Southeastern Louisiana University

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Sports Medicine
Preparticipation Examination Forms

In order to be prepared for your arrival on campus, we ask that you complete all forms pertaining to your year of athletic eligibility (Incoming Freshmen/Transfer or Returning Athlete). Please return those forms in an addressed stamped envelope to the following address:

Southeastern Louisiana University
Attention: Cary Berthelot, Interim Director 
SLU 10309 
800 Galloway Drive
Hammond, LA 70402

These forms will provide us with the pertinent information related to your medical history, which will allow for a more thorough and efficient physical examination. Each of the following forms and documents must be completed and returned to the Southeastern Louisiana University Sports Medicine Department by all student-athletes. Click on the form name to download a PDF version of the form. 

New Student-Athletes Returning Student-Athletes










Athletic Emergency Action Plan (PDF)