Sports Medicine and Athletic Training
Coming Soon: The New Sports Medicine Center
All incoming freshman and transfer
students that will be participating in intercollegiate athletics at
Merrimack College are required to fill out the following forms;
Medical History, Physical Examination, Proof of Insurance, and
Consent for Medical Treatment prior to the start of athletic
These forms are in addition to the forms required by Health Services for all incoming students. All forms should be completed in full and returned to Merrimack College Department of Sports Medicine 315 Turnpike St. North Andover, MA 01845 or faxed to (978) 837 –5032 by August 2nd, 2012. If you would like a hard copy mailed to you, please call Allan Del Valle in the Sports Medicine Department at (978) 837–5248.
Returning Athletes are required to submit an updated Medical History, Proof of Insurance, and Consent for Medical Treatment on an annual basis. These forms should be mailed or faxed to Merrimack College Department of Sports Medicine, 315 Turnpike St. North Andover, MA 01845 or (978) 837 – 5032 by August 2nd, 2012.
Athletic Training Homepage
Directions for all forms (Updated for 2013-14)
Medical History : is to be completed by the student athlete. Please explain in detail any question that you have answered yes to as well as a corresponding date.
Physical Exam (Freshmen and Transfers): This form is to be completed by your Primary Care Physician within six months from your reporting date to campus. You must bring this form with you to your primary care physician.
Proof of Insurance: Please attach a photo copy of your primary insurance card as well as answering the following questions that accompany the form.
Consent for Medical Treatment: please review the form, sign and date.
Sickle Cell Forms (For All Athletes): Please review and complete the following forms regarding Sickle Cell. Instruction Form / Testing Form / Waiver Form
ADHD Policy: Please review if you have been diagnosed with ADHD and submit the essential information necessary.
If you have any questions please feel
free to contact Allan Del Valle in the Sports Medicine Department
at (978) 837 – 5248.
About the Sports Medicine Department: The newly-reaccredited division of Sports Medicine and Athletic Training at Merrimack College is designed with a dual purpose. The department is both a fully-functioning athletic training room that provides health care services for approximately 500 Warrior student-athletes participating in 22 varsity intercollegiate sports and an educational facility which provides a top-notch athletic training curriculum with an emphasis on allied health education.
Student-athletes and Merrimack receive the finest medical care available for the prevention, diagnosis, and treatment of athletics injuries. Director of Sports Medicine Birgid Hopkins, Clinical Coordinator of Health Science Dennis Fontaine and Head Athletic Trainer Allan Del Valle supervise the sports medicine staff which consists of five BOC Certified Athletic Trainers and approximately 30 athletic training students. The staff is committed to ensuring quality care for student-athletes while enabling a safe and healthy participating in intercollegiate athletics.
In conjunction with the College’ s Hamel Health Center, Ort hopaedics Northeast P.C., and physical therapist Andy Cannon, the athletic training department at Merrimack provides on-site first aid, evaluation and treatment of all athletic injuries, as well as full rehabilitation therapy.
Dr. Steven Andriola, Dr. Keith Cordischi, Dr. Ronald Marvin, Dr. Richard Bargar, Dr. Richard Choi, and Jamie Stasko (PA-C) serve as Merrimack’s team physicians and are readily accessible to provide optimal care and prevention of all athletic injuries.
Merrimack’s sports medicine program is in its 14th year of offering a field of study that will allow the athletic training student a wide variety of academic and clinical programs that will provide knowledge and skills in accordance with National Athletic Trainers Association competencies and Commission on Accreditation of Athletic Training Education Programs guidelines.
Some of Merrimack’s alumni have gone on to assume positions at University of Tennessee, Florida State University, University of Maryland, Palmer School of Chiropractic, and many other Allied Heath Care programs, including physical therapy, physician assistant, and nurse practioner.