On behalf of Jackson College and Allegiance Sport Medicine, I would like to welcome you to Jackson College Athletics. Sports Medicine coverage here at Jackson College is contracted through Allegiance Sport Medicine and consists of a team physician and a full-time Certified Athletic Trainer. Our focus is to address the sports medicine needs of each student-athlete through prevention, evaluation, management, rehabilitation, and referral of athletic injuries and/or illnesses. Our primary concern is to maintain the health and safety of every student-athlete while participating in Jackson College athletics.
The following documents are Essential in our efforts to provide optimal healthcare for Jackson College student-athletes.
- Insurance Information Form - Please fill out form completely and attach a copy of your insurance card(s) (front & back). Please be aware that Jackson College requires each student-athlete to have Primary Health Insurance. Student-athletes that do not return Insurance Information Form or provide proof of existing insurance coverage will not be able to participate in any practices or games until they do so.
- Athletic Pre-Participation Physical Examination Form - Please answer ALL medical history questions honestly and accurately. Please be certain to provide signature(s) on bottom of physical form. This form can be completed with your primary care physician or at the Jackson College Health Clinic.
- Medical Consent to Treat and Release of Information Form - Please read form carefully, then print, sign and date form.
Please ensure that all forms are fully completed and legible. It is imperative that all information is accurate and that all appropriate signatures are included. Please bring all completed forms with you to your designated physical date listed above.
Jill Williams, ATC
Athletic Trainer - Jackson College
517-796-8447 | firstname.lastname@example.org