Canisius College Department of Athletics
Annual Medical Clearance Forms for Freshmen, Transfers and First-Time Athletes


All appropriate forms must be completed and forwarded to the Department of Sports Medicine before any athletic participation will be allowed. Forms are printable and may be written or typed. Please mail completed forms and requested documentation to:

Canisius College Sports Medicine
2001 Main St.
Buffalo, NY 14208

The following PDF links can be viewed with Adobe Acrobat Reader.

Policy on Medical Expenses and Insurance


Freshmen, Transfers and First-Time Athletes

(If you are not yet 18 years old, a parent or guardian must sign this form.)
    • Medical Exceptions Form
      (Student-athletes who take prescribed ADHD/ADD medications (Ritalin, Adderall, etc.) MUST HAVE THIS FORM on file as of the 2012-13 academic year. Failure to have this form on file may affect eligibilty in regard to institutional and NCAA Drug Testing.)
Mail all forms to:
Canisius College Sports Medicine
2001 Main St
Buffalo, NY 14208

PLEASE NOTE—ALL STUDENT-ATHLETES SHOULD REQUEST SICKLE CELL TRAIT TESTING FROM THEIR PHYSICIAN WITH YOUR PHYSICAL EXAMINATION!

    • (DOMESTIC/CANADIAN) 
      (This form is also mailed with your admissions packet. A physician must perform this physical examination.
      Completed form must be forwarded to the Student Health Center.
      This form must be completed in six months or less for athletic participation


      Student Health Center Physical Examination and Immunization Form (PDF)
  • (INTERNATIONAL STUDENTS ONLY — MUST BE ON THIS FORM!)  
    (This form is also mailed with your admissions packet. A physician must perform this physical examination. 
    Completed form must be forwarded to the Student Health Center.
    This form must be completed in six months or less for athletic participation