OSCA

OSCA

Player Medical Screening Form/Injury Decleration: Rugby Form Preview
Osteopathic Sports Care Association Player Medical Screening Form/Injury Decleration
  • Osteopathic Sports Care Association

  • Player Medical Screening/Injury Decleration

  • Contact Details

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  • In Case of Emergency/Next of Kin

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  • Health & Medical Information

  • Consent to Assessment and Treatment

  • At times the medical staff will have to liaise with the referee, coaching staff, management staff and attending medical practitioners regarding injuries.  However, any of the personal medical details on this form will only be given with your permission.  The details will be kept confidential within the medical team.  

    At sporting events, it is not always possible to provide privacy when being assessed and/or treated.  Should you and your practitioner decide privacy is needed or wanted then a suitable private area will be provided if possible.

  • This form is your decleration of consent to assessment and treatment.

  •  -  - Pick a Date
  • Should be Empty: