Get Acrobat Reader

Health Insurance Authorization Form Get Acrobat Reader

HIPAA Authorization Form Get Acrobat Reader

Media Release Authorization Get Acrobat Reader

Medical Examination Authorization Form Get Acrobat Reader

Orthopedic Screening Evaluation Form Get Acrobat Reader

Parental Permission to Evaluate and Treat (Under 18) Get Acrobat Reader

Student Athlete Pre-Participation Physical Exam Get Acrobat Reader

Substance Abuse Policy Get Acrobat Reader

Substance Abuse Testing Acknowledgement Get Acrobat Reader

Supplement Notification Form Get Acrobat Reader