Fort Hays State University

Medical Forms
The following links provide mandatory information that needs to be filled out and sent back to Fort Hays State University.

All returning athletes complete Parents Information Form, Acknowledgment of Insurance Form, and Physical Update Form.

All new athletes complete Pre-Participation Form, Parents Information Form, and Acknowledgment of Insurance Form.

Return all forms to the following address....
Brady Ternes
Fort Hays State University
600 Park Street
Hays, KS 67601-4099

Or

Fax all forms to the following number....
(785) 628-4383

Medical Policies
Information for you to know. The policies explain inury and illness assistance available and the financial reponsibility of the student and family and Fort Hays State University.

Click on the link below to access FHSU Medical Policies....
Medical Policies

Pre-Participation Form
Respond to all questions on the form and explain all "yes" responses. Please use your permanent address. Sign and date the form at the bottom. Do Not Fill In The Date Of Exam! 

Click on the link below to access the Pre-Participation Form....
Pre-Participation Form

Parent's Information Form
Personal health or medical insurance required for any athlete to participate in athletics at FHSU. Please list this insurance on this form. The top section is information about the student. The next section is information about the parent's or guardians and the insurance that covers the stated student. Please complete the form in its entirety. Please sign the information waiver as this is required by the insurance company for coverage to be in effect. In addition, please send copy of insurance card (front and back).

Click on the link below to access the Parent's Information Form....
Parent's Information Form

Acknowledgement of Insurance
Complete form as necessary. By completing and signing this form, your are stating the insurance noted on the Parent's Information Form is accurate and covers injuries occurring in athletic activity.

Click on the link below to access the Acknowledgement of Insurance Form....
Acknowledgement of Insurance Form

 

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