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Lock Haven University Athletics Medical Forms

First-Year Athletes   Returning Athletes

These forms are required for freshmen and transfer students before any practice or competition may occur

  

These forms are required for all returning student-athletes before any practice or competition may occur
     
LHU Medical/Physical Form   Medical Update Form
This is the official LHU Medical History Form that is required of all students on campus. You may have received a copy with your admissions packet. Please be certain that the physician clears you for NCAA athletics participation.   This is an important form for the certified Athletic Training staff. Please update all information, including changes in previous injuries, medical history, and insurance.
     
Medical History Form   HIPAA Form
This is an important form for the certified Athletic Training staff at LHU. Please complete all information including previous injuries and insurance.   This form permits the University Health Services Department and the LHU certified Athletic Training staff to share information regarding your medical history.
     
HIPAA Form   Supplemental Female History Form
This form permits the University Health Services Department and the LHU certified Athletic Training staff to share information regarding your medical history.   This is an important tool the Athletic Training staff uses to screen for medical issues common among female athletes. Like all of your medical information, this information will be held in strict confidence.
     
Supplemental Female History Form    
This is an important tool the Athletic Training staff uses to screen for medical issues common among female athletes. Like all of your medical information, this information will be held in strict confidence.    
     

To contact someone from the LHU Athletic Training Staff,
please call Head Athletic Trainer Michael Porter at (570) 484-2197
or email to mporter@lhup.edu

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