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Pre-Participation Physical Exam

Athletic Training

Pre-Participation Packet


Pre-Participation Physical Exams at Mesa Community College have two (2) components. Both components must be completed to be considered valid for athletic eligibility.
Part 1
  • Physical
  • Health History Questionnaire
  • HIPPA Release
  • Assumption of Risk Acknowledgement Form

Part 2

  • ImPACT Baseline Concussion Test (see Concussion Policy)



If you have any questions, please call the MCC athletic training staff at: 480-461-7557


Kara Cummins, MEd, ATC, LAT


*** Important ***


This entire Pre-Participation Packet must remain intact and be turned in at the same time to be considered complete for eligibility purposes (This includes the ImPACT Baseline Concussion Test). A partially completed packet will not be accepted. Do not return this packets to your coaches, they must be delivered by the athlete to the athletic training staff. 

Athletic Trainer,
Aug 14, 2014, 10:15 AM