It is very important each player completes the Hockey Canada Player Medical Form. This form is confidential and is kept by either the Head Coach or the Team Manager. The purpose of the Hockey Canada Medical Form is to identify any health conditions, allergies or medications the player might require or experience during a team event.

Medical Form

If a player sustains an injury during a sanctioned Hockey Alberta activity that may require medical treatment or result in an insurance claim, a Hockey Alberta Injury Report Form must be completed as soon as possible.

When are you covered?

• During Hockey Canada/Member sanctioned events such as league games*, tournaments*, practices,
  training camps and sanctioned fundraisers
  • Coverage applies when playing member teams only!
• Transportation directly to and from the arena or venue.
• Accommodations while billeted or at a hotel during a Hockey Canada/Member sanctioned hockey activity

HOW TO MAKE A CLAIM:

Complete the Hockey Canada Injury Report Form through the link below. 

• Have the parent or team manager complete the team section and a physician/
  dentist complete the back of the form.
• Submit the fully completed form to North West Zone Executive Director along with any receipts or invoices within 90 days of the date of accident.

Important Points to Remember:

• Only Injury Report Forms received by North West Zone within 90 days of the date of accident will
  be accepted.
• Forms must be completed in their entirety or the forms will be returned or delayed
• Only original receipts and/or invoices are acceptable.
• Hockey Canada is strictly a supplemental insurer with respect to the Health Benefits Trust Program (Major Medical/Dental). If you have access to any other insurance, you must pursue it through them first.
• Hockey Canada shall cover those costs not covered by your primary insurance to our policy limits

Injury Form

As an association within Hockey Edmonton, it is the intention of this pledge to promote fair play and respect for all participants within Hockey Edmonton/ EFHL.

Each team must complete the Fair Play Pledge as a reminder to parents and players that respect must be given at all times.

Fair Play Pledge

Please refer to Hockey Alberta's webpage to complete the Emergency Goaltender Form and additional information.

For league rep enter your Category Directors email:

• U15- nwzu15director@nwzhockey.ca
• U18- u18director@nwzhockey.ca

Emergency Goaltender Submission Form