Sports Medicine | Staff | Facilities | Visiting Team Informaton | Contacts | Specialists Contact Info | KSU Medical Forms |Links of Interest

NEW AND RETURNING ATHLETE INFORMATION

All paperwork (including 2 copies of the front and back of your health insurance card) must be completed and returned to the Assistant Athletics Director for Sports Medicine by July 24, 2009. Please click on the forms below, print them, complete them and return them to:

Kennesaw State University Athletics
Attn: Karen Pfeifer, Assistant AD for Sports Med.
1000 Chastain Road, Mailbox 0201
Kennesaw, GA 30144

Cover Letter (All Athletes)
Insurance Form (All Athletes)
Waivers (All Athletes)
KSU Drug Testing Consent*
KSU Drug Testing Consent - under 18*
Interim Health Questionnaire (Returning Athletes Only)
Initial Health Questionnaire (New Athletes Only)
Interim Health Questionnaire (Returning Athletes Only)
Parental Permission to Treat (Any Athlete Under the Age of 18)
ADD/ADHD Medication Form
Consent for Information Disclosure
Supplement Disclosure Form

*Please read the Drug and Alcohol Program prior to signing this consent form.

All student-athletes must complete a yearly pre-participation physical exam through the KSU Sports Medicine Dept. A physical with your personal physician will not be accepted. The physical schedule* is as follows:
Tuesday, August 4, 2008, 4 pm - 8 pm - Soccer, Volleyball, XC (new & returners)
Thursday, August 13, 2008, 4 pm - 8 pm - Returning Athletes
Saturday, August 15, 2008, 8 am - Noon - NEW and Returning Athletes

* Appointments will be scheduled for each athlete. Athletes will be notified of their appointments at a later date. If unavailable for the assigned date, athletes must notify me immediately (678-797-2291 or kpfeifer@kennesaw.edu). A charge of $25 will be collected by the KSU Health Clinic, if the athletic physical is not completed on one of the 3 dates listed above.