2018-19 Sports Medicine Pre-Participation Forms (for new student-athletes)

Northern Kentucky University requires all student-athletes to receive medical clearance PRIOR TO being permitted to attend practice, strength and conditioning sessions, and competing in any intercollegiate athletic events.  All required forms must be completed and returned to the department BEFORE any participation is allowed.


All of the following forms are in PDF format and require Adobe Reader to open.

ALL OF THE FOLLOWING FORMS IN ONE FILE (23 pages)

•Sports Medicine Preparticipation Instructions

Form 1- Insurance Information Form

Form 2- Insurance Policy

Form 3- Injury and Illness Procedures

Form 4- Medical Clearance Policy

Form 5- Authorization to Render Medical Treatment

Form 6- Release of Medical Information

Form 7- St. Elizabeth Authorization Form

Form 8-Medical History Questionnaire

Form 9- Physical Examination Freshman and Transfers

Form 10- Sickle Cell Trait Status Policy

Form 11 - Open Gym Waiver



RETURNING NKU STUDENT ATHLETES:  Please click here to access your pre-participation packet.