Mount St. Mary's University utilizes the services of the following area providers:

Dr. Samuel O. Matz, MD
Team Physician and Orthopedic Surgeon
Advanced Centers for Orthopedic Surgery and Sports Medicine
www.acossm.com

Dr. Ed Fisher
General Physician
Frederick Primary Care Physicians
www.fpca.net

Dr. David Grace
Team Podiatrist
Foot and Ankle Care of Frederick
604 Solarex Ct, #103
Frederick, MD 21703
(301) 698-9260

Maryland Sports Care & Rehab
Team Physical Therapy
www.mdsportscare.com

Mid-Atlantic Cardiovascular Associates
410 Malcolm Drive, Suite A
Westminster, MD 21157
Phone: (410) 876-7772
Fax: (410) 876-2946

Dr. Gerald Frishman
Team Optician and Eye Care Specialist
Gilbert Opticians
81 Thomas Johnson Dr, #B
Frederick, MD 21702
(301) 662-5474

John Jacobs
Ability Prosthetics & Orthotics, Inc
Team Orthotists
www.abilitypo.com

Dr. Daryll Rippeon
Dr. Ronald McCurdy
Thurmont Family Dentistry
(301) 662-2711 

For Insurance Information or Medical Information, please click on the icons below.

You will not be able to participate in any aspect of your sport until you complete the required forms for review by the athletic training staff.

New Athlete Instructions: The Physical form should be filled out and signed by your Primary Care physician. The Initial Medical History Form may be filled out by the Athlete or Guardian, and then signed off by the Primary Care Physician.

First Year And Transfer Athletes' Medical Forms word document | pdf

Returning Athlete Instructions: The physician needs to fill out and sign the Physical form completely.

Returning Athletes' Medical Forms  word document | pdf

Sickle Cell Waiver Form pdf

Address all forms & questions to:

Mount St. Mary’s University
Department of Sports Medicine
16300 Old Emmitsburg Road
Emmitsburg MD 21727
(301)447-5386 -Main line
(301) 447-6828 -Fax

hansen@msmary.edu