Athletic Medical Forms

 

As of July 26, 2016 ALL new and returning student athletes will need to submit a health registration form to Nurse Bello in the Health Center prior to participating in their first practice of the season. The attached health form must also be completed by the student's physician after he/she performs an annual physical and returned to the nurse in the health center. If the student athlete has had a physical exam within the last year please have the student complete the record release form and return it to the health center. 

Annual Physical Form

Record Release Form

 

If you need assistance scheduling a physical please call or email Nurse Bello at 617-236-8860 or kbello@fisher.edu.

 

Gallagher Student Health & Special Risk (GSH&SR) specializes in meeting the unique insurance needs of athletic programs for over 180 colleges and universities across the country, with over a dozen in the Boston, MA area. With more than 20 years of experience in the athletic insurance niche-market GSH&SR has become experts in this space as they have assisted on hundreds of thousands of claims. If you have questions regarding Fisher College’s Excess Athletic Insurance policy feel free to contact GSH&SR at:

Gallagher Student Health & Special Risk

500 Victory Road

Quincy, MA 02171

Phone: 877-345-8928 (9AM – 5PM EST)

Fax: 647-479-0860

Email: Quincy.BSD.specialrisk@AJG.com        

 

2016-2017 Fisher College GSH&SR Claim Form

2016-2017 Fisher College GSH&SR FAQ's