Insurance Alert!!

Carnegie Mellon University contracts with UPMC Sports Medicine for the care of our student-athletes. Student-athletes who will be treated by the UPMC Sports Medicine professionals are responsible for contacting their insurance carrier(s) prior to enrollment in order to ensure that they will cover emergency and non-emergency services at UPMC facilities in the event that the student-athlete is injured while participating in athletics.  If a student’s insurance policy does not provide out-of-network coverage for non-emergency care at UPMC medical facilities the student-athlete is strongly encouraged to obtain the student medical health insurance plan.

Forms for Freshmen and New Athletes to be Added Soon

By NCAA, and our University standards, all new athletes are required to receive a physical exam before athletic participation: Physicals must be dated after June 1st.

  • Please fill out forms A, B, C, D1 (health history), E (physical exam), I (Sickle Cell Trait Waiver), J (Medical Exception ADHD/ADD) completed only if it applies to the athlete, L (Meningitis B Vaccination) and Parent Handbook Acknowledgement Form (First page of the Parent Handbook).
  • Form A requires copies of insurance cards; photocopy cards front and back and attach to form.
  • Take Carnegie Mellon's Athletic Physical Exam Form E with you to a medical doctor for him/her to fill out and sign.

Complete and return all forms by July 2019 and mail to:

Carnegie Mellon University Athletics
Attn: Adam Hindes, Head Athletic Trainer
5000 Forbes Avenue
Skibo Gymnasium
Pittsburgh, PA  15213

Or email, cmu.atc@gmail.com

(If you choose to email documents, please send in PDF format.)

Phone 412-268-2222 with any questions

Freshmen and New Student Athlete Forms Packet - pdf
(Includes Parent Handbook/Acknowledgement and Forms A, B, C, D1, E, I, J, L)

Individual Forms

Parent Handbook and Acknowledgement Form - pdf 

Form A - Insurance Information - pdf
Form B - Assumption of Risk and Release - pdf
Form C - Medical Treatment - pdf
Form D1 - Health History - pdf
Form E - Physical Exam - pdf
Form G - Wellness Questionnaire (to be completed in pre-season)
Form H - Female Athlete Questionnaire (to be completed in pre-season)
Form I - Sickle Cell Trait - pdf 
Form J - Medical Exception ADHD/ADD - pdf 
Form L - Meningitis B Vaccination - pdf


Forms for Returning Athletes to be Added Soon

  • Please fill out forms A, B, C, D2, J (Medical Exception ADHD/ADD) completed only if it applies to the athlete and Parent Handbook Acknowledgement Form.
  • Form A requires copies of insurance cards; photocopy cards front and back and attach to form.

No physical exam is required for returning athletes

Complete and return all forms and copies of insurance cards by July 2019 and mail to:

Carnegie Mellon University Athletics
Attn: Adam Hindes, Head Athletic Trainer
5000 Forbes Avenue
Skibo Gymnasium
Pittsburgh, PA  15213

Or email, cmu.atc@gmail.com

(If you choose to email documents, please send in PDF format.)

Phone: 412-268-2222 with any questions

Returning Athlete Forms Packet - pdf
(Includes Parent Handbook/Acknowledgement and Forms A, B, C, D2, J)

Individual Forms

Parent Handbook and Acknowledgement Form – pdf

Form A - Insurance Information - pdf
Form B - Assumption of Risk and Release - pdf
Form C - Medical Treatment - pdf
Form D2 - Returning Athletes (can be completed in pre-season)
Form G - Wellness Questionnaire (to be completed in pre-season)
Form H - Female Athlete Questionnaire (to be completed in pre-season)
Form J - Medical Exception ADHD/ADD - pdf 

Other Important Links to Check Out

Peer Health and Wellness Advocates for Varsity Athletics

What is Athletic Training?

NCAA Sickle Cell Information

NCAA ADHD Information

NCAA Banned Substances