[De Pere Select Soccer Club] De Pere Select Soccer Club
De Pere, Wisconsin

Medical Support
Aurora Baycare Medical Center
and
De Pere Select Soccer Club



Our Aurora Trainer
Staci Hager, MS, LAT
Licensed Athletic Trainer, Sports Medicine
Aurora BayCare Medical Center
Green Bay, WI 54311
920.288.5482
Pager: 920.704.1063
staci.hager@aurora.org



Medical Forms to Read and Sign
Forms Last updated on May 10, 2009
Medical Document Description of Medical Document Link to Medical Document
Aurora Privacy Practices Booklet
This documents needs to be read before you can have a conversation or receive treatment from our Aurora Trainer(s).
Aurora_Privacy_Practices_Booklet.pdf
Aurora Privacy Act
Need to sign this document saying that you have read the Aurora Privacy Practices Booklet. This form must be given to our Aurora Trainer before you can have a conversation or receive treatment from our Aurora Trainer(s).
Aurora_Privacy_Act.pdf
Aurora Medical History
Permission to Treat Form
Download, fill out, print and give to the Aurora Trainer. This need to be on file with our Aurora Trainer before receiving treatment or just talking with our Aurora Trainer(s).
Aurora_Medical_History_Permission_To_Treat.doc
Aurora Medical Release Form
Player and Parents - 2008/2009
Print, fill out, and give a copy to the Aurora Trainer AND your coach/manager. This needs to be on file with our Aurora Trainer before receiving treatment or just talking with our Aurora Trainer(s).
Aurora_Medical_Release_Form_PlayerParent_0910.pdf
Camp page
Looking for a Speed camp? Check out our Camp page
Comprehensive Sports Physicals and Assessment
More information will be provided by Aurora at a later date. Email Nick Olsen for more information.
More Information


Coverage
Staci will be covering all home games for U17G, U17G Red and U19G. All forms from all athletes need to be given to her prior to game coverage or injury assessments.
Injury Assessments
For injury assessment can call the Aurora BayCare Ortho/Sports Medicine Center at (920) 288-5400 to set up an appointment to see Staci or one of the other athletic trainers. All forms need to be given to athletic trainer prior to the scheduled appointment.
Staci Hager, MS, LAT
Licensed Athletic Trainer, Sports Medicine
Aurora BayCare Medical Center
Green Bay, WI 54311
(920) 288-5482
Pager: 920.704.1063
staci.hager@aurora.org







Questions or Comments for
De Pere Select Soccer Club
De Pere Select Soccer
P.O. Box 5441
De Pere, WI 54115
Page Last Updated: May 10, 2008