Pre-Participation Physicals & Forms CHECK BACK CLOSER TO THE FALL FOR FALL PHYSICAL SCHEDULE ALL New athletes are required
to have a comprehensive physical exam prior to clearance to participate in athletic
activities for Long Beach State. This exam includes: ALL NEW STUDENT ATHLETES are required to attend the assigned physical date regardless of whether you have obtained a physical on your own. ***If any athlete has had any injuries or illnesses that required surgery or ongoing care, please include copies of documentation regarding treatment( op notes, clinic notes, lab reports etc.). Required Forms for All NEW Athletes: New Athlete Medical History  Medical Exam Orthopedic Evaluation Insurance Questionaire Explanation of Insurance Autherization of Treatment (if under 18) RETURNING ATHLETES are requires to complete the following forms listed below. These may be mailed to the athletic training room or delivered in person for review after completed. Athletes will be cleared to participate only after review of all documents by our staff athletic trainers and, if necessary, team physician(s). Mailing Address: Long Beach State Athletic Medicine Attn: Shauna Horton 1250 Bellflower Blvd Long Beach, CA 90840 · If you need to see a physician prior to participation please indicate why on your health history. · If you had an injury or illness over the summer, please provide all documentation related to diagnosis and care. Required Forms for All RETURNING Athletes: Returning Health History Insurance Questionaire Explanation of Insurance Contact Shauna with any questions: (562) 985-5222 or shorton@csulb.edu |
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