Madison Ridgen Athletic Therapy Information

PLEASE READ FIRST

  • This is to be completed  prior to each sports season. 
  • If you prefer to have your parents complete the form, copy and send this link.  Please ask them to do it asap.  https://forms.gle/Y6RgnNzTYR29Ppuq6
  • The email address provided below, will receive a summary of your responses with an option to edit at any time.  
  • Please save that email and use the edit option as necessary throughout the season to provide real time, up to date information, so our Athletic Therapists can serve you best.

Sign in to Google to save your progress. Learn more
Email *
Madison Ridgen Athletic Therapy (MRAT) will provide one Certified Athletic Therapist (CAT(C)) at every game. Services include emergency medical coverage, concussion management, injury management & treatment, and pre-game taping. MRAT offers a direct referral network to the PanAm Concussion Clinic with Dr. Michael Ellis.   

 MRAT requires all athletes who have any suspected concussion to see a medical doctor for clearance and or diagnosis. The athlete may not return to play until they provide a signed clearance letter from a medical doctor. If the clearance letter is signed by anyone other than a medical doctor, it will not be accepted.  
 *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms