new/transfer student athlete information · 2019-03-04 · thank you, for choosing to continue your...
TRANSCRIPT
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NEW/TRANSFER STUDENT ATHLETE MEDICAL INFORMATION
Walsh University Sports Medicine
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Thank you, for choosing to continue your athletic and academic career with us. Walsh University’s Athletic
Department’s goal is to minimize all risk of injury while participating in your athletic endeavors. The first line of
defense in helping to provide you with a safe environment to compete in is by obtaining a complete medical
history in compliance with the regulations and guidelines that the NCAA has established. Failure to complete
this required information will result in denied participation in any athletic activities.
This PowerPoint is a step-by-step instruction guide to help you fill out the required information. If at any time
during the process you have any questions, please contact Douglas Willmott at 330-490-7027 or Stephanie Cady
at 330-490-7035.
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REQUIRED PAPERWORK
Pre-Participation Physical
Sickle Cell Trait Status
ATS Online Profile
Medical History and Immunizations
Insurance
Emergency Contact Info
Athlete Forms – 5 Forms
Supplemental Paperwork (ADD/ADHD,
Minor Consent, Etc.)
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PRE-PARTICIPATION PHYSICAL
• Walsh University requires all new and transfer student-athletes to provide an initial intake physical exam
• Physical Requirements
• Must be less than 6 months old (prior to start date of athletic participation)
• Physical Exam administered by an MD, DO, or their designate
• Once the physical exam is submitted it will be reviewed by a member of the Walsh University Sports Medicine Staff. If there are any questions, you may be required to submit supporting medical documentation and consult with one of our team physicians.
• Physical Form
• Note – future physicals will be completed by Sports Medicine Staff (at the University’s expensive)
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SICKLE CELL TRAIT
Sickle Cell Trait is one of the leading causes of death in college
athletics.
• The test for this condition is a blood test that was mostly likely
done in your newborn screening. If you have access to this lab
work, we will accept this for this requirement. If not, we ask that
you have the test performed and the results forwarded to the
Athletic Training Department.
• This test is Mandatory and there is no waiver.
• NCAA Sickle Cell Fact Sheet
• Walsh University Sickle Cell Form (for healthcare providers)
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ATS ONLINE PROFILE
Website: walsh2.atsusers.com
Username: new
Password: new
The Walsh University Sports Medicine Staff
uses a secure electronic medical records
software named Athletic Trainer System (ATS)
You will need to create your own profile
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Consent and Allow Cookies AND Agree to Terms & Conditions
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Complete ALL highlighted boxes and press SAVE
Athlete ID and Password can be anything you would like.
For ease, please try to use Walsh Student ID # if possible
Understanding the Insurance Tab
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DO NOT CLOSE WEBPAGE
Page will automatically reload with the following Tabs
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MEDICAL HISTORY
QUESTIONNAIRE IMMUNIZATIONS
COMPLETE TABS
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COMPLETE TABS
FORMS
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• Click Form Name
• Select Form – MUST COMPLETE ALL 5
FORMS IN DROP DOWN MENU
• Press New
ATHLETE FORMS
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• Complete Each Form in Drop Down Menu
Authorization for Use, Disclosure, and Release
of Health Information
Health Insurance Verification
Injury Acknowledgement
Off-Campus Referral Information
Pre-Participation Questionnaire
• BEFORE CLOSING FORM - Sign Form,
Type Name, and Press Save
ATHLETE FORMS
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REQUIRED PAPERWORK UPDATE
Pre-Participation Physical
Sickle Cell Trait Status
ATS Online Profile
Medical History and Immunizations
Insurance
Emergency Contact Info
Athlete Forms – 5 Forms
Authorization for Use, Disclosure, and Release of Health Information
Health Insurance Verification
Injury Acknowledgement
Off-Campus Referral Information
Pre-Participation Questionnaire
Supplemental Paperwork (ADD/ADHD, Minor Consent,
Etc.)
** DO NOT CLOSE
WEBPAGE! **
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E-FILES TAB UPLOADING CONTENT
SUPPLEMENTAL PAPERWORK/FORMS
In the eFiles Tab, you will find copies of additional forms that may be useful to you. Information includes Physical
Form, Minor Consent Form, Sickle Cell Form, ADD/ADHD Medical Exemption Paperwork, NCAA Banned
Substances List, and NCAA Concussion Fact Sheet
You can also upload any forms/supplemental information underneath this tab
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• If any of the following conditions relate to you, you must complete the
necessary paperwork upload to ATS Online Profile (see next slide) or emailed
to Doug Willmott
• ADD/ADHD – NCAA Paperwork
• Minor as of athletic team arrival date/school start date – Minor Consent Form
• Medical Condition with Clearance Information (Previous Surgery, Cardiac
Condition, Epilepsy, etc.)
• All Forms can also be found in the E-Files tab (see next page)
SUPPLEMENTAL PAPERWORK/FORMS
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REQUIRED PAPERWORKCHECKLIST
Pre-Participation Physical
Sickle Cell Trait Status
ATS Online Profile
Medical History and Immunizations
Insurance
Emergency Contact Info
Athlete Forms
Authorization for Use, Disclosure, and Release of Health Information
Health Insurance Verification
Injury Acknowledgement
Off-Campus Referral Information
Pre-Participation Questionnaire
Supplemental Paperwork (If applicable)
ADD/ADHD
Minor Consent Form