Student-Athlete Forms
Dear Parents and Student-Athletes:
The following forms will need to be filled out completely and returned to Mercer University Sports Medicine Department. If you have any difficulty obtaining or having any questions about the forms please feel free to email or call Amos Mansfield, MBA, ATC, LAT @ (478) 301-2371 or Mansfield_ja@mercer.edu
(Note: Forms are in .pdf format)
For new student-athletes:
Individual Medical Forms
- ADHD Self Report Checklist
- Student-Athlete Responsibility
- Acknowledgement of Insurance Requirements
- Alcohol Misuse Form
- Insurance Billing Letter
- Mercer Medicine Packet
- Mercer Immunization Form
- New Athlete Letter
For returning student-atheltes:
Individual Medical Forms
1. All forms must be completed in full.
2. If you have all the requested information and you are relatively injury and illness-free, you may submit your paperwork upon arrival on campus.
3. If you have significant injuries or illnesses, you should send your documentation in advance as soon as possible so that we may evaluate your status and suggest further follow-up or testing.
4. If you have any questions regarding your paperwork, please contact Amos Mansfield as soon as possible.










































