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Medical Forms

Please note that all new student-athletes/transfers at SUNYIT must have a completed physical before being allowed to participate in any intercollegiate sport. All returning student-athletes are required to complete an annual health questionnaire form prior to the start of their season. All student-athletes are required to have current insurance information and insurance card on file with the Athletic Training Staff.

Please print and mail completed forms to:
SUNYIT Athletics
Attn: Kelly Colbert, MS, ATC
P.O. Box 3050
Utica, NY 13504

Learn about insurance options

YOU MUST HAVE A PHYSICAL BEFORE YOU CAN PARTICIPATE IN ANY PRACTICE OR COMPETITION. THIS PHYSICAL MUST BE COMPLETED ON OR AFTER APRIL 1, 2009. The Health and Wellness Center at SUNYIT will not provide physicals; therefore, you must have a physical completed by your own physician. Please print and complete the first two pages of this form. The last two pages will be completed by your health care provider.

This is a confidential medical history form that will help us understand any current or past injury/illness that you may have or had treatment for in the past. Please note that if you are currently under the care of a physician, physical therapist, chiropractor, etc. for an injury and/or illness, please have that health care personnel provide documentation as to the status of your injury/illness. Written medical clearance may be needed before participation is permitted.

Please read through each of these statements carefully. Due to HIPAA regulations, most doctors' offices and insurance companies will not provide information regarding health information unless given permission to do so by signature. If these statements are signed ahead of time, we can process your claims and medical information in a timely manner.

Please read and complete this form carefully. Although it is exciting to be a part of athletics, there are risks involved with participation. This form explains those risks so that informed decisions can be made on whether to participate.

Please read and complete this form to updae us on your health status, and to inform us on any injury or illness you have had in the past year.