Davidson College Sports MedicineNew Athlete Prearticipation LetterThe - PDF document

1 Davidson College Sports MedicineNew Athl
Davidson College Sports MedicineNew Athlete Prearticipation LetterThe DavidsonCollege Sports Medicine Staff would like to welcome you to Davidson College. We look forward to working with you regarding any medical needs that may arise during your intercollegiate The NCAA bans classes of drugs because they can harm student athletes and create an unfair disclose this to the sports medicine staff and provide any related medical documentationWhile you may Davidson College Sports Medicine PreParticipation ChecklistPlease use the checklist below to ensure that you have completed and submitted all necessary medical paperwork tothe Davidson College Sports Medicine Department prior to your arrival on campus. Failure to complete and submit required paperwork will result in you being restrictedfrom participating in any team activities including practices, games, performance testing, and/or strength and conditioningsessions.Please ensure all paperwork has been completed prior toJuly 15thto allow the sports medicine staff to review your information prior to your arrival on campus. Current Injuries/Previous Surgery Information Dr. Notes, Surgical Notes, MRI reports, etcInsurance Information If you are unable to upload electronic copies of your insurance cardsyou must provide a hard copy Emergency Contact InformationNew Athlete PreParticipation Health QuestionnaireOrthopedi

2 c Health History FormAgreement to Disclo
c Health History FormAgreement to Disclose Injuries and Illnesses FormDrug Testing Notification and Consent FormPrescription Medication Release Authorization FormSupplement Notification FormAthletics Insurance Coverage FormAcceptance of Risk/Liability WaiverConcussion EducationBaseline Symptom Evaluation Medical Policy (sign and upload to ATS ADHD Medical Exemption Form (submitted to the sports medicine staff if necessary) Sickle Cell Testing Verification(must be submitted to the Student Health Center) StudentAthletePhysical(must be submitted to the Student Health Center) Getting Started With ATS Note DO NOT USE Internet Explorer ATS does not operate correctly using the Internet explorer web browser. Open your internet browser (Firefox, Chrome, Safari), clear the address bar, and type in davidson2.atsusers.com. The ATS Web Portal Login Screen will appear and the database, ats_davidson, should already be filled in. Enter the word “new” in the Athlete ID box and the password box and click Login.**If you are timed out from the system due to inactivity you must retype the entire web address and log back in using your ID and passwordthat you create. Please do not use the refresh button as you will not be able to access the database. When you are logged in you will need to complete any and all information described in the following directions. Gene

3 ral Select your sportfrom the Team 1 dro
ral Select your sportfrom the Team 1 drop down list (if you are a multisport athlete repeat for Team 2 and Team 3)Please complete all of the required fields highlighted in yellow.Fields not highlighted in yellow are optional.In the name fields please enter your legal first and last name. Do not enter any nicknames.Useyour Davidson Collegeemail address in the “Email” field. If you have not been issued your Davidson email address please use the email address you use most frequently.The address highlighted in yellowshould be your address while at home and the optional addressshould be the address where you will receive mail while attending Davidson.Change your athlete ID to match your student ID number. Please enter your ID number starting th 801.Leave the “Alternate ID” field blankChange your password to a password of your choosing Please choose “NewAthlete” as your year from the dropdown box. **Transfer Athletes: please choose “New Athlete” as your year from the dropdown box. Please leave the Driver’s #, Passport #, Race, and Ethnicity boxes blank.Please usethe dropdown listsif you haveany medical alerts, allergies, or medications you are currently taking. If an option is not listed please type it in the yellow box. If yohave no medical alerts, allergies, or medications to reportplease type “none” in each

4 box.Once you have entered all the requi
box.Once you have entered all the required information please click the insurance tab at the top of the screen to enter your insurance information **You will not be able to save your information until you have completed all required information under the General, Insurance, and Contact tabs. Insurance Tab Choose your insurance company from the dropdown list**If your insurance company is not listed in the dropdown box please click the button. In the box that appears type in the name of your insurance company and click the button. Your insurance company will now be available in the dropdown box.Pleasecomplete all the required fields highlighted in yellow.If you have a Group # please enter that as well.r your deductible, in the firstbox type in the dollar amount and in the second box type the word description. (Example: 5,000 and five thousand)lease upload images of the front and back of your insurance card. If you are unable to upload the images, you must submit a hard copy of your insurance cards to keep on file.*If your insurance will not save, try saving it without loading the images of your insurance cards. You can go back and load the images after it has saved.**Primary insurance coverage is mandatory for participation in athletics at Davidson College. If you have an HMO plan, Kaiser Permanente, or Medicaid/Medicare please contact your team assigned athle

5 tic trainer to discuss whether your insu
tic trainer to discuss whether your insurance plan meets the athletic department requirements. Please be aware that the student insurance plan offered through Davidson College does meet the requirements of the Davidson Athletic Department as it does provide coverage for injuries sustained as a result of participation in intercollegiate athletics. ContactsTab Complete all required fields highlighted in yellow.You may also enter information in the other fields, but it is not required.After you have entered all necessary information click the button to save your information.**YOU MUST INCLUDE INFORMATION FOR ATLEAST 1 EMERGENCY CONTACT PERSON.After you click the save button you will now have access to the following tabs to enter further information. After you have successfully created your account you will receive an email with your athlete ID and password. It is important for you to remember your athlete ID and password as you will be required to use this information every time you do therapy or get treatment in the athletic training room. You will also need it when you updateyour paperwork every year. Medical History Tab Please enter any and all surgical procedures you have had in your lifetime.Click on the left hand side of the screen next to the word Surgeries.Please complete each field highlighted in yellow.In the Therapy Completedfieldenter the date

6 when you were cleared by your doctor to
when you were cleared by your doctor to return to participation in your sport.(If you have notbeen clearedplease type “not cleared”In the “Hospital & City” field enter the physician’s practice and where the procedure occurred.Click the button to save.Repeat this process if necessary with any other surgeriesAfter you have updated any changes please click Paperwork Tab **You are not required to complete any paperwork or input any information under this tab. Insurance Tab If you have secondary insurance coverage in addition to the plan you previously entered please enter it at this time.Pleaseclick the button and complete all information for the secondaryinsurance coverage. Please type “2” in the payor# field for any secondary insurance coverage.**If you do not have any secondary insurance policies you do not need to complete any furtherinsurance information. ContactsTab If you would like to add additional emergency contacts please enter them at this time.Pleaseclick the button and complete all information for any additional emergency contacts.**If you do not have any additional emergency contact information to add you do not need to complete any further information. Forms: New Athlete PreParticipation Health Questionnaire Click the dropdown arrow in the Form Name box, select the New Athlete PreParticipation Health Questionnair

7 eormand click the button to the right.Pl
eormand click the button to the right.Please read through each and every question. You must record an answer for every question. Choose Yes or No for every question requiring this type of answer. For questions where a Yes or No answer is not available you are required to type your answer in the Explainbox below the question. Not all questions will require an explanation, but for any question that contains an Explainbox you must provide an explanation if you answer the question with a Yes.Please be aware there are pages to this questionnaire. In order to switch between pages click the down arrow in the Page box at the bottom of the screen and complete each page.Pleasesign your name using your mouse or trackpad in the athlete/student signature box and type your first and last name in the Signed Bybox directly below the signature box and click the buttonto save yoursignature. Your parent/guardian must completetheParent/Guardian Signature boxwith their signature as well**A timestamp will be visible in the signature box when your signature is saved.Once you have answered every question and saved your signatures click the button at the bottom of the screen. THIS FORM WILL NOT SAVE UNTIL YOU HAVE ANSWERED EVERY QUESTION Orthopedic Health History Click the dropdown arrow in the Form Name box, select the Orthopedic Health Historyormand click the button to the right.

8 Click the arrow in the dropdown box and
Click the arrow in the dropdown box and choose the sport you will be participating in.Please read through and answer each and every question in the same manner that you completed the PreParticipation Questionnaire.There are 3 pages of questions that will need to be completed.After answering every question you and your parent/guardian must sign your names in the signature boxes and save them.Once you have answered every question and saved your signatures click the button at the bottom of the screen. Agreement to Discose Injuries and Illnesses Click the dropdown arrow in the Form Name box, select the Agreement to Disclose Injuries and Illnesses ormand click the button to the right.Click the arrow in the dropdown box and choose the sport you will be participating iPlease read the disclosure agreement statement and click the button to acknowledge your agreement.After clicking for all the statements you and your parent/guardian must sign your names in the signature boxes and save them.After your signaturesaved in both boxes click the button at the bottom of the screen. Drug Testing Notification and Consent Click the dropdown arrow in the Form Name box, select the Drug Testing Notification and Consent ormand click the button to the right.Pleaseclick on the link to review the Student Athlete Drug& Alcohol Education and Testing Policy.Please read each statement and click th

9 e button to acknowledge your agreement.A
e button to acknowledge your agreement.After clicking for all the statements you and your parent/guardian must sign your names in the signature boxes and save them.After your signatures aresaved in both boxes click the button at the bottom of the screen. Prescription Medication Release Authorization Click the dropdown arrow in the Form Name box, select the Prescription Medication Release Authorization ormand click the button to the right.List any medications that you would like to the sports medicine staff to store for you in the event it is needed during a practice or competition.After clicking for all the statements you and your parent/guardian must sign your names in the signature boxes and save them.After your signatures aresaved in both boxes click the button at the bottom of the screen. Supplement Notification Click the dropdown arrow in the Form Name box, select the SupplementNotification formand click the button to the right.For the first question please choose either, Yes or No and complete the Explainbox as directed.For the second question please click on the link to the Davidson College Departmentof Athletics Supplement Policyand read through the policy. After reading the policy keep a copy of the policy for your personal records and click the button to confirm you have read and understand the policy.Read each of the remaining statements and click the bu

10 tton to confirm your understanding and a
tton to confirm your understanding and agreement with each statement.After clicking for all the statements you and your parent/guardian must sign your namesin the signature boxes and save them.After your signatures aresaved in both boxes click the button at the bottom of the screen. Athletics Insurance Coverage Click the dropdown arrow in the Form Name box, select the Athletics Insurance Coverage form and click the button to the right.Click on the link for the Athletics Insurance Coverage Letter to review this document.Please read each statement carefully and click the button to acknowledge your agreement.For the last two questions please choose “Yes” or “No” as it relates to your personal insurance policy. Once you have answered every question and saved your signatures click the button at the bottom of the screen. Acceptance of Risk/Liability Waiver Click the dropdown arrow in the Form Name box, select the Acceptance of Risk/Liability Waiver formand click the button to the right.Please read each statement carefully and click the button to acknowledge your agreement.After choosing Yes for everystatement, you and your parent/guardian must sign your names in the signature boxes and save them.After your signatures are saved click the button at the bottom of the screen. Concussion Education Click the dropdown arrow in the Form Name box, select the C

11 oncussion Educationformand click the but
oncussion Educationformand click the button to the right.Please click on the links provided to review the NCAA Concussion Video, the NCAA Concussion Fact Sheet, and the Davidson College Sports Medicine Concussion Policy.Acknowledge that you have reviewed the video, fact sheet, and concussion policy by clicking the button.After clicking Yes you and your parent/guardian must sign your names in the signature boxes and save them.After your signatures are saved click the button at the bottom of the screen. Baseline Symptom Evaluation Click the dropdown arrow in the Form Name box, select the Baseline Symptom Evaluationformand click the button to the right.After answering every question, you and your parent/guardian must sign your names in the signature boxes and save them.Once you have answered every question and saved your signatures click the button at the bottom of the screen.eFiles Medical Policy Click on the button on the right side of the window.Please read the Davidson Medical Policy in its entirety and keep a copy for your personal records.Print and sign the last page of the medical policywith your signature and your parent’s signature tothe ATS portalThe last page must be completed and submitted to the sports medicine staff before you will be allowed to participate in any team training or practice sessions. ADHD Medical Exemption If you are not diagnosed wi

12 th ADHD you do not need to complete this
th ADHD you do not need to complete this section If you have been diagnosed with ADHD and have been prescribed medication for the condition please read and review this document explaining the procedures to seek a medical exception for the use of a banned substance.ADHD Reporting FormIf you are currently diagnosed and being treated for ADHD you are required to print the ADHD Reporting Form which is the last page of the ADHD medical exemption document. This form must be completed by your treating physician and submitted to the Davidson sports medicine department with all supporting documentation as described within the reporting form. **Failure to provide all required information may result in a positive drug test should you be chosen for drug testing while participating in Davidson athletics Sickle Cell Testing Letter Every student athlete participating in intercollegiate athletics is required to submit proof of their sickle cell status as mandated by the NCAA.Please review the Sickle Cell Testing Letter with instructions on how to obtain proof of your sickle cell status.Proof of sickle cell status must be returned to the Student Health Center along with your physical.All completed forms can be viewed at the bottom of the page under the eFiles tab. Please confirm each form from the PreParticipation Checklist is complete. Any form not listed, has not been submitte

13 d. Additional resources are located on
d. Additional resources are located on the sports medicine section of the Davidson athletics website. http://davidsonwildcats.com/sports/2007/8/23/spmedhome.aspx ). If there are any questions or concerns about how to complete or submit your medical paperwork please contact the memberof the sports medicine staff directly responsible for your team. Davidson CollegeSports Medicine Dept.PO BOX 7158Davidson, NC 28035FAX #: 7042802 Davidson College Sports Medicine Staff Beth Hayford, LAT, ATC, ociate Athletic Director for Sports PerformanceFootballbehayford@davidson.edu 2774Brian Wheeler, MS, LAT, ATC, AssociateAthletic TrainerWomen’s Soccer, Women’s Basketball, Men’s Tennisbrwheeler@davidson.edu 2144Justin King, MA, LAT, ATC, Assistant Athletic TrainerMen’s Basketball, Men’s Track & Field, Cheer & Dancejuking@davidson.edu 2829Megan Kurzec, MS, LAT, ATC, Assistant Athletic TrainerMen’s Soccer, Women’s Swimming & Diving, Wrestlingmekurzec@davidson.edu 2115Steve ZookMS, LAT, ATCAssistant Athletic TrainerFootball, Men’s Swimming & Diving, Women’s Tennisstzook@davidson.edu 2775Deidra DeMossMS, LAT, ATC, Assistant Athletic TrainerVolleyball, Lacrosse, Women’s Track & Fielddedemoss@davidson.edu 2223Dillon Byrum, MS, LAT, ATC, Assistant Athletic TrainerField Hockey, Baseball, Golfdibyrum@davidson.edu 235