Download 2017-18 New Student-Athlete Medical Paperwork

2017-18
SAINT MICHAEL’S COLLEGE
PRE-PARTICIPATION REQUIREMENTS
NEW INCOMING/TRANSFER STUDENT-ATHLETES
ATTENTION: This paperwork is MANDATORY for all varsity student-athletes. Student-athletes will not be eligible to
participate until all components of the following forms are complete and have been processed.
All information must be completed and received by the following deadline:
July 1st: Fall sports, and Rugby
August 1st: Winter, and Spring Sports
MAIL A COPY OF THESE DOCUMENTS TO THE ADDRESS AT THE BOTTOM:
A COPY OF YOUR COMPLETED COLLEGE PHYSICAL EXAM FORM
** This MUST INCLUDE an athletic pre-participation physical exam performed by a physician WITHIN 6 MONTHS of beginning
participation in Saint Michael’s College Athletics for the 2017-18 seasons per NCAA ByLaw 17.1.5**
(Find the form on your ATS medical record account, or at http://www.smcathletics.com/information/athletic_medicine/201718/ATS_NSA_PPE_2017_2018.pdf)
SICKLE-CELL TRAIT STATUS VERIFICATION (One of the following)
A copy of the result of a sickle cell solubility test. (strongly recommended)
You may have already been tested at birth and may obtain those results from your pediatrician. Alternatively, you can be
tested by your PCP or local clinic. The expense of the testing is your own but your insurance carrier may cover the cost.
(Find the testing form on your ATS Online Account or at http://www.smcathletics.com/information/athletic_medicine/201718/Sickle_Cell_2017-18.pdf)
NCAA BANNED SUBSTANCE EXCEPTION
(Applicable only if you have been prescribed & take a banned substance [ e.g. Adderall or Albuterol]
You must have the prescribing medical practitioner complete the appropriate Banned Substance Exception form(s) and attach all
supporting documentation, including a copy of your most recent prescription.
(find the form(s) on your ATS Online Account or http://www.smcathletics.com/information/athletic_medicine/index)
ORTHOPEDIC INJURY/GENERAL MEDICAL NOTES
(Applicable only if you have sustained an orthopedic injury or have had a significant illness within the last 12 months, or have a history of
cardiac testing (i.e. EKG, ECHO, etc.)
An additional clearance note is required. Please speak to diagnosing physician about obtaining a note that specifies you may return to full activity
without restrictions.
Athletic Training Contact Information
Renee Breault, ATC
Email: [email protected]
Phone: 802-654-2496
Fax: 802-654-2493
2017-18
SAINT MICHAEL’S COLLEGE
PRE-PARTICIPATION REQUIREMENTS
NEW INCOMING/TRANSFER STUDENT-ATHLETES
Register for ATS Online.
1.
2.
3.
4.
Enter smcvt2.atsusers.com (there is no www at the beginning)
Enter “new” for Athlete ID and Password
The database is listed as atssmcvt
Then click login
Once you have created an Athlete ID and password you will use this to log in for the future. (please use your SMC email address) If
you have already created your account please skip to step #11.
5.
6.
7.
8.
9.
Select sports you are intending on pursuing at SMC (one in each line.)
Enter information in the listed boxes (yellow boxes are required). Please leave social security number blank or list SMC ID.
The year required is your graduation year, not the current year. Make sure to create your Athlete ID and Password.
You may upload a photo if you wish.
Please make sure that you check anything in the pop up lists for the medical alerts (including if you have ADD/ADHD, or
Sickle Cell Trait), allergies, and current medications. If you suffer from a condition or take medication not listed please type
in the box below the question.
Click Save.
Once you have saved you will need to:
10. Review your information on the general page and update it if incorrect.
11. Continue to enter/edit information and answer questions on medical history tab (surgery information).
12. Enter/edit insurance information on insurance tab by clicking edit. If your insurance company is not listed you will need to
click cancel and then add it by clicking on “Add a New Insurance Company” button at bottom of page. Please be as specific
as possible with the Name and press save. You can then return by clicking edit again. Field required are: Company,
Insurance type, Company Phone Number, ID Number, Primary Care Physician, and Phone Number, Policy Holder First and
Last Name, DOB, and Relation.
13. Upload a copy of your insurance card.
14. Enter/edit two emergency contacts on the emergency contact tab. You must save the first one before entering the second.
15. Click athlete forms page and select pre-participation form from drop down screen under form names and leave dates as
select date. Click new and answer questions. All questions are required to be answered! Please answer every question
truthfully. If your response requires a Yes, please provide explanation (You will not be allowed to finish if you haven’t
answered all questions or provided appropriate explanations. This is the most common occurrence for an error message.)
When finished click save and wait for save complete box to appear.
16. Click athlete forms page and select each one of the forms, and complete in its entirety. Once finished please electronically
sign each form and SAVE.
17. Click on the E-Files tab to download the Physical Exam form that needs to be brought to and completed by your Physician. It
is mandatory by the NCAA that your Physical Exam is completed within 6 months of your start date at an NCAA Institution.
18. If you are taking ADHD medications, or Asthma Medications, please complete, and bring the ADHD and/or the Asthma
forms on the E-Files tab to your physician to be completed and returned to the Athletic Training Office.