Submit the first four (4) forms and print off a copy of the Physical, Health History, and Clearance Forms. These all must be completed before you will be able to participate in any MSU practice!!!
Please read, sign, and list your sport at the bottom of the page. In signing this document you understand that these injuries are a possibility with participation in athletics at MSU.
The HIPAA privacy practices and consent form allows us to maintain medical records on you while you are here competing for MSU. We keep these records for ten years after you are done participating, so if you are to ever need any information from these records feel free to contact us. Our records are kept confidential and if you do not want us to talk with parents or coaches about your injuries be sure to verbally tell us at the time of your injury. Please initial the first paragraph in three blanks. Then initial the paragraph starting with (Your rights as a patient) about 3/4 of the way down the page. Finally sign your name with today's date, list your sport and the expiration date (a year from today).
This is an explanation of the medical services provided at MSU. There is a brief description of MSU secondary insurance and the athletic training room procedures. Please make sure that you read this in its entirety.
Print off a copy of these forms, then take them with you to your doctor. We will not accept a physical or health history done on any other form. Your physical, health history and clearance form need to be completed during the summer before you start competing at MSU, so from May-August. You only need a physical your first year competing at MSU. These forms must be signed and dated by the physician who performed the physical and sent in by August 1st. Mail it to:
Sarah Downey
Assistant Athletic Trainer
135 Myers Field House
Minnesota State University
Mankato, MN 56001
If you have any questions feel free to contact Sarah Downey, the Assistant Athletic Trainer, at 507-389-5461.
