Athletic Training Pre-participation Forms
All forms should be completed and turned into the Athletic Training Room by the beginning of school. Please make sure to fill each form out and provide a copy (front and back) of your insurance card. There should be no blank spaces, the athlete must write "No", "N/A", or a dash. We will not fill in athletes’ forms for them. Below are details about how each form is to be filled out. Click on the forms below to download to your computer.
- Instructions for Fillng Out Forms
- Emergency Medical Form
- Personal Information Form
- Must have the policyholder’s social security number and the business phone number.
- Medical History Form
- Fill out entirely. Athletes must answer questions thoroughly. For example:
- Surgery: right knee meiscus, 1999
- Ankle injury: right ankle, sprained, 2000
- Fill out entirely. Athletes must answer questions thoroughly. For example:
- Medical Physical Form
- Must be filled out by physician (M.D.)
- HIPAA Form
- Must be read and signed by student-athlete.
- Assumption of Risk
- Must be read and signed by student-athlete.
- Consent to Treat Minors
- Must be read and signed by student-athlete and parent.
- Concussion Forms
- Insurance
- Must provide a copy of the front and back of the health insurance card. It needs to be a clear copy on which all numbers, names, etc. can be easily read.
- Health Insurance Information
Forms may be turned into the Athletic Training Office or mailed to Westmont Athletic Training Office, 955 La Paz Road, Santa Barbara, CA 93108.