Office: (970) 826-2400 Fax: (970) 826-2439 785 Russell Street Craig, CO 81625
CONSENT TO TREAT – SPORTS PHYSICAL
As the legal guardian of _________________________________________________________ I have completed the required (student name)
medical history on the sports physical form to the best of my ability and acknowledge that I have disclosed all the healthrelated issues that I am aware of. I hereby give consent to Memorial Regional Health to conduct a sports physical. If you have concerns, or recommend further testing, please contact me.
________________________________________________________________________________________________________________ Parent or guardian full name (please print) _________________________________________________________________________ Parent or guardian signature
_________________________________ Date
________________________________________________________________________________________________________________ Address ___________________________________________________ Phone or Text
785 Russell Street Craig, CO 81625. (student name). Page 1 of 1. 1900 MRH Sports Physical Consent_p3.pdf. 1900 MRH Sports Physical Consent_p3.pdf. Open. Extract. Open with. Sign In. Details. Comments. General Info. Type. Dimensions. Size. Duration. Location. Modified. Created. Opened by me. Sharing. Description.
... Society for Sports Medicine, American Orthopaedic. Society for Sports Medicine, and American Osteopathic Academy of Sports Medicine. Permission is granted to reprint for noncommercial, educational purposes with acknowledgment. HE0503 9-2681/0410.
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dynamic components achieved during competition. It should be noted, however, that higher values may be reached. during training. The increasing dynamic component is defined in terms of the estimated percent of maximal oxygen. uptake (MaxO2. ) achieve
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