Sports Medicine Department
Welcome from Baker University Sports Medicine
Baker Student-Athletes and Parents,
The athletic trainers at Baker University, along with medical doctors from OrthoKansas, LLC, consider all student-athletes members of our family and as such, we welcome you to the Baker family. We honor student-athletes by providing access to the best health care and will provide the care, evaluation, and rehabilitation when athletically related injuries occur.
Please review the following important materials. All information must be completed thoroughly and returned to the Sports Medicine Department before you are allowed to participate in any athletically related practices or competitions. When completed, fax, email, or mail all documents in the sports medicine packet (Medical History & Physical Examination, Acceptance of Risk/Liability Waiver, Insurance Questionnaire, Concussion Waiver and Personal Data) to the attention of the Sports Medicine Department by August 1, 2016. In the event that the packet is not received by this date, you will not be eligible to participate in practice and will be assessed a $20.00 late processing fee on your student account. Please call if you have any questions.
You must return all of the following by August 1, 2016:
Medical History and Physical Examination
This is completed yearly and must be administered and signed by one of the following: Doctor of Medicine (MD), Doctor of Osteopathy (DO), Physician Assistant (PA) or Nurse Practitioner (APRN). Physical examination signed by a health provider other than requested will not be accepted and a subsequent examination will be required.
Acceptance of Risk/Liability Waiver
Please read thoroughly, sign and date.
This requests a legible copy of your medical insurance card be copied, front and back, cut, and taped in the designated spaces. Please complete in full and to the best of your knowledge. Please secure a card for your personal use. Providers require this upon admittance for services.
Student-Athlete Personal Data
This form contains your contact information for the academic year. If some information is unknown, complete as best you can, send it and we will complete it during health screens.
This states that you have read and understand the "concussion fact sheet". Your next step is to read the concussion waiver and print name, signature, date and sport.
All five documents, six pages, may be submitted via fax, email or mail.
Please download the Sports Medicine Packet, by clicking here.
Once completed, fax all four forms (five pages) to 785-594-8465 or mail all forms to Baker University Sports Medicine, 618 8th Street, Baldwin City, KS 66006
For new student-athletes, please refer to the student health center medical history and immunization policy at this website, by clicking here.
Baker University secures an excess or secondary athletic accident insurance policy. Parents and student-athletes please click here for answers to your insurance questions.
Drug Testing Policy
Please become familiar with our Baker University Athletics drug testing policy by clicking here.
Sports Medicine Department Staff
Director of Sports Medicine, Assistant Professor
Football, Baseball, Tennis
(P) 785.594.8424 (F) 785.594.8465 (C) 785.979.4882