Gonzaga Athletic Training Page

Welcome to Gonzaga!

Enclosed are several forms that must be completed by August 1, 2004. You will not be allowed to participate in Gonzaga University athletics until they are completed and returned to the training room.

* Medical history form. It is long but you only have to complete it once during your career at Gonzaga. If you are a returning athlete you do not need to complete it again. If you are new, then you must fill in each section with as much detail as possible.

* Physical form This must be completed by a physician. The physician's stamp or business card must be included for verification. On the back is an assumption of risk and consent statement. Also on the back is a consent for treatment and medical records release section, written according to HIPPA regulations. Please read both sides of all forms and sign as indicated.

* Insurance form This form must be filled out completely prior to your participation in practice or competition at Gonzaga. A front and back copy of your insurance card must be included with this form.

* Also included is a letter regarding our injury and insurance policies. This letter has a detachable section that must be signed by you and your parents and returned to the training room before participation. You get to keep the letter as it explains what to do if you are injured and you receive bills.

* Please be sure to read both sides of all forms and sign as indicated. Your health and well being are our number one priority. If you have any injuries or questions please don't hesitate to give us a call (509) 323-4205. We look forward to seeing you.

PLEASE COMPLETE AND RETURN THE ENCLOSED FORMS TO:
Gonzaga University Athletic Department
Athletic Trainer
502 E Boone Ave
Spokane WA 99258-0066

2004 GONZAGA ATHLETIC MEDICAL FORMS
Please print off all three forms and return
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2004 Gonzaga Athletic Insurance Form

2004 Gonzaga Athlete Physical Exam Form


2004 Gonzaga Medical History Form

2004 Gonzaga Injuries and Insurance Policy

GONZAGA ATHLETIC TRAINING STAFF
Steve DeLong - Head Athletic Trainer
Brad Bachmeier - Assistant Athletic Trainer
Jen Nyland - Assistant Athletic Trainer
Leanne Stockton - Assistant Athletic Trainer

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