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Medical History Form

Before any player can be treated by Dr. Brooke, in accordance with new health care regulations, every player must have completed a medical evaluation.

Download the form below, fill in all the information (except for BP) and give the form to Dr. Brooke.
  • Home
  • Team
    • Team Officers
    • Schedule
    • Field
  • Player Information
    • Player Administration
    • Medical Policy >
      • Medical History Form
    • Code of Conduct
    • Club Constitution
  • Alumni
    • Newsletter 1/19
    • Past seasons
    • Photographs
    • History
  • Recruiting
  • Support VT Rugby
    • Scholarships >
      • 2018 Recipients
      • 20 17 Recipients
      • 2016 Recipients
      • 2015 Recipients
    • VT Foundation Endowment Fund >
      • List of donors
  • Multimedia
    • CRC 2014
    • CRC 2013 >
      • 2013 CRC Event Synopsis
    • 2012/13
    • 2011/12
    • 2010/11