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Dear Incoming Student-Athlete: Congratulations on your decision to become a Knight! I’m very excited about the coming year and having you join our campus community! Sports Medicine Spoelhof Fieldhouse Complex Playing college sports is going to be a lot of fun, but it also involves a lot of responsibility. This document is intended to help you better understand some of your initial responsibilities. It contains important information and instructions you’ll need to follow in order to become medically eligible to participate in an official team activity. Please read this letter and instructions carefully to make sure that you understand everything you must do before coming to campus. I realize this is a lot of information and it does take time, but doing these things ahead of time makes things much easier once you get to school. Also, it might be helpful to print a copy of this letter and bring it with you to campus for reference as you prepare for your upcoming season. 3195 Knight Way SE If you should have any questions or concerns about physicals or paperwork, please don’t hesitate to contact us by phone at 616-526-7630 or email at [email protected]. Grand Rapids, MI 49546 See you soon! Joe Dykstra – Head Athletic Trainer Phone: 616-526-7630 New-Athlete Medical Checklist Fax: 616-526-8478 www.calvin.edu *must be completed before moving to campus *Read this letter and the following instructions *Register online for your Pre-Participation Exam *Create and complete your SportsWare Online account *Complete, print, and sign all forms in the Incoming Athlete PPE Package, saving a completed copy for backup o Get parent/guardian signatures on all forms if under 18 *Submit general college forms and upload vaccination records to complete Calvin College health requirements at calvin.medicatconnect.com. Turn in completed forms (printed copy) ahead of time or bring them when you report for your Pre-Participation Exam Report for your Pre-Participation Exam at your scheduled time o Write your scheduled date/time here: _______________________ Complete baseline concussion testing at your assigned time (if necessary) o Write your assigned date/time here: _______________________ Attend the All-Athlete Meeting at 7:00pm on Thursday, September 7 in the Chapel Instructions Pre-Participation Exam New student-athletes (freshmen or transfers) who want to participate in NCAA Athletics or ACHA Men’s Ice Hockey must have a Pre-Participation Exam (PPE) prior to participation in tryouts, practices, or games. This PPE must be done by the Calvin College Team Physician and be completed through Calvin College Sports Medicine. A one-time, $15 charge will be issued to your miscellaneous account after the completion of your PPE. You MUST register for your PPE ahead of time. Please see the next section for instructions on registration. Registering for your PPE Pre-register for your PPE by choosing ONE of the dates below and following the registration link which will take you to a separate website where you can register. Each date has a specific sport emphasis based on when your team starts official activities, but you may register for any date based on your personal availability, regardless of sport. Note that the earliest time slots must be filled before the later time slots will be opened. Exceptions to this can only be made in the case of longdistance travel or extenuating circumstances. If you have any questions or problems please contact us. Friday, August 18, 2017 – 3:00pm Emphasis on Men’s & Women’s Soccer, Volleyball, and Women’s Golf August 18 PPE Registration Website Tuesday, August 22, 2017 – 7:30am Emphasis on Men’s & Women’s Cross Country August 22 PPE Registration Website Monday, August 28, 2017 – 5:30pm Emphasis on Men’s Golf August 28 PPE Registration Website Thursday, August 31, 2016 – 12:00pm Emphasis on Men’s Soccer, ACHA Ice Hockey, Men’s & Women’s Tennis, Baseball, Softball, and Men’s & Women’s Track & Field, Men’s & Women’s Swimming & Diving, and Men’s & Women’s Lacrosse August 31 PPE Registration Website Monday, September 11, 2016 – 4:30pm Emphasis on Men’s & Women’s Basketball September 11 PPE Registration Website All links for PPE registration will also be posted at: http://www.calvinknights.com/athletics/sports_med/physicals Baseline Concussion Testing Only athletes participating for the first time in the sports of Baseball, Basketball, Diving, Ice Hockey, Lacrosse, Pole Vault, Soccer, and Softball must complete a computerized baseline concussion test, in addition to the physical exam. If you plan to play one of these sports, you have a specific time and location for your test, based on your scheduled PPE date/time: *****Note that it takes about 35 minutes to complete the test, so please plan your schedule accordingly***** If your PPE is scheduled for Friday, August 18: Then report for testing on Friday, August 18 between 5:00 and 5:45pm – North Hall, Room 180 (Near Business Department) If your PPE is scheduled for Tuesday, August 22: Then report for testing on Thursday, August 31 @ 2:30pm – Hekman Library, Room 120 (Near Calvin IT) If your PPE is scheduled for Monday, August 28: Then report for testing on Thursday, August 31 @ 2:30pm – Hekman Library, Room 120 (Near Calvin IT) If your PPE is scheduled for Thursday, August 31 between 12:00 and 3:00pm: Then report for drop-in testing on Thursday, August 31 between 3:00 and 5:00pm – Hekman Library, Room 120 (Near Calvin IT) If your PPE is scheduled for Thursday, August 31 between 3:00 and 5:00pm: Then report for drop-in testing on Thursday, August 31 between 1:00 and 3:00pm – Hekman Library, Room 120 (Near Calvin IT) If your PPE is scheduled for Monday, September 11: Then report for testing on Monday, September 11 between 5:30 and 6:45pm – Hekman Library, Room 120 (Near Calvin IT) SportsWare Online Calvin College Sports Medicine uses an online medical record keeping system called SportsWare Online. The program allows you to update your information at any time, so if you move or your insurance changes, please keep your information up to date. Please follow these steps to create your account: 1. 2. 3. 4. Go to: https://www.swol123.net Scroll to the middle of the screen and click the Join SportsWare button. Enter Calvin College as the School ID and click the Next button. Enter your First Name, Last Name, Calvin College Email Address, and select the appropriate Group for you and click the Send button. 5. Your request to join SportsWare will then be sent to Calvin College Sports Medicine for review. a. Monitor your Calvin College email regularly for an email from [email protected]. 6. 7. 8. 9. b. Open the email and click the link to create a password and finish creating your SportsWare account. Once you have created a password, go back to https://www.swol123.net, enter your username (Calvin College email) and newly created password and click the Login button. Click on the My Info tab in the upper left hand corner and complete/update all fields for all tabs. a. General: Fill out all pertinent fields under General and Sports/Group. b. Address: Fill out all pertinent fields for Primary Address (Home) and Secondary Address (College). c. Emergency: Fill out all pertinent fields for Primary Emergency Contact (Typically your parents) and Secondary Emergency Contact (Typically a relative or close family friend). d. Insurance: Fill out all pertinent fields for Primary Insurance Company. You only need to fill out Secondary Insurance Company if you have insurance coverage under another policy (Not common). e. Medical: i. Alerts: Make note of any ongoing medical issues here by typing in the condition or selecting from the dropdown (i.e. Asthma, Diabetes, Allergies, Epilepsy, etc.). ii. Immunizations: Enter the date of your most recent vaccination for each condition listed. iii. Drugs Taken: List ALL medications you take regularly by typing in the drug name and dosage (i.e. Adderall, 20mg or Advair Diskus, 100/50) iv. Doctor: Enter your personal physician’s name and phone number. f. Paperwork: You do NOT need to complete this or any tabs after it. g. Click the Save button to save all changes. On your “Dashboard” (The main SportsWare page) it may say that “Your Medical History is INCOMPLETE.” Please disregard this as we use a different method to collect your medical history. Once all information is complete, click the Logout button in the upper right corner to ensure that no one else can access your information. Instructions for Completing the Incoming Athlete PPE Package All required forms are located in one editable PDF document called the Incoming Athlete PPE Package. You will need to have the Adobe Reader software, which you can download at: http://www.adobe.com/. You may choose to print it and fill it out by hand or you can fill it out using your computer and then print it (Recommended). If you complete it using your computer, make sure to save a copy of the completed document. Either way you complete the forms, make sure to submit all completed forms by bringing copies with you to your PPE, dropping them off ahead of time during our normal business hours once you get to school, or mailing them to us at: Calvin College Sports Medicine Attn: Sports Physicals 3195 Knight Way SE Grand Rapids, MI 49546 Individual Form Instructions 1. Incoming Student-Athlete Pre-Participation Exam Form a. Fill out all fields under “Personal Information” by typing in the information or using the drop-down tabs. All fields surrounded by a red box are required. 2. Medical History Questionnaire a. Answer all questions by selecting “Yes” or “No.” If you answer yes or check any boxes for specific conditions, explain in the space provided. b. Sign the document where indicated by choosing one of the following options: i. Physically sign it after you have completed, saved, and printed the entire Physical Package. 1. If you are still a minor, please make sure your parent/guardian also signs/dates the form. ii. Sign it electronically using Adobe Reader by clicking on the Sign, Add Text or Send a Document for Signature button in the toolbar. 1. Click the Place Signature button to add or create a signature 2. Select Draw My Signature from the dropdown menu 3. Draw your signature and click the Accept button 4. Place the signature image wherever indicated in the document 5. Click the Add Text button to add the date where indicated in the document 6. If you are still a minor, please make sure your parent/guardian also signs/dates the form. 3. Incoming Student-Athlete Baseline Concussion Testing Form a. Complete Part I only. For each symptom listed, select the number that is closest to how you normally feel. b. Read and sign where indicated by choosing one of the previously explained signature options. 4. Student-Athlete Sickle Cell Trait Status Verification Form & Student-Athlete Sickle Cell Trait Status Waiver a. Completion of either one of these forms is required by the NCAA. Completion of the Verification Form is recommended as it is preferred that student-athletes know their status to help ensure their health and wellbeing during athletic participation. Completion of the Waiver Form is not recommended. b. If completing the Verification Form: i. Many states require that infants are tested at birth. You can contact your pediatrician or place of birth to have them fill out the “To Be Completed By Physician” section. c. If completing the Waiver Form: i. Read and sign the document where indicated by choosing one previously explained signature options. ii. Make sure that a witness also documents your signature. 5. Acknowledgement of Insurance Requirements and Coverage Form a. Read and sign the document with your parent/guardian where indicated by choosing one of the previously explained options and then attach front/back copies of your insurance card after printing. i. If you are on your own health insurance plan (i.e. KnightCare) and not a minor, your parent/guardian does not need to sign. 6. Incoming Athlete Waivers a. Read and sign the document where indicated by choosing one previously explained signature options. 7. MIAA Individual Certification of Eligibility a. Fill out all incomplete fields. b. Read and sign the document where indicated by choosing one previously explained signature options. 8. Calvin College Sports Questionnaire a. Fill out all incomplete fields.