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 Medical Forms 

 

SPOTLIGHT

ALL Student-Athletes:

In order to be cleared for participation in athletics at Slippery Rock University, all student-athletes must complete all forms by the deadline on the ATS Webportal and all first year participants must receive a sports physical from their primary care physician using the SRU
Pre-Participation Physical Examination Form
,
no other forms will be accepted. Please view and follow the complete directions to assist you in completing the medical paperwork necessary to participate in varsity athletics at Slippery Rock University. 

All medical forms must be completed using the ATS system and are not accepted in paper work or via email.  It is important for all athletes to write down their log in username and password in a secure location since each year they participate in athletics at SRU, they will be required to log into the ATS system using that information.

ALL student-athletes must complete the following forms annually AND submit a photocopy of their PRIMARY INSURANCE CARD (both front & back):

  • Insurance Program Acknowledgement
  • Insurance Information Form
  • Medical History Form
  • Assumption of Risk, Consent to Treat, & HIPPA Form
  • Sickle Cell Trait Information & Acknowledgement Form

In addition to the above forms, ALL FOOTBALL PLAYERS must also annually complete the:

  • Football Helmet Warning Form

First Year Student-Athletes:

In addition to the above forms and insurance card submission, you must also complete the:

  • Pre-Participation Examination on the SRU PPE form which is located both in the ATS system where you will complete the above forms and here.
  • Please note, all incoming student-athletes must provide proof of Sickle Cell Trait test blood results.

Please note:

Any student-athlete that is currently taking prescription medications for Attention Deficit Disorder, Anxiety or Depression must have a letter from the prescribing physician ON-FILE in the athletic training room by completing the the ADHD Examination Form. The medications normally prescribed for the above conditions can result in a positive NCAA drug test. The information is required by the NCAA to be On-File prior to any drug testing administration as athletic eligibility can be affected by a positive drug test.  Please follow the directions to complete these addition requirements if you meet the above description.   

All student-athletes are eligible for random drug testing by the NCAA.  In order to protect yourself and remain eligible to participate in collegiate athletics, please read the list of NCAA Banned Substances.  This list can also be accessed on the ATS Webportal under the Electronic Documents Section. The directions to access this section are listed above.

In order to be cleared for participation in athletics at Slippery Rock University, all student-athletes must complete all forms by the deadline on the ATS Webportal and all first year participants must receive a sports physical from their primary care physician using the SRU Pre-Participation Physical Examination Form, no other forms will be accepted.

Mail or email photocopy/scan of insurance card (front and back) and Pre-Participation Physical Examination Form to the certified athletic trainer responsible for the sport you participate in.

Click the logo to access the SRU medical forms log in page:

 

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Dr. Jackie Williams
Athletic Training Program Coordinator
315 Patterson Hall
Email:
jackie.williams@sru.edu
(724) 738-2152