BTT - St. Lukes Injury Report
IF YOUR INJURY IS HEAD RELATED PLEASE FILL OUT FORM AND CONTACT THE CONCUSSION CLINIC 208-381-2665

Boise Timbers Thorns members are entitled to injury assessment and treatment services by a certified athletic trainer at no charge due to our relationship with St. Luke's Sports Medicine. Please complete the form below to access these services - information is sent directly to a dedicated BTT sports medicine team to help facilitate the timeliness and efficacy of treatment. Please contact Ian Sandercock at medical@boisetimbersthorns.org with any questions.

Athlete Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Date of Injury (estimated) *
MM
/
DD
/
YYYY
Time of Injury (estimated) *
Time
:
Location of Injury (Ankle, knee...etc) *
Your answer
Type of Injury (sprain, break, please include related details)
Your answer
Parent/Primary Contact
Your answer
Contact Email *
Your answer
Contact Phone *
Your answer
Submit
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