Pre-Participation Physical Forms - Â Introduction - Â Physical Dates - Â Insurance Coverage and Claims Procedures - Â - Â Pre-Participation Physical Forms - Â Sports Medicine Home - Â |
Note: Please print and fill out all forms and return them in the Business Reply Mail envelope you received in the mail. If you did not receive this envelope please mail your forms to the address listed below:
Florida Atlantic University
Tom Oxley Athletic Center
Attn: John Burnside
777 Glades Rd
PO Box 3091
Boca Raton, FL 33431
Forms for returning athletes
- Â Complete Packet 
1. Follow-up Athletic Medical History Form
2. Supplemental History Form
3. Medical Consent Form
4. Assumption of Risk Form
5. Parent/Student Insurance Information Form. Must include a copy of your insurance card (front and back); prescription card and dental card if you have them.
Forms for freshmen and transfers
- Â Complete Packet 
1. Primary Athletic Medical History Form
2. Supplemental History Form
3. Medical Consent Form
4. Assumption of Risk Form
5. Parent/Student Insurance Information Form. Must include a copy of your insurance card (front and back); prescription card and dental card if you have them.
6. Prescription Form
7. Send a Copy of Immunizations (Must also send them to the Student Health Services)
Miscellaneous forms - Â
Physical Exam Form 
- Â
Medical Insurance Information 
- Â
Medical Release
Walk-ons
All walk-ons should print out the forms under the freshmen and transfer athletes link and the physical exam form under miscellaneous forms.
Complete all forms and receive a physical in the past 6 months from your own licensed physician. Send or bring the completed forms to Oxley Center Training room.
Florida Atlantic University
Tom Oxley Athletic Center
Attn: John Burnside
777 Glades Rd
PO Box 3091
Boca Raton, FL 33431