Pre-Participation Requirements for Student Athletes
Congratulations on becoming a part of one of the finest collegiate athletic programs in the country!
Be sure to bring your CalNet ID and Passphrase to your physical exam, as computerized check in for appointments is now available.
1. Before beginning this process, please:
Read the information below from Head Team Physician and Head Athletic Trainer
Read the Letter to Parents of New Student Athletes.
Read Questions and Answers about Health Insurance.
2. Then, Please follow the checklist to ensure completion of all pre-participation medical requirements:
All forms must be sent before your pre-participation physical to the following address:
Sports Medicine Program Administration, University Health Services, 2222 Bancroft Way, Berkeley, CA 94720-4300. The fax number is (510) 643-0792.
3. Print Application checklist/fax cover sheet to include as page 1 of your completed packet.
To ensure no delays in your clearance and participation, complete each of the following:
| Find the date of your Pre-Participation Physical on the schedule. | |
| Complete the Health History Form for New Athletes or Health History Form for Returning Athletes and return it to the Sports Medicine Program before your pre-participation physical. | |
| If you are a minor (under age 18), have your parent or guardian complete the Authorization for Third-Party Consent to Treatment of Minor form and return it to the Sports Medicine Program before your pre-participation physical. | |
| Ensure that your Hepatitis B Immunization Requirement has been satisfied. | |
| Read the Information and Requirements relate to Sickle Cell Trait. | |
| Send copies of your medical records to University Health Services. This should particularly include records for any orthopedic or medical condition for which you were restricted from participation during your high school career. Please call (510) 643-4801 to inquire about which records you should provide. | |
| If you are an HMO member, select a local physician to be your primary care provider. This will ensure that your health insurance can be used in our area, and may prevent delays in getting care. If you would like a list of local Primary Care Physicians, please email sportsmedicine@berkeley.edu or call 510-643-4801. | |
| Assignment of Benefits for Intercollegiate Athletic Insurance Plan must be completed by ALL student athletes, so that we can assist in payment for athletically related medical bills | |
| OPTIONAL FORMS | |
| If you wish to waive enrollment in the Student Health Insurance Plan, you may complete an on-line waiver application. SHIP is not regulated or run by Cal Sports Medicine. Please read the SHIP FAQ for a full explanation. | |
| For Walk On Try Outs, print and have your medical provider complete our Physical Exam Form (ONLY NECESSARY IF PARTICIPATING IN A TRYOUT). |
4. Finally, please re-read the following letter, which further explains why we need the above information, and how to access services.
Pre-Participation Information for Student Athletes and Parents
In order to facilitate medical care for student athletes, we need certain information in advance. Please read the information about our insurance program carefully (Questions and Answers about Health Insurance in the checklist above.) Although illness and injury are not things most people like to think about, it is vitally important that you know what to do if you are injured or need medical care. Complete understanding of your insurance coverage is essential and allows for timely referral of treatment as well as claims processing.
You will see that there are two levels of health insurance, the athletic insurance program and the major medical insurance required for all registered Cal students.
The athletic insurance program provides excellent coverage if you have an athletic injury that requires outside services, such as surgery or diagnostic testing. This program is designed to comply with NCAA and PAC-12 rules and provides the maximum benefits allowed by the NCAA. Please be aware that we cannot cover injuries that are not a direct result of participation in our programs, nor can we cover injuries that you incurred before you began participation in our programs.
Again, the question and answer link should help to explain what is and what is not covered by this policy, and how the major medical health insurance requirement fits into the student's total health care coverage.
In explanation of some of the requirements on the checklist:
1. The purpose of the pre-participation physical exam (PPE) is to evaluate the health condition of all new student-athletes, in order to authorize your participation to practice and compete. Contact our administrative staff at (510) 643-4801 or email sportsmedicine@berkeley.edu, if you have any questions. Please note that per NCAA Regulations, you will not be permitted to participate until you have completed your PPE. If you are a minor at the time of the scheduled PPE, your parent or guardian must sign and return the Authorization for Third-Party Consent to Treatment of Minor Lacking Capacity to Consent form. Returning athletes should check in with their athletic trainer.
2. We ask that you complete and return the Health History form and any medical records before your pre-participation physical. Also, if you have any medical conditions (e.g. asthma, heart murmur), have been hospitalized overnight or longer, or have undergone a musculoskeletal surgery (e.g. knee arthroscopy, shoulder reconstruction), or any other major surgery, we ask that you send copies of the pertinent medical records to us at University Health Services c/o the Sports Medicine Program Administration, 2222 Bancroft Way, Berkeley, CA 94720-4300, fax # 510-643-0792.
3. The Hepatitis B vaccination series is required by law as a condition of enrollment. All of the information and forms for compliance are available at the web link in the checklist. We strongly recommend that you update your immunizations before arriving on campus. Please contact your personal physician if you have questions concerning these or any other immunizations.
4. As of August 1st 2010, the NCAA mandates that its member colleges and universities determine the sickle cell trait status of all new student-athletes. In accordance with this rule, Cal Sports Medicine has made the necessary changes to the existing sickle cell trait screening program. Please follow link for more information.
Finally, let us assure you that our Sports Medicine staff continually strives to provide all of our student athletes with the highest quality of medical care. Thank you once again for all your support.
Go Bears!
|
Casey G. Batten MD Head Team Physician (510) 643-6190 |
Ryan Cobb MS ATC |
