Student Athlete Medical & Participation Forms:

 Prior to participation in athletics at the University of St. Thomas, all student-athletes are required to have the necessary medical forms on file with the athletic training staff.  All medical forms are required to be updated and on file with the athletic training staff each year.

First Year / Transfer Student-Athlete Medical Forms

  1. Full Physical Exam (no older than 6 months to the beginning of the season). Please have your physician use the University of St. Thomas Physical Examination Form (high school and generic physical form will NOT be accepted).
  2. Complete the Medical History Form **
  3. Complete the Authorization for Use and Disclosure Form
  4. Complete the Sports Participation Agreement and Acknowledgement of Insurance Form*
  5. Complete the Sickle Cell Trait Verification Form‌‌^
  6. Complete the Student-Athlete Concussion and Injury/Illness Reporting Acknowledgement Form^^
  7. Front and Back Copy of current insurance card *


Returning Student-Athlete Medical Forms

  1. Complete the Medical History Form **
  2. Complete the Authorization for Use and Disclosure Form
  3. Complete the Sports Participation Agreement and Acknowledgement of Insurance Form*
  4. Complete the Student-Athlete Concussion and Injury/Illness Reporting Acknowledgement Form^^
  5. Front and Back Copy of current insurance card *

 

SIGN AND RETURN ALL FORMS TO THE UNIVERSITY OF ST. THOMAS ATHLETIC TRAINING STAFF BEFORE AUGUST 1ST

Mail to:
Department of Sports Medicine 
University of St. Thomas
Anderson Athletic and Recreation Complex

2115 Summit Ave., St. Paul, MN 55105

Fax # 651-962-5981

These items must be completed before any participation is allowed.


^Effective 8/1/2013: all NCAA Division III student-athletes must provide evidence of their sickle cell trait status or sign a testing waiver prior to participation in intercollegiate athletics. No student-athlete will be allowed to participate in practice or competition until such evidence is on file with the athletic training staff.

 

^^Make certain that you read the Health and Safety Information Sheet      http://fs.ncaa.org/Docs/health_safety/ConFactSheetsa.pdf        If you have any questions make certain to discuss them with the athletic training staff.

*Effective 8/1/2010: all NCAA Division III student-athletes must provide evidence of insurance that must have coverage of at least $90,000 which includes coverage for athletically related injuries.  No student-athlete will be allowed to participate in practice or competition until such evidence of current insurance is on file with the athletic training staff.  If you are unsure of your coverage, you should contact your insurance company immediately. 


**A note to student-athletes taking prescription medications.  Certain prescription medications are classified as banned substances by the NCAA (i.e. ADHD medications).  It is your responsibility to report all medications to the athletic training staff.  If you are taking prescription medications that are classified as banned substances, the NCAA Medical Exemption Form must be completed by your prescribing physician and kept on file with the athletic training staff. PLEASE CHECK WITH THE ATHLETIC TRAINING STAFF BEFORE FILLING OUT THIS FORM.

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