New Student-Athlete Medical Clearance Instructions

Transcription

1 New Student-Athlete Medical Clearance Instructins Academic Year T: New Brevard Cllege Student-Athletes & Parents/Guardians, Prir t participating n a Brevard Cllege Intercllegiate Athletic Team, all new student-athletes are required t be cleared by the Sprts Medicine Department. In rder t accmplish this, each new student-athlete must prvide the Sprts Medicine Department with demgraphic and health histry infrmatin alng with cmpleting several ther frms including a cmprehensive medical histry frm. T expedite this prcess the Sprts Medicine Department uses an nline data entry / medical recrds system called SprtsWare Online. Each student-athlete is als required t receive a pre-participatin physical exam cnducted by a Brevard Cllege Team Physician as well as underg baseline cncussin testing (Crss Cuntry / Track & Field, Tennis, and Glf athletes are exempt) nce they reprt t campus. In rder t becme medically cleared t participate in athletics at Brevard Cllege, all new student-athletes must fllw the instructins in this dcument and cmplete all the tasks utlined n the checklist n the fllwing page. The Medical Histry Frm is a stand-alne ducument that can be fund n the bctrnads.cm Sprts Medicine webpage. Please mail a hard cpy f this alng with any ther necessary dcuments t the Sprts Medicine ffice r turn them in when yu reprt t campus. Please d nt fax any f these clearance dcuments. Please cmplete all the required infrmatin, submit the necessary frms thrugh SprtsWare Online, and prvide ther dcumentatin if necessary as utlined belw NO LATER THAN AUGUST 1 st

2 New Student-Athlete Sprts Medicine Clearance Checklist Academic Year Last Name, First Name M.I. Sprt Date f Birth Grad. Year Fresh. =2018 Instructins: Please use the fllwing checklist t ensure yu have all the required dcumentatin befre yu reprt t campus. A staff Athletic Trainer (AT) must check that everything is cmplete and sign this dcument in rder t receive clearance fr athletic participatin. Sprts Medicine Frms Cmpleted thrugh SprtsWare Online: 1. Primary Health Insurance Ntificatin Frm 2. Student-Athlete Medical Infrmatin Release Frm (HIPAA) 3. Assumptin f Risk & Medical Treatment Authrizatin Frm 4. Sickle Cell Trait Reprting & Waiver Frm 5. Cncussin Statement Frm 6. Brevard Cllege Institutinal Drug Testing Cnsent Frm Medical Histry Frm Cmpleted and n file in Athletic Training Rm Frnt & Back Cpy f Primary Insurance Card n File (if applicable) Additin Medical Recrds n File (if applicable) Please btain and prvide cpies f all medical recrds pertaining t any significant r nging medical prblems fr ur recrds (this includes physician ffice ntes and/r perative reprts fr any significant rthpedic injuries r surgeries that ccurred within the past 5 years). ADD/ADHD Paperwrk n File (if applicable) Any NCAA student-athlete (cycling and cheerleading are exempt) that currently takes medicatin fr the treatment f ADD/ADHD must cmply with the NCAA Medical Exceptin Dcumentatin t Supprt the Diagnsis f ADHD and Treatment with Banned Stimulant Medicatin. Please see the necessary physician dcumentatin n the bctrnads.cm Sprts Medicine webpage. SprtsWare Online Demgraphic Infrmatin Updated Cncussin Vital Signs Baseline (Glf, Tennis, and XC/T&F are exempt) Cmpleted On Campus Pre-Participatin Physical Exam Cmpleted - Cmpleted On Campus XX XX AT Initial Cnditinally Cleared - Restrictins: Cleared fr All Athletic Participatin Athletic Trainer Signature: Date: 2

3 In Order T Jin SprtsWare Yu Will Need: Yur Brevard Cllege Student Address Schl ID: trnad Jining SprtsWareOnLine Instructin G t Example Scrll t the middle f the screen and click the Jin SprtsWare buttn. Enter yur Schl ID The Schl ID fr all new athletes is: trnad Enter yur First Name, Last Name, BC address and click the Send buttn. Yur request t jin SprtsWare will then be sent t the Athletic Trainers fr review. 3

4 Setting Yur Passwrd Instructin Once yur request has been accepted, yu will receive and frm with the Subject SprtsWareOnLine Passwrd Request. Example Open the and click n the link t create / reset yur passwrd. Enter yur address, new passwrd and click the Save buttn. Lgging n t SprtswareOnLine Instructin Example G t Enter yur Address and Passwrd, and click the Lgin buttn. Updating Yur Infrmatin At the tp f the page is the Menu Bar. My Inf: Update yur schl inf, demgraphic inf, hme address and cntact inf, emergency cntacts, and health insurance infrmatin. Med Histry: Skip Frms: View/cmplete required paperwrk, and attach additinal frms as needed. Nte: SprtsWare will als display Yu have? frms t cmplete/dwnlad n the main page. Print: Print My Inf and Medical Histry data fr persnal recrds. 4

5 Required Infrmatin t be Entered Int SprtsWare Online Once yu have lgged n t SprtsWare Online, please enter all f required infrmatin detailed belw. Click the Save buttn after entering new infrmatin. Yu are able t save frms t be cmpleted and submitted at a later time. If yu frget yur passwrd yu may reset it simply by ging t and typing in yur address and clicking n the Reset Passwrd Buttn. Yu will receive an with a link that will enable yu t set a new passwrd. **Please be as detailed as pssible, capitalize all names/places, and use crrect spelling and punctuatin. My Inf: General Tab Required Infrmatin ID: Enter yur 6-digit Brevard Cllege Schl ID SSN: Enter yu scial security number Class: Select yur anticipated year f graduatin: Freshman = 2018 Sphmre = 2017 Junir = 2016 Senir = 2015 Gender Date f Birth Sprt Address Tab Required Infrmatin Enter yur Hme Address under Primary Address. Include yur Cell Phne Number Enter any ther hme r summer address under Secndary Address. Emergency Tab Required Infrmatin Cmplete All Fields fr TWO parents/guardians. Include parent/guardian addresses at bttm. Insurance Tab Required Infrmatin Cmplete All Fields fr yur primary health insurance cmpany (if applicable). Must include Plicy Hlder Inf. Attach Scanned Frnt and Back Cpy Primary Health Insurance Card If yu are nt able t scan, yu may mail us cpy f yur insurance card r bring with yu t campus fr rientatin r check-in day. Medical Tab Required Infrmatin Alerts: Select any applicable medical alerts including allergies and ther medical cnditins Immunizatins Dates are NOT Required t be entered here PROVIDE IMMUNIZATION DOCUMENTS TO CAMPUS LIFE OFFICE Drugs Taken: Enter any current prescriptin r OTC medicatins (including supplements) being taken by the student-athlete. Include the dse and duratin f treatment. Dctr: Enter the name and phne number fr yur primary care physician if applicable Med Histry: Skip 5

6 Frms: T pen a Frm yu must click the Select buttn t the left f the Frm, then click n the Open buttn New Student Athlete Frms Packet Attach Cpy Lab results regarding Sickle Cell Trait Screening (If Applicable) Scan r uplad desired dcuments nt yur cmputer Under the Frms tab, click the Add buttn then chse the desired file and name the file per instructins belw. Enter the fllwing Title: <<LastName, FirstName; Sickle Cell Screen; Date>> ex. (De, Jhn; Sickle Cell Screen; ), then click the OK buttn Attach Cpy f Other Medical Recrds, i.e. dctr s ntes, diagnstic reprts, surgical reprts f any previus rthpedic injuries (If Applicable) Fllw the same methd as abve fr attaching yur file Enter the fllwing Title: <<LastName, FirstName; Medical Recrds; Date>> ex. (De, Jhn; Left Knee Injury Medical Recrds; ), then click the OK buttn Please be aware that the Campus Life Office cllects all immunizatin recrds which are required fr all students. If the Brevard Cllege Sprts Medicine Staff des nt have all the required infrmatin and frms fr new and/r returning student-athletes when they reprt t campus, they will nt be cleared by the Sprts Medicine Department and will be unable t participate in any athletic activity until the required infrmatin is received. Thank yu fr cmpleting and turning in all the required frms in a timely manner, as this will ensure there are n cmplicatins r delays nce yur student-athlete arrives n campus. Please feel free t cntact the Sprts Medicine Department with any questins r cncerns. Athletic Training Rm Summer Hurs: 1pm 5pm (M-F) Athletic Training Rm / Head AT Office: Assistant AT Office: Sincerely, Clin Cvelli, MSEd, LAT, ATC, CSCS Head Athletic Trainer Brevard Cllege Athletic Department One Brevard Cllege Dr. Brevard, NC O: F: cvellcf@brevard.edu 6