Forms

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Prior to your arrival at Open Rhodes, you’ll be asked to submit a number of forms detailing your medical history, insurance coverage, etc. We’ve posted these forms online for your convenience:

• Rhodes Health Services Record (PDF)
• Medical History (PDF)
• Physical Examination Report (PDF)
• Immunization Record (PDF)
• Health Insurance Information Form (PDF)
• Meningococcal Vaccines (PDF)
• Hepatitis B Vaccine (PDF)
• Athletics Letter to Parents (PDF)
• Athletics Parent′s Insurance Form (web form)
• Athletics Consent and Authorization to Release Information (PDF)
• Athletics Student-Athlete Authorization/Consent for Disclosure of Protected Health Information to the National Collegiate Athletic Association (PDF)
• Athletics NCAA Banned Drugs and Medical Exceptions Policy Guidelines Regarding Medical Reporting for Student-Athletes with Attention Deficit Hyperactivity Disorder (ADHD) Taking Prescribed Stimulants (PDF)
• Athletics Orthopedic Screen (PDF)
• Rhodes College Athletic Training Department Attention Deficit Hyperactivity Disorder (ADHD) Medication Exemption Information (PDF)
• Rhodes College Shared Responsibility for Sport Safety (PDF)

For Returning Athletes:

• Athletics Insurance Form (PDF)

Should any of your information change during your time at Rhodes, please contact the Health Center so that we can keep your records current.