Practice Medical Form

Contact Details
Legal NameAbbie Meehan
EmailEmail hidden; Javascript is required.
Phone07737136555
TeamWomens Team
Date of Birth19/10/1999
Next of Kin DetailsIn the case of emergency, who is the best person to contact
NamePamela Meehan
RelationParent
Phone07787562538
Travel & Accomodation Details
Travel ArrangementCar (Drove Self)
Travel Comments/Details

N/A

Hotel / Accomodation NameN/A
Others StayingN/A
Hotel / Accomodation Comments

N/A

Medical
Medical ConditionsYes
Condition Details

I have polycystic ovary syndrome so I deal with symptoms sporadically and can take unwell quickly. Nothing life-threatening but I get severe abdominal pain so will keep stocked up on medication.

Pre-existing injuriesYes
Injury Details

I dislocated my knee in 2022 and have been dealing with issues in my patellar tendon since. I go to physiotherapy regularly and have been strengthening it at the gym.

Medication(s)No
AllerigiesNo
CommentsAre there any other items that you believe the Coaches/Organisations should be made aware of?
Agreements
Authority reporting Approval
  • agreed
Insurance Coverage
  • agreed
Medical Release
  • agreed
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