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UNIVERSITY OF DAYTON SPORTS MEDICINE





Visiting Team Information
Information for Parents

DOWNLOADABLE MEDICAL FORMS
The University of Dayton is proud to have your son or daughter as a member of one of our athletic teams. In preparation for their upcoming season the Sports Medicine Staff would like to provide you with the following information and forms in PDF format.

UD Medical Policies & Procedures
Authorization Form
Physical Examination Form
Insurance Form
Medical History Form (New Student-Athletes)
History Update Form (Returning Student-Athletes)
Walk-on Questionaire

Download Free Acrobat Reader



The University of Dayton Sports Medicine department is dedicated to providing our student athletes with the highest level of medical care. In order to ensure this, every athlete is required to have a physical examination from our team physicians prior to participation in their intercollegiate sport. The final decision regarding physical qualification, reasons for disqualifications, and return to play after injury is the responsibility of our team physicians.

Student-Athlete Information - Updating one's medical information is required of all freshmen, transfers and returning student-athletes before participating for UD Athletics. Please complete this information by clicking on the following link before the start of the academic year.

  • Medical History Online Form

    In the unfortunate event that an athletic injury occurs, you are responsible for first filing any claim with your insurance carrier. The University of Dayton Athletics Division carries a "secondary" insurance policy for athletic injuries. After your insurance has provided all available benefits, any remaining balances should be submitted to the Sports Medicine Department for processing. This site contains a link that outlines our departments polices and procedures.

    NCAA policy prohibits payment of medical expenses for injuries and illnesses that are not the result of intercollegiate competition or practice. We strongly recommend that all student-athletes have insurance coverage for non-athletic injuries or illnesses.

    All referrals to physicians or specialists will be made through the Sports Medicine Staff only. The Athletics Division will not be responsible for any medical bills resulting from failure to follow this policy.

    Most employers' group insurance policies allow dependent coverage to be continued to age 23 if the dependent is a full-time student. Also, many HMO's and Preferred Provider Networks provide coverage while your son or daughter is away at school. Please check with your insurance carrier regarding their policy.

    Medical Staff
    Head Trainer Steve Foster, ATC, LAT (football)
    Team Doctor Dr. Sean Convery, M.D.
    Orthopedic Consultant Dr. Tim Quinn, M.D.
    Associate Head Trainer: Nate Seymour, ATC, LAT, CSCS (men's basketball)
    Assistant Trainer: Sara Thomas, ATC, LAT (women's basketball)
    Assistant Trainer: Kaname Yamaguchi, ATC, LAT (men's soccer, baseball)
    Assistant Trainer: Jessica Stanley, ATC, LAT (volleyball, track & field)
    Assistant Trainer: Lindsay Luti, ATC, LAT (women's soccer, softball)

    Assistant Team Physician: Dusty Rhodes, D.O.
    Assistant Team Physician: Mike Barrow, M.D.
    Orthopedic Consultant: Jim Klosterman, M.D.

    Team Physician Emeritus: Art Bok, D.O.


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