Skip to content

Online Medical Consent Form

Permission is hereby granted to the athletic trainer, team physician, or school staff to administer first aid treatment for the below named student athlete. I also give permission for the athletic trainer, treating physician, athletic director, coaches and school support staff to communicate among each other about the below named student athlete's injuries for the student's benefit, unless a written request is made to the athletic department. In the event of a serious illness or injury, it is understood that every attempt will be made to contact me. If contact cannot be made with me, I do consent in advance to any treatment necessary for the best interest of the below named student athlete.
  • Emergency Contact Numbers

  • Medical Conditions

  • Signature

    Electronic signature , simply type your name in the text field below and click the "Confirm Signature" checkbox
  • SUPPORT OUR SPONSORS

  • LIKE US ON FACEBOOK

  • SUPPORT OUR SPONSORS