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Gallaudet University Sports Physical Forms

Welcome future and/or returning Gallaudet University student-athlete. Below are the GU Athletic Training Physical Forms that need to be filled out before you can participate in a tryout, practice and/or game(s) with your respective team.

Please download and print the PDF forms below and fill out and return them to:

Gallaudet University Athletics Department
Attn: Athletic Training
800 Florida Ave., NE
Washington, D.C. 20002
Fax: 202.651.5678
* Please do NOT send these forms to the Student Health Services

IMPORTANT INFORMATION

Before you fill out and sign the Sports Physical forms, you must read the Concussion and Sickle Cell Trait fact sheets and watch the videos provided by the NCAA. If you have any questions or concerns, please contact the Athletic Training staff.

Concussion

Sickle Cell Trait

Other Information


New/Transfer Student-Athlete Sports Physical Forms (PDF)

  1. New/Transfer Student-Athlete Checklist
  2. Medical History
  3. Physical Exam
  4. Physician's Clearance Form
  5. Contact Information
  6. HIPPA
  7. Risk Acknowledgement & Concussion Statement
  8. Secondary Insurance Policy
  9. Authorization Form for Summit America (insurance)
  10. Authorization Form for NCAA
  11. Sickle Cell Trait Election
  12. Attach copy of your primary insurance card (front and back)

Returning Student-Athletes Sports Physical Forms (PDF)

  1. Returning Student-Athlete checklist
  2. Medical History
  3. Contact Information
  4. HIPPA
  5. Risk Acknowledgement & Concussion Statement
  6. Secondary Insurance Policy
  7. Physicain's Clearance 
    Use this form only if you had sustained any injuries or illness that required seeing a physican during/after the previous season, and if you had not submitted the physican's clearance note to the Athletic Training Staff.
  8. Sickle Cell Trait Election
  9. Attach copy of your primary insurance card (front and back)

If you have any questions please email your perspective team's head coach or the athletic training staff. 

NOTE: The Athletic Training Room will be closed from June 1 to July 31.