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Medical Forms

Please complete the following and mail them to the Chatham Athletic Trainers no later than August 1st, 2012. Please include a copy of the front and back of all health insurance cards.

Athletic Trainers
Chatham University, Athletics and Fitness Center
1 Woodland Road
Pittsburgh, PA 15232

New or Transfer Student-Athlete Paperwork

» 2012-2013 New Athlete Insurance Information [PDF]
» 2012-2013 New Athlete Health History Questionnaire [PDF]
» 2012-2013 New Athlete Consent to Treat Form [PDF]
» 2012-2013 New Athlete Auth to Release Health Information [PDF]

Return Student-Athlete Paperwork

Height, weight, blood pressure and pulse will be done in the athletic training room. Do not complete the bottom portion of the healthy history questionnaire. This will also be completed in the athletic training room.

» 2012-2013 Return Athlete Insurance Information [PDF]
» 2012-2013 Return Athlete Health History Questionnaire [PDF]
» 2012-2013 Return Athlete Consent to Treat Form [PDF]
» 2012-2013 Return Athlete Auth to Release Health Information [PDF]