<B>SPORTS MEDICINE</B>

Committed to caring, the athletic trainers and physicians of the Samford University Sports Medicine team accept as its primary mission a dedication to practicing high quality, effective sports medicine care to our student-athletes that is delivered in a compassionate, understanding manner. We are dedicated to performing each task with a standard of excellence that promotes a positive perception of Samford University and intercollegiate athletics. The enthusiasm we have in caring for our student athletes will be prevalent in our cheerful, relaxed atmosphere and seen in a comfortable, well-maintained facility. We are truly committed to caring and providing health care that nurtures our staff and our student athletes for God, for learning, forever.

NEW STUDENT-ATHLETES

Welcome to the Samford University Family!! Below is important information for you and your parents. Please read all the information provided. Print off each form, providing all requested information. Be sure each form is signed appropriately (if under 19 years old you must include a parent/guardian signature). We suggest that you make copies of all of the forms to retain for your records. Please return the original completed forms PRIOR TO PARTICIPATION.

Return forms to:

Samford University
Athletic Training Department
800 Lakeshore Drive
Birmingham, AL 35229

WELCOME LETTER
MEDICAL INSURANCE PROCEDURES

REQUIRED FORMS:

Receipt of Medical Insurance Procedures
Health Insurance Information/Authorization
Athletic Pre-participation Physical
Acknowledgement of Risk
Medical Release
Statement of Primary Insurance
Drug Testing
HIPAA Authorization
Helmet Informed Risk (football only)

*** IF YOU HAVE ANY QUESTIONS, FEEL FREE TO CONTACT OUR STAFF AT (205) 726-2574 ***

RETURNING STUDENT-ATHLETES

Welcome Back!! Please take the time to read and review with your parents our revised Medical Insurance Procedures. Print and complete (providing ALL requested information) the forms listed below. We suggest that you make copies of all of the forms to retain for your records. Please return the original completed forms PRIOR TO PARTICIPATION.

Return forms to:

Samford University
Athletic Training Department
800 Lakeshore Drive
Birmingham, AL 35229

MEDICAL INSURANCE PROCEDURES

REQUIRED FORMS:

Receipt of Medical Insurance Procedures
Health Insurance Information/Authorization
HIPAA Authorization

*** IF YOU HAVE ANY QUESTIONS, FEEL FREE TO CONTACT OUR STAFF AT (205) 726-2574 ***

VISITING ATHLETIC TRAINER INFORMATION

The Samford University Sports Medicine Staff would like to welcome you to our campus and the city of Birmingham for your upcoming athletic competition!

NOTE: The brand new Pete Hanna Center is schedule to open 10/20/07, at which time all athletic teams will be utilizing our brand new athletic training room. The new athletic training room is located along the north hallway on the bottom floor of the arena. All fall athletic teams scheduled to play on the Samford campus after 10/20/07 will have access to these new facilities.

Below are links for visiting teams with information that will help you while here at Samford University.

VISITOR INFORMATION:

Football
Soccer
Volleyball
Men's Basketball
Women's Basketball
Men's/Women's Tennis
Softball
Baseball

MEET THE STAFF

Wayne Kendrick, Head Athletic Trainer
E-mail: wmkendri@samford.edu
Phone: (205) 726-2670

Michelle Johnson, Assistant Athletic Trainer
E-mail: mmjohns2@samford.edu
Phone: (205) 726-4311

Matt Knowles, Assistant Athletic Trainer
E-mail: mcknowle@samford.edu
Phone: (205) 726-4297

Brandon Evans, Assistant Athletic Trainer
E-mail: bjevans@samford.edu
Phone: (205) 726-4298

Jessica Dysart, Graduate Assistant Athletic Trainer
E-mail: jrdysart@samford.edu
Phone: (205) 726-2574

Dina Jones, Graduate Assistant Athletic Trainer
E-mail: djones1@samford.edu
Phone: (205) 726-2574

Kim Whitten, Graduate Assistant Athletic Trainer
E-mail: kwhitte@samford.edu
Phone: (205) 726-2574

Brittany Wilkes, Graduate Assistant Athletic Trainer
E-mail: sbwilkes@samford.edu
Phone: (205) 726-2574

SPORTS MEDICINE TEAM PHYSICIANS:

Dr. Robert Agee, Team Physician (Primary Care/Sports Medicine)
Dr. David G. Lemak, Team Physician (Orthopedic Surgeon)
Dr. Lawrence J. Lemak, Team Physician (Orthopedic Surgeon)

Samford University Athletics General Releases


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