Sports Medicine and Athletic Training

Mandatory Physicals - April 18
Assigned Team Times
6 p.m. -
Volleyball, Men's Soccer
6:30 p.m. - Men's Cross Country, Women's Cross Country, Men's Basketball, Women's Basketball
7 p.m. - Women's Soccer, Men's Golf, Women's Golf
BRING YOUR INSURANCE CARD AND THE NECESSARY FORMS BELOW

 
Mandatory forms for RETURNING student-athletes (YOU HAVE PLAYED AT MU BEFORE)
Print these out, fill them out and bring the forms along with a copy of both sides of your insurance card with you to the physical.

1. Preseason letter from the MU Sports Medicine staff
2. MANDATORY forms checklist
3. Returning student-athlete health follow-up
4. Emergency contact form
5. Consent for treatment

Mandatory forms for NEW student-athletes (YOU ARE NEW TO YOUR TEAM AT MU) 
Print these out, fill them out and bring the forms along with a copy of both sides of your insurance card with you to the physical.

1. Preseason letter from the MU Sports Medicine staff
2. MANDATORY forms checklist
3. New student-athlete health history
4. Emergency contact form
5. Parent / Guardian permission form
6. Consent for treatment

MAP TO PAM-NOVI OFFICE
MADONNA UNIVERSITY SPORTS MEDICINE
Mission StatementThe sports medicine staff strives to maintain the health and wellness of MU student-athletes through the prevention, recognition, management, and rehabilitation of athletic injuries. Team physicians, certified athletic trainers, and student assistants work in collaboration to provide superior athletic health care services for the student-athletes of Madonna University.

General Overview
The certified athletic trainers and sports medicine staff at Madonna University work under the direct supervision of the physicians from Providence Athletic Medicine-Novi. Our team physicians are board certified in family practice with a specialty in sports medicine. Our team physicians are: Dr. Michael Montico, MD, Dr. Scott Eathorn, MD, Dr. David Peck, MD, and Dr. Gregory Cibor, DO. 

Certified athletic trainers (ATCs) are professionals who specialize in athletic healthcare. They work under the direction of a physician and have extensive education and experience in injury prevention, assessment, care, and rehabilitation. Certified athletic trainers must complete a Bachelors degree program from an accredited institution and pass a national certifying exam to be eligible to practice. Like all healthcare professionals, they are required to keep current in their field by completing continuing education units (CEUs) on a regular basis. The certified athletic trainers and team physicians work together to provide superior athletic healthcare services to the student-athletes of Madonna University.

The sports medicine team will provide medical coverage, with its staff and/or students, for all official in-season practices and competitions. Every effort will be made to provide coverage for non-traditional seasons during the academic school year. Summer workouts or non-approved, off-season athletic events will not receive coverage.

If a student-athlete is injured while participating in an official intercollegiate sport activity they will be evaluated by a certified athletic trainer, provided immediate care, and referred for follow-up care, when necessary. Appropriate documentation of the injury/illness, including immediate management and follow-up plan, will be maintained in the student-athlete's personal athletic medical file.

Student-Athlete Privacy & Confidentiality
The content of a student-athlete's athletic medical file is considered Personal Health Information and is therefore protected by law. Personal Health Information (PHI) includes, but is not limited to: documentation regarding the nature and treatment of an injury/illness, medical history, pre-participation screening exam, participation status, insurance coverage and copies of any other medical records. Information obtained from any of these documents is considered confidential. The sports medicine staff of Madonna University will not disclose (written and/or verbally) any of the information contained in these records without the express written consent of the student-athlete. The signed consent form will be kept on file in the athletic training room.    
 
MANDATORY FORMS FOR STUDENT-ATHLETES FOR PHYSICALS
 
ALL STUDENT-ATHLETES


RETURNING STUDENT-ATHLETES
Returning Athlete Follow-Up
Assumption of Risk and Consent for treatment
Emergency Contact

ADDITIONAL INFORMATION (pdf format for easy printing and viewing)
Visiting Team Information
MU Sports Medicine Policies and Procedures
Athletic Accident Insurance Information
Tryout Release Form