Medical Forms 1


EACH YEAR, returning student-atheletes are required to meet with a member of the athletic training staff on their team's designated date and time, and go over their medical history from the past year and determine their participation status.

Prior to this meeting, athletes must fill out the forms listed below. All forms must be on file in the athletic training department prior to the athlete's participation in any team practice/activity. They can be printed out and mailed to the address listed below the links.

Simply mailing in the forms does not exclude any athlete from meeting with a member of the athletic training staff. Athletes will not be allowed to participate in any team practice/activity, until a member of the athletic training staff has cleared them to do so.


Forms which need to be filled out (can be obtained by clicking on link)
Declaration of Medical/Health Insurance Form
Insurance Policy Information Form

Parent Insurance Information Form
First Agency Release Form
Sickle Cell Anemia Test Notification Form
Annual Screening Form

The deadline for all medical forms listed above (including photocopy of front and back of insurance card) is July 15, 2013. The student-athlete's on-campus pre-participation physical examination will not be completed by the athletic training staff until all forms are filled out completely and returned by the July 15th deadline.

Please return all completed forms to the following address:
Gannon University
Athletic Training Department
109 University Square
Erie, PA 16541



If you have any questions, please contact either Todd Matlak (814) 871-7420 or Vanessa Swickline (814) 871-5300.