Sports Medicine - Forms

Medical History Form
Click here or on the link below to open the medical history form. Please download the form and open it in Adobe Acrobat to fill in the form. Please see instructions below before you begin:

  1. DO NOT START TO FILL IT IN WITHOUT DOWNLOADING IT AND OPENING IT CORRECTLY.  
  2. Note: You should be in Fill and Sign mode to complete filling out this form. All forms should be filled out completely marking "yes" or "no" for each question and provide dates and details when necessary. If necessary, please consult your parent/guardian to ensure all information is accurate and complete.
  3. Once you have completed filling all fields, please upload/attach proofs of identification and medical insurance card images to this PDF file. 
  4. Once complete please save your form titled as your first name, last name, and sport. Ex. AubieTigerMensBasketball 
  5. Please upload completed Medical History Form using link: https://auburn.app.box.com/f/c864e03c14de48239f49057db635bfbe

If at any time you have questions or concerns which we may help you with, please do not hesitate to contact us.
 

ANY ATHLETE THAT HAS NOT RECEIVED & CLEARED A FULL PHYSICAL EVALUATION THROUGH THE AUBURN UNIVERSITY SPORTS MEDICINE DEPARTMENT WILL NOT BE ALLOWED TO PARTICIPATE IN ANY ACTIVITIES WITH THEIR RESPECTIVE TEAM.

*All medical information is strictly confidential and will be used as an aid in proving health care while you are a student at Auburn University. Your knowledge and consent will be required for release of these medical records.

MEDICAL HISTORY FORM

WALK ON PHYSICAL FORM


FAQs

  1. How to get ADOBE ACROBAT on computer?
  2. How do I use ‘Fill and Sign’ mode?
    • Open the Medical History form using Acrobat Reader. Click on Tools> Search for Fill & Sign Option>Click on Add.
    • Fill & Sign Option should now be visible on your right-hand side as a quick link.
    • Click on Medical History Form tab>Click on Fill & Sign (Right-hand side) – you should now be able to fill the form and sign the form digitally.
  3. How do I upload my ID Card and Medical Insurance Cards to Medical History Form.
    • Start out by capturing images of your ID card (Driver’s License) and the front and back of your current medical insurance card. Save these images on your computer or the device you will be using to fill this form.
    • Open Medical History Form>Scroll down to page 24> Click anywhere inside the box and upload requested images from your computer.
  4. I have more than one Insurance Card to submit. How do I upload additional proof?
    • If you are submitting two insurance cards (i.e. coverage through each parent) please specify which should be used as the primary policy.
    • Please contact your athletic trainer or Catherine Gordon clg0057@auburn.edu for supplemental Upload forms. We will email it out to you directly.
  5. I filled the form out; how do I send it back to the Sports Medicine Department?
  6. How do I Sign the document with ‘Fill and Sign’ Feature?
  • Several pages on this document require either you (athlete) or your parent/guardian to sign the document. You should notice Signature fields in the form Ex: Page 16. Use the steps below to sign digitally:
    • Ensure that you have opened the document in ‘Fill and Sign’ mode.
    • Click on the field you wish to Sign>Select Sign Yourself option from the main menu.
    • Click on ‘Add Signature’ option >Click on Type Option and type in your name.he field  you wish to Sign>Select Sign Yourself option from the main menu.
    • Adobe will generate a digital signature as soon as you type your name>Click on Apply to save this signature.
    • You can use this saved signature in the document on any field that you wish to sign digitally.