Merrimack College Athletics :

Cross Country (M) Cross Country (W) Field Hockey Football Soccer (M) Soccer (W) Volleyball

Basketball (M) Basketball (W) Ice Hockey Indoor Track (M) Indoor Track (W)

Baseball Lacrosse (M) Lacrosse (W) Outdoor Track (M) Outdoor Track (W) Softball Tennis (M) Tennis (W)

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Sports Medicine and Athletic Training

All incoming freshman and transfer students that will be participating in intercollegiate athletics at Merrimack College are required to fill out the following forms; Medical History, Physical Examination, Proof of Insurance, and Consent for Medical Treatment prior to the start of athletic competition.

These forms are in addition to the forms required by Health Services for all incoming students. All forms should be completed in full and returned to Merrimack College Department of Sports Medicine 315 Turnpike St. North Andover, MA 01845 or faxed to (978) 837 –5032 by August 2nd, 2010. If you would like a hard copy mailed to you, please call Michael Hurley in the Sports Medicine Department at (978) 837–5212

Returning Athletes are required to submit an updated Medical History, Proof of Insurance, and Consent for Medical Treatment on an annual basis. These forms should be mailed or faxed to Merrimack College Department of Sports Medicine 315 Turnpike St. North Andover, MA 01845 or (978) 837 – 5032 by August 2nd, 2010.

Merrimack's Athletic Training Homepage

Directions for all forms

Medical History: is to be completed by the student athlete. Please explain in detail any question that you have answered yes to as well as a corresponding date.
Physical Exam (Freshmen and Transfers): This form is to be completed by your Primary Care Physician within six months from your reporting date to campus. You must bring this form with you to your primary care physician.
Proof of Insurance: Please attach a photo copy of your primary insurance card as well as answering the following questions that accompany the form.
Consent for Medical Treatment: please review the form, sign and date.

ADHD Policy: Please review if you have been diagnosed with ADHD and submit the essential information necessary.

Claim Process Form / Excess Insurance Policy Memo

Attention Division I Athletes (Freshmen and Transfers only): Please review and complete the following forms regarding Sickle Cell. Instruction Form / Testing Form / Waiver Form

If you have any questions please feel free to contact Michael Hurley in the Sports Medicine Department at (978) 837 – 5212

About the Sports Medicine Department: The newly-reaccredited division of Sports Medicine and Athletic Training at Merrimack College is designed with a dual purpose. The department is both a fully-functioning athletic training room that provides health care services for approximately 300 Warrior student-athletes participating in 16 varsity intercollegiate sports and an educational facility which provides a top-notch athletic training curriculum with an emphasis on allied health education.

Student-athletes and Merrimack receive the finest medical care available for the prevention, diagnosis, and treatment of athletics injuries. Director of Sports Medicine Birgid Hopkins, Clinical Coordinator of Health Science Dennis Fontaine and Head Athletic Trainer Michael Hurley supervise the sports medicine staff which consists of five BOC Certified Athletic Trainers and approximately 30 athletic training students. The staff is committed to ensuring quality care for student-athletes while enabling a safe and healthy participating in intercollegiate athletics.

In conjunction with the College’ s Hamel Health Center, Ort hopaedics Northeast P.C., and physical therapist Andy Cannon, the athletic training department at Merrimack provides on-site first aid, evaluation and treatment of all athletic injuries, as well as full rehabilitation therapy.

Dr. Steven Andriola, Dr. Keith Cordischi, Dr. Ronald Marvin, Dr. Richard Bargar, Dr. Richard Choi, and Jamie Stasko (PA-C) serve as Merrimack’s team physicians and are readily accessible to provide optimal care and prevention of all athletic injuries.

Merrimack’s sports medicine program is in its 14th year of offering a field of study that will allow the athletic training student a wide variety of academic and clinical programs that will provide knowledge and skills in accordance with National Athletic Trainers Association competencies and Commission on Accreditation of Athletic Training Education Programs guidelines.

Some of Merrimack’s alumni have gone on to assume positions at University of Tennessee, Florida State University, University of Maryland, Palmer School of Chiropractic, and many other Allied Heath Care programs, including physical therapy, physician assistant, and nurse practioner.


Cross Country (M) Cross Country (W) Field Hockey Football Soccer (M) Soccer (W) Volleyball Basketball (M) Basketball (W) Ice Hockey Indoor Track (M) Indoor Track (W) Baseball Lacrosse (M) Lacrosse (W) Outdoor Track (M) Outdoor Track (W) Softball Tennis (M) Tennis (W) 2009-10 Annual Report Athletic Staff Directory Blue Line Club Cheerleading Compliance Composite Calendar Desktop Wallpaper Directions Facilities From the AD's Desk Marketing & Promotions Merrimack Championships Merrimack Superstars Quick Facts Recruiting Questionnaires SAAC SID Downloads Sponsorship Sports Medicine Strength and Conditioning Student-Athlete Welfare 2010-11 Visitors Guide	[Printer Friendly] Sports Medicine and Athletic Training All incoming freshman and transfer students that will be participating in intercollegiate athletics at Merrimack College are required to fill out the following forms; Medical History, Physical Examination, Proof of Insurance, and Consent for Medical Treatment prior to the start of athletic competition. These forms are in addition to the forms required by Health Services for all incoming students. All forms should be completed in full and returned to Merrimack College Department of Sports Medicine 315 Turnpike St. North Andover, MA 01845 or faxed to (978) 837 –5032 by August 2nd, 2010. If you would like a hard copy mailed to you, please call Michael Hurley in the Sports Medicine Department at (978) 837–5212 Returning Athletes are required to submit an updated Medical History, Proof of Insurance, and Consent for Medical Treatment on an annual basis. These forms should be mailed or faxed to Merrimack College Department of Sports Medicine 315 Turnpike St. North Andover, MA 01845 or (978) 837 – 5032 by August 2nd, 2010. Merrimack's Athletic Training Homepage Directions for all forms Medical History: is to be completed by the student athlete. Please explain in detail any question that you have answered yes to as well as a corresponding date. Physical Exam (Freshmen and Transfers): This form is to be completed by your Primary Care Physician within six months from your reporting date to campus. You must bring this form with you to your primary care physician. Proof of Insurance: Please attach a photo copy of your primary insurance card as well as answering the following questions that accompany the form. Consent for Medical Treatment: please review the form, sign and date. ADHD Policy: Please review if you have been diagnosed with ADHD and submit the essential information necessary. Claim Process Form / Excess Insurance Policy Memo Attention Division I Athletes (Freshmen and Transfers only): Please review and complete the following forms regarding Sickle Cell. Instruction Form / Testing Form / Waiver Form If you have any questions please feel free to contact Michael Hurley in the Sports Medicine Department at (978) 837 – 5212 *About the Sports Medicine Department:* The newly-reaccredited division of Sports Medicine and Athletic Training at Merrimack College is designed with a dual purpose. The department is both a fully-functioning athletic training room that provides health care services for approximately 300 Warrior student-athletes participating in 16 varsity intercollegiate sports and an educational facility which provides a top-notch athletic training curriculum with an emphasis on allied health education. Student-athletes and Merrimack receive the finest medical care available for the prevention, diagnosis, and treatment of athletics injuries. Director of Sports Medicine Birgid Hopkins, Clinical Coordinator of Health Science Dennis Fontaine and Head Athletic Trainer Michael Hurley supervise the sports medicine staff which consists of five BOC Certified Athletic Trainers and approximately 30 athletic training students. The staff is committed to ensuring quality care for student-athletes while enabling a safe and healthy participating in intercollegiate athletics. In conjunction with the College’ s Hamel Health Center, Ort hopaedics Northeast P.C., and physical therapist Andy Cannon, the athletic training department at Merrimack provides on-site first aid, evaluation and treatment of all athletic injuries, as well as full rehabilitation therapy. Dr. Steven Andriola, Dr. Keith Cordischi, Dr. Ronald Marvin, Dr. Richard Bargar, Dr. Richard Choi, and Jamie Stasko (PA-C) serve as Merrimack’s team physicians and are readily accessible to provide optimal care and prevention of all athletic injuries. Merrimack’s sports medicine program is in its 14th year of offering a field of study that will allow the athletic training student a wide variety of academic and clinical programs that will provide knowledge and skills in accordance with National Athletic Trainers Association competencies and Commission on Accreditation of Athletic Training Education Programs guidelines. Some of Merrimack’s alumni have gone on to assume positions at University of Tennessee, Florida State University, University of Maryland, Palmer School of Chiropractic, and many other Allied Heath Care programs, including physical therapy, physician assistant, and nurse practioner.