Sports Medicine



WPI Athletic Training services are provided for all WPI Varsity Student Athletes.


2017-18 Pre-Participation Form Submission is Now OPEN!

Directions for completion and submission provided below.

Please Be Aware:

  1. We will now be utlizing SportsWare for Pre-participation Form submissionPlease do not fax or send any forms. 

  2. The NCAA mandates that tranfers students and first year students have a new physical within 6 months to the start of their season. Please refer to start dates below.

  3. Only the WPI Physical Form will be accepted. It is available below and on SportsWare.

  4. If you are under 18 years old a parent/guardian signature will be required on all forms. 


Listed below are the Fall Teams Report Dates and Pre-participaton Physical Dates:

All returning student-athletes are required to have an annual physical. Your physical expires a year from the date on the form. Once your phyical expires you will no longer be cleared to participate until an updated physical is provided.

Football: Report date 8/7/2017

  • Returners: Physical must be dated before 8/7/17
  • First-Year and Transfers: Physicals needs to be dated after 2/7/2017 and before 8/7/17.

Volleyball, Men's Soccer, and Women's Soccer: Report date 8/17/2017

  • Returners: Physical must be dated before 8/17/17
  • First-Year and Transfers: Physical needs to be dated after 2/17/17 and before 8/17/17.

Field Hockey: Report date 8/18/2017 

  • Returners: Physical must be dated before 8/18/17 *If your physical expires before and/or during the team trip mid August this year you may need to update your physical prior to the trip*
  • First-Year and Transfers: Physical needs to be dated after 2/18/2017 and before 8/18/17.

Cross country: Report date 8/29/2017

  • Returners: Physical must be dated before 8/29/17
  • First-Year and Transfers: Physical needs to be dated after 2/29/2017 and before 8/29/17.
ALL Returning Winter and Spring Sports: Physicals must be completed before August 24th 2017.

ALL First Year and Transfer Winter and Spring Sports:  Physicals must be completed within the 6 month window (between February 24th 2017 and August 24 2017).

*Please refer to the Pre-Participation Medical Clearance section to find information on the mandatory Preparticipation Physical form, what forms parents need to sign, how to view the mandatory educational videos, and the printable Medical Forms Checklist. 

The WPI Sports Medicine Team

  Head Athletic Trainer           Mike DeSavage    508-831-5733      
  Athletic Trainer   Tim Harrold    508-831-6115
  Athletic Trainer   Shannah Dalton    508-831-6711

  Athletic Training Fax #       508-831-6185  
  Athletic Training Email:

Contacts the entire Sports Medicine staff 

  Team Physicians UMass Memorial Sports Medicine Group    


The Varsity Athletic Training Room is located on the first floor of the Sports and Recreation Center (across from the pool) 


School Address: 100 Institute Rd, Worcester MA 01505

GPS Address: 151 Salisbury St, Worcester

 Athletic Training Room Office Schedule



Saturday, Sunday, and Holidays

Injury Evaluations

10 am- 3 pm

By appointment only

Treatments (ultrasound, stim, massage, etc.)

10 am- 3pm

By appointment only


10 am- 3pm: New Rehabs

10 am- Close: Established Rehabs

By appointment only: New Rehabs

When Open: Established Rehabs

Heat, Ice, Stretching, Rolling

10 am- Last practice or game of the day

Office will be open:

2 hours before all home events.

1 hour before scheduled in-season practices.

Office will be closed:

Following the end of the last practice or game of the day

Cannot Make These Times…

Email to schedule appointment.

Email to schedule appointment.


Check out our informational brochure to learn more about what an athletic trainer is and what we do!

Pre-Participation Medical Clearance

 All forms are now located in SportsWare.

The following are directions on how to complete all forms needed to be cleared for varsity sports at WPI. 

Please utilize the following materials to complete your paperwork:

Step 1: Create a SportsWare Account

  • Click here to create your SportWare account.
  • The school ID is wpi.
  • For directions of how to create a SportsWare account click here.

Step 2: WPI Athletic Training Staff will approve your request. 

Step 3: Once approved begin filling out all necessary Athletic Training Pre-participation Forms. Utilize the Medical Forms Checklist above and additonal directions below. 

PreParticipation Medical History and Physical Evaluation Form (REQUIRED)  

  • This must be WPI form must be printed out and completed by a physician. Once it is completed, it can be uploaded to SportsWare in the attachments section. Click here for directions on how to upload in SportsWare.
  • The Medical History questionnaire provides us with relevant information about the student-athlete's medical history in regards to sports. Make sure to complete the form, sign, and explain any "yes" responses (include dates).
  • The “Pre-Participation Physical Evaluation” needs to be performed by a Board Certified Physician. Student-athletes who are beginning their initial season of eligibility (first years or transfers) are required to undergo this medical examination within a six month period prior to their sport's start date. (Sport start dates are listed above)

PLEASE BE AWARE: Physical forms from doctor's offices may or may not have all the appropriate testing performed. It is required that the WPI "pre-participation physical" form be used. The physician signature and office stamp ensures that your son/daughter was seen and cleared by the appropriate medical personnel. Please be sure that this form is completed, signed, and dated by a physician. 

Athletic Participation Statement (REQUIRED) 

  • This form can be completed and electronically signed through SportsWare.

Insurance Acknowledgement Requirement Form (REQUIRED) 

  • This form can be completed and electronically signed through SportsWare.
  • This form alerts student-athletes to the dangers of sports participation, give the Sports Medicine Team permission to treat the student-athlete's and provides us with proof of insurance coverage.
  • This form verifies that WPI student-athletes participating in intercollegiate athletics have the appropriate amount of medical coverage for athletic-related injuries mandated by the NCAA ($90,000).
  • WPI will assume no responsibilities whatsoever for the payment of, or authorization to pay , medical or dental expenses resulting from injuries that occur while participating in intercollegiate athletics at WPI.
  • This document must be signed by the parent or guardian who is the insurance card holder.
  • Please maintain the first page for your records and return the signed second page with the other forms.

"Sickle Cell Trait Requirement form & waiver" (REQUIRED)

There are Three options to complete your Sickle cell trait requirements but it is highly recommended for your health and safety that you confirm your Sickle Cell Trait status. If you choose to sign the waiver, you will be required to participate in additional educational material regarding the risks, impact, and precautions associated with sickle cell trait.

  • Option 1: Have your primary care physician look up your sickle cell trait status and complete the sickle cell screening section of the Sickle Cell Trait form, and submit the test results. Upload form and results on SportsWare.
  • Option 2: If sickle cell trait status was not tested at birth you can request a sickle cell screen blood test from the student-athlete’s primary care physician. If testing is not performed at home, the student-athlete can request testing at WPI Health Services. Results will be required prior to sport participation.
  • Option 3: If the student-athlete and his/her parent/guardian do not desire sickle cell testing, the Sickle Cell trait testing Waiver portion of the sickle cell trait form must be signed by both the student-athlete and the parent/guardian (regardless of students age).  Additionally the student-athlete will be required to watch an educational video (15 minute video) regarding sickle cell Trait.
  • Click here for more information on Sickle Cell Trait. 
  • Click here for directions to upload forms to SportsWare.

"ADD/ADHD Medication exception form" (Submitted As Needed)

  • This form is only needed if the student-athlete is prescribed medication to treat ADD/ADHD.
  • This form will need to be printed and completed by a physician. Once completed the form must be uploaded to the attachments section of SportsWare. Click here for directions to upload.
  • Further explanation can be found here.  

Pre-season Athletic Training Educational Video Quiz (REQUIRED)

Concussion Statement (REQUIRED)

  • This form can be completed and electronically signed in SportsWare.
  • Please complete check boxes, initial lines, and signature line.

Athlete Information in SportsWare (REQUIRED)

  • For directions to complete this section click here.
  • Please complete all sections.

Medical History in SportsWare (REQUIRED)

  • For directions to complete this section click here.
  • Please provide explain any "yes" responses. Include dates for all injuries and surgeries.

Additional forms that will be completed at WPI:

  1.  Baseline concussion test (to be completed by all first year and transfer student athletes)
  2.  NCAA Drug Testing Form
  3.  WPI Drug Screening and Alcohol Policy Form


The forms above and in the preceding links are in PDF format, for use with Adobe Acrobat Reader®. This free software is available for download from Adobe's Web site.


Injury and Treatment Reporting

  • All injuries need to be evaluated by a staff athletic trainer.
  • When coming to the Athletic training room for injury evaluation or treatment, including routine taping the student-athlete must sign in on the computer kiosk.

Emergency Room Referral

  • In the event that you are sent to or transported to the emergency room:
  1. Identify yourself as a WPI student
  2. Obtain a copy of your exam notes
  3. Contact the following persons:
  • i. Parent/guardian
  • ii. The training room
  • iii. Coach

  4. Be sure to follow the directions from the ER regarding care until your follow up appointment.  

WPI Sports Medicine Concussion Awareness

Please take the time to familarize yourself with our Concussion policies and protocols. You will complete the Concussion Statement with your pre-participation, by signing this form you commit to reporting any suspected concussions (this could be you or a teammate/friend). The information below is provided for addtional education. 

WPI's Concussion Protocol

NCAA Concussion Factsheet

Concussion Management Form (Provided to all athletes with a suspected concussion)




Useful Information for WPI Varsity Student-Athletes












Supporing Student-Athlete Mental Wellness
Reminder - In the event of emergency, call 911!)

Visiting Teams

A Certified Athletic Trainer is available at home contests. Please call in advance if your team will be traveling without an ATC. Teams that are visiting WPI will not have access to modalities other than heat before games and ice provided after each contest.

Teams traveling without a certified athletic trainer are requested to bring a stocked medical kit for pre game taping, as well as a note outlining any specific requests.

On each home bench, there will be a splint bag and AED, as well as injury ice. Teams will be provided with water and cups on the bench. Water bottles will be available by request. Crutches will be provided in the event of lower extremity injury.