The Heidelberg University Athletics department has moved to mandatory on campus physicals for all student athletes. Student Athletes will be examined by our doctors so that they can receive the best medical attention available, should they be injured in competition. Athletes will be notified of these August dates by their athletic team coaches.
ALL ATHLETES must annually complete the following:
Medical History Questionnaire (If your immunization record is up-to-date and on file at Stoner Health Center, returning athletes do not need to complete the "immunization section" of the Medical History Questionnaire form).
Pre-Participation Physical Evaluation History Form
Acceptance of Risk Medical Authorization Form
Emergency Information Form
Sickle Cell Trait Reporting Form *Returning athletes do NOT need to complete this form.
New patient Consent to the Use and Disclosure of Heatlh Information for Treatment, Payment or Healthcare Operations *Returning athletes do NOT need to complete this form.
If you have questions, please call 419.448.2042 or email your question to firstname.lastname@example.org.
Stoner Heatlh Center
310 E. Market Street
Tiffin, OH 44883
Or fax to: 419.448.2372