Forms and Insurance Information

Medical paperwork is being transitioned to Athletic Trainer System (ATS) with the exception of the pre-participation physical evaluation form, a copy of your insurance card, and the banned substances exemption form (if warranted). Please click on the link below for instructions to fill-out the required medical paperwork. This information must be updated every school year.

Any insurance questions can be directed to Primrose Pisares at primrose@ucsc.edu. All other questions can be directed to any of the athletic trainers at the East Clinic (831) 459-4793.

2017-2018 MEDICAL FORMS & ATS INSTRUCTIONS (will be posted before June 5th)

MEDICAL PHYSICAL FORM (print and take with you to doctor)

MEDICATION EXEMPTION FOR BANNED SUBSTANCES FORM  To check if you are taking a medication that is banned by the NCAA, please click on this link http://www.dfsaxis.com. The organization is NCAA Division III and the password is ncaa3. IF YOUR MEDICATION IS BANNED, YOU WILL NEED THIS FORM. Give this form to the physician that prescribed your medication for them to complete. We will need this form on file before you can compete.

INSURANCE INFORMATION Please click on this link for insurance requirements to participate in Intercollegiate Athletics. 

 

Due dates for 2017-2018 ATS information 

The paper medical physical form and a copy of the insurance card can be handed to the athletic trainers in-person upon arrival to campus BEFORE the first practice. 

August 1, 2017 - M&W Cross Country, Women's Golf, M&W Soccer, W Volleyball

September 1, 2017 - M&W Swimming/Diving, M&W Tennis

October 1, 2017  - M&W Basketball, M Volleyball

November 15, 2017  - M&W Track and Field