MEDICAL FORMS

 
 

Message from Intercollegiate Athletics & Sports Medicine Staff

The Department of Intercollegiate Athletics wishes to welcome you as a sports camp participant. Every camp carries with it some degree of risk to the participant because of the physical nature of the activities. The UT Sports Medicine Staff provides specialized services, care, and supervision to safeguard your health and well being.

Medical Care/Insurance

Camper’s parent or legal guardian must complete the required medical forms. Note: A physician’s signature is required on one of these forms; however, the camper’s current school year physical may be attached in lieu of a doctor’s signature (only if performed after June 2012). The medical forms must be submitted prior to registration. Each camper must be covered by his legal guardian’s insurance before participating. Medical aid is provided on site by a licensed athletics trainer. Campers’ parents/guardians are billed directly for all medical services rendered by urgent care facilities, local hospital, or other medical care facilities outside of  UT Sports Medicine and not covered by their insurance.

To facilitate this care, we are requesting that you complete a number of medical forms. Campers WILL NOT be permitted to participate in any activities until all forms are completed and are on file with the camp supervisors. The following forms may be downloaded for your review and completion:

Forms

Please download the appropriate set of required medical forms. You will need Adobe Acrobat Reader to view and print the required medical forms. (Get the free download at Adobe.com.)

NOTE: After you download and complete all necessary forms, be sure to send them to the camp address listed below. If you have any questions, please call 512-232-5088.







Returning Forms

After you have filled out the forms in their entirety please send them to our office by Monday, May 25, 2013. You are required to submit the forms to attend the camp. You can send them via fax/mail!

Via Mail: Mack Brown Texas Football Camp | Medical Forms | PO BOX 7399 | AUSTIN, TX 78713

Via Fax: 512-471-4556

For parents of minors under 18 years of age                   For Campers 18 years of age or older

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