Go Green Button
My Daytona State

Returning Student-Athlete


Please return all forms ASAP to

Daytona State College
Attn: Sports Medicine Department
1200 W. International Speedway Blvd.
Daytona Beach, FL  32114

Deadline to return is August 12th
Faxed forms will NOT be accepted
(Scanned & e-mailed forms will be accepted)

All forms must be completed even if the information has not changed since last year

The following items are for you to read and keep for reference:

Notice of Privacy Practices

Procedures Regarding Athletic Injuries, Illness & Medical Care

Supplement Use & Daytona State College's Drug and Alcohol Policy

Sickle Cell Trait Information

The following items are for you to print, complete, sign and return to the above address:

Protected Health Information Consent

Health Insurance Disclosure

Health Insurance Information & Procedures

Sickle Cell Trait Testing Waiver

Asthma, Allergies & Chronic Conditions Form

Daytona State College Follow-Up Medical Questionnaire

Last Updated: 1/18/12