Sports Injury Assessment Form
Athlete Information
Full Name
Age
Gender
Female
Male
Other
Sport
Injury Details
Date of Injury
Type of Injury
Body Part Injured
Describe How Injury Happened
Symptoms
Pain Level (1-10)
Other Symptoms
Previous Injury
Previous Injury to This Area?
Yes
No
If yes, please provide details
Initial Treatment
Treatment Given (if any)