Feedback Form
| More

Baker University Sports Medicine Department
Sports Medicine Department

Welcome from Baker University Sports Medicine. Please take a minute to review the following important materials. All information must be completed thoroughly and returned

to the Sports Medicine Department before you will be allowed to participate in any athletic practices or competitions. When completed, mail or fax all components of your Athletic Participation Packet to the attention of the Sports Medicine Department by August 1st, 2010. In the event that the Participation Packet is not received by this date, athletes will not be eligible to participate in practice. Please call with any additional questions. (P) 785.594.8423 (F) 785.594.8465

A Current Physical Examination

All physical examinations must be completed and signed by a licensed medical doctor (MD or DO). Physical examinations signed by any other medical provider other than those listed above will NOT be accepted. For clarification we will not accept physicals signed by nurse practitioners or chiropractors. --Download Form--

Insurance Questionnaire and Copy of Card (front & back)

All athletes MUST have insurance coverage in order to participate. If you do not have insurance, we have information regarding temporary policies that may be purchased by the student athlete. Please include all information regarding insurance coverage, including secondary policies.
--Download Form--

Liability Waivers

Student athletes must sign and date the following forms. Parent or legal guardian signature required for student athletes under 18 years of age. --Download Form--

Insurance Information

Information regarding insurance can be downloaded here

Student Personal Information

Fill out personal information sheet here

Sports Medicine Department Staff

Lynn BottLynn Bott, MS, ATC, LAT

Director of Sports Medicine, Instructor

(P) 785.594.8424 (F) 785.594.8465
This e-mail address is being protected from spambots. You need JavaScript enabled to view it



Lynsey Payne

Lynsey Payne, MS, ATC, LAT

Assistant Athletic Trainer
(P) 785.594.8499 (F) 785.594.8465
This e-mail address is being protected from spambots. You need JavaScript enabled to view it