PIAA CIPPE Section 8

The PIAA CIPPE form Pg. 8 (Certification by Licensed Physician of Medicine or Osteopathic Medicine) must be completed for any student who, subsequent to the completion of Sections 1 through 5 of the Initial CIPPE form, required medical treatment form a licensed physician of medicine or osteopathic medicine.  This section may be completed at any time following the completion of such medical treatment.  Upon completion, the form must be turned into the Head Athletic Trainer.   Please consult the Head Athletic Trainer prior to completing this form.   

PIAA CIPPE Pg 8 May 2017.pdf, 110.43 KB; (Last Modified on December 1, 2017)