Health Forms for Athletes
Students in grades 5-12 who are interested in participating in athletics are required to submit the following forms before being permitted to practice or play at WT. Failure to complete any of the following forms will result in the athlete being prohibited from participating on any WT athletic team.
Completed forms are to be submitted to Kevin Miller, Director of Athletics, by August 1, 2019. Physicals must be signed by a physician after May 31, 2019 – the CIPPE form may not be signed earlier than May 31, 2019 and shall be effective, regardless of when performed during a school year, until May 31, 2020.
Forms for Athletes:
- CIPPE forms (sections 1 - 4 and 5 - 7) (Please note: The Physician's Report form CANNOT be accepted in lieu of the CIPPE form.)
- UPMC HIPPA form and Consent to Treat form
Please mail all forms to:
Winchester Thurston School
555 Morewood Avenue
Pittsburgh, PA 15213
Attn: Kevin Miller
Questions? Contact Kevin Miller, Director of Athletics, at 412-578-7503 or email@example.com