FORMS TO BE COMPLETED BY FRESHMAN, TRANSFERS AND FIRST TIME ATHLETES

The following PDF links can be viewed with Adobe Acrobat Reader.

FORM 1.  ANNUAL INSURANCE FORM (PDF)
A copy of the front and back of your primary insurance card must accompany this signed form!  If you are not yet 18 years old, a parent or guardian must sign this form.

FORM 2.  MEDICAL HISTORY/ PHYSICAL EXAMINATION RELEASE FORM (PDF)
If you are not yet 18 years old, a parent or guardian must sign this form.

Mail forms 1 & 2 to:
Canisius College Sports Medicine
2001 Main St
Buffalo,  NY 14208


FORM 3. STUDENT HEALTH CENTER PHYSICAL EXAMINATION AND IMMUNIZATION FROM (PDF)
This form is also mailed with your admissions packet.  A physician must perform this physical examination. Completed form must be forwarded to the Student Health Center.




Host of the 2007 NCAA Division I Men's Basketball First and Second Rounds

©Copyright 2001 Canisius College
Office of Athletics | Koessler Center
Canisius College | 2001 Main Street | Buffalo, NY 14208-1098
Phone: 716-888-2970 | Fax: 716-888-3174

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