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NUMBER ABOVE Glennon Health Services Medical Form SUBMISSION OF THIS FORM IS MANDATORY BY ALL INCOMING LHU STUDENTS! NCAA ATHLETICS ALL STUDENTS WISHING TO PARTICIPATE IN NCAA ATHLETICS AT LHU MUST SUBMIT A COMPLETE MEDICAL FORM. THE MEDICAL FORM MUST BE COMPLETE WITHIN 6 MONTHS PRIOR TO ANY NCAA ACTIVITIES AND/OR PRACTICES, ETC. THE NCAA REQUIRED CLEARANCE MUST BE SIGNED BY A HEALTHCARE PROVIDER. (LAST PAGE) WE STRONGLY URGE YOU TO MAKE A COPY FOR YOUR RECORDS!!!! CITIZENSHIP: U.

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