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Athletic Training Virtual Care

Complete the form below if you have questions about a student athlete’s injury or condition, and a Prisma Health athletic trainer will provide guidance on the most appropriate and efficient care.

This form is intended for use by those with sports-related injuries only.

Note: If this is a true emergency – a cardiac concern, loss of consciousness, severe bleeding or broken bone with severe deformity – please seek emergency department care or call 911 immediately!

*Required field

Athlete information

MM/DD/YYYY

Contact information

XXX-XXX-XXXX
XXX-XXX-XXXX

Injury information

(including right or left)
MM/DD/YYYY