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 the Athletics Office by August 1, 2020. The CIPPE form must be signed by a physician after May 31, 2020 – it may not be signed earlier than June 1, 2020 and shall be effective, regardless of when performed during a school year, until June 1, 2021.
- CIPPE forms (sections 1 – 6) – Completed by a physician
- Please note: The WT Physician's Report form CANNOT be accepted in lieu of the CIPPE form, and the CIPPE form CANNOT be signed by a parent.
- UPMC HIPPA form and Consent to Treat form
Please mail all forms to:
Winchester Thurston School
555 Morewood Avenue
Pittsburgh, PA 15213
Attn: Athletics Office
Questions? Contact Cedric Brown, Director of Athletics, or Bill Fitch, Assistant Director of Athletics, at 412-578-3749.