Sports Medicine Intake Form

The Sports Medicine Intake Form is tailored for sports medicine physicians, athletic trainers, and performance medicine clinics. It goes beyond standard orthopedic intake to capture athletic-specific information: sport and position played, training regimen and volume, competition level, previous sports injuries with return-to-play timelines, and concussion history.

The concussion history section uses a structured approach to document previous head injuries, symptoms experienced, and recovery timelines. This information is critical for managing current head injury presentations and determining return-to-play protocols. The injury assessment section captures mechanism of injury with sport-specific contexts (contact, non-contact, overuse).

Performance goals and return-to-play expectations are documented collaboratively with the athlete, establishing clear benchmarks for rehabilitation progress. The form also captures nutritional habits, supplement use, and sleep patterns -- factors that significantly influence injury recovery and prevention. This template serves both the treatment and prevention sides of sports medicine.