Student-Athlete Pre-Participation Forms

INCOMING UCSB STUDENT-ATHLETE MEDICAL REQUIRMENTS

On behalf of the UCSB Athletic Training Staff, we would like to welcome you to the University of California at Santa Barbara. The purpose of this document is to help you complete all sports medicine clearance requirements to allow you to participate as a Gaucho student-athlete as quickly and efficiently as possible. There are several requirements that need to be completed prior to your arrival on campus, and several requirements that are completed once you arrive here with the sports medicine staff. Please see the checklists below then read on for more information on each requirement. If your 18th birthday falls AFTER your physical date, then all necessary forms will require an additional parent signature. Please let the coaching and sports medicine staffs know ASAP if this is the case.

If you have any questions or concerns during this process, please call the athletic training room (ATR) at (805) 893-3424 for more information. Your physical date will be sent to you by coaching and/or sports medicine staff in the summer. If you do not receive your date by the beginning of July, please call us.

LIST 1 - PRIOR TO ARRIVAL ON CAMPUS (to be completed 2 weeks prior to physical date):

  1. Complete online health history and information through Athletic Trainer System (ATS)
  2. Fill out Insurance Verification form which requires a parent/guardian signature for ALL incoming student athletes, except those that are international
  3. Make FRONT and BACK copies of your current health insurance card
  4. Request and receive sickle cell trait test results
  5. Request and gather copies of ALL prior immunization records
  6. If you have been formally diagnosed with ADD/ADHD, gather all pertinent paperwork regarding the diagnosis
  7. If you have recently recovered from a serious injury or illness that caused you to miss sport time in the last 24 months, gather all clearance paperwork from your treating physician
 

LIST 2 - ONCE YOU ARRIVE ON CAMPUS:

  1. Bring ALL the above paperwork to your physical date if you have not already sent it to the ATR
  2. Complete pre-participation physical at student health (scheduled by sports medicine staff)
  3. Complete additional sports medicine paperwork for clearance with sports medicine staff on-site
  4. For contact sports, complete all baseline concussion testing with sports medicine staff
 

Requirements #2-4 on List 2 will be arranged by the coaching and sports medicine staffs; you will just need to show up at the meeting time given to you by the coaching staff on your report date.

ADDITIONAL INFORMATION ON LIST 1 - PRIOR TO ARRIVAL ON CAMPUS:

1. Complete online health history and information through ATS: Please see below PDF instructions on how to create an ATS account and fill out the necessary information. Once you set up your Portal, you will be able to fill out all of our medical forms and information.  Please make sure to read and follow all instructions, as they will tell you exactly what forms you need to complete for participation. Be sure to include all pre-existing injuries, illness, or conditions in your health history.

Click here for PDF Instructions for Incoming Student-Athletes

 

2. Fill out Insurance Verification form which requires a parent/guardian signature for ALL incoming student athletes, except those that are international: see link to PDF document below.

Insurance Verification PDF

 

3. Make FRONT and BACK copies of your current health insurance card: this is required whether or not you plan on purchasing the Gaucho Health Insurance (GHI) through the university. More information on GHI can be found here: http://studenthealth.sa.ucsb.edu/gaucho-health-insurance 

The University of California Regents and UCSB Student Health Services requires all University of California students to have health insurance coverage. We highly encourage all student-athletes to purchase GHI for the entire academic year.  By purchasing this plan, a student-athlete will have access to medical care on campus at UCSB Student Health Center for general health issues and/or non-athletic related illness/injuries.  This will be very convenient as it will limit interruptions in their busy academic and athletic schedules.  Also if you decide to purchase GHI, we highly encourage the purchase of the GHI Supplemental coverage as you must have insurance to participate in summer practices.  The academic year starts nearly a month after fall practices begin, and you will need to be covered. If you are unable to purchase the full GHI plan, the UCSB Student Health Center also offers a partial care plan called Gaucho Access Plan (GAP) which provides some free services on campus with purchase. We HIGHLY recommend this option if you are waiving out of GHI. More information on GAP can be found here: http://studenthealth.sa.ucsb.edu/gaucho-health-insurance/waiving-unwaiving-ghi/gaucho-access-plan-%28gap%29

 

4. Request and receive sickle cell trait test results: as of August 1, 2010, the NCAA mandates that its member colleges and universities determine the sickle cell trait status of all new student-athletes. Under the current NCAA and UCSB Athletics rules, incoming student-athletes must satisfy one of the following options at the time of the pre-participation physical to be medically cleared for athletics: 

  1. Provide results of a prior sickle cell test (all children are screened at birth as part of a newborn screening in most of the United States).
  2. Take a blood test at Student Health and wait for the results BEFORE participation.
  3. Take a blood test at an outside location and bring results to report date.

As of today, all fifty states have newborn screening programs that identify sickle cell trait status at birth; however, not all states adopted screening in the same year.  This information needs to be requested directly from the state of birth, pediatricians’ offices do not necessarily have access to this information. In the State of California results may be available from the State at:

www.cdph.ca.gov/programs/nbs/Pages/NBSFAQTraitAthletes.aspx

Please indicate that results should be sent to UCSB or leroy.heu@athletics.ucsb.edu

If you were NOT born in California, find the newborn screening program in the state where you were born using: http://genes-r-us.uthscsa.edu/resources/consumer/statemap.htm

If you were born outside the United States, you will need to be screened upon arrival on campus.

If you are transferring from another NCAA institution you will likely have already been tested; please request test results from your prior institution and bring a copy to your physical date.

 

5. Request and gather copies of ALL prior immunization records: the Student Health Center requires that all immunizations are up to date, including tetanus and pertussis.  Please bring a copy of your immunizations records showing all records are up to date.  For further information, go to http://studenthealth.sa.ucsb.edu/services/medical-services/immunization-information/university-immunization-requirements.

If you are transferring from another NCAA institution you may have already had immunizations done; please request these records from your prior institution and bring a copy to your physical date.

 

6. If you have been formally diagnosed with ADD/ADHD, gather all pertinent paperwork regarding the diagnosis: additional paperwork will be provided for your treating physician/psychologist to fill out.  This process is required by the NCAA as ADD/ADHD medications are considered banned substances.  Also, if you plan to apply for services through the Disabled Student Program (DSP) on campus, ADD/ADHD testing must have been completed prior to application but within a year of you starting UCSB.  In this instance, if your tests were completed more than a year prior to your application, your tests will need to be done again.  If you plan not to utilize these services, retesting is not required.

 

7. If you have recently recovered from a serious injury or illness that caused you to miss sport time in the last 24 months, gather all clearance paperwork from your treating physician: this helps us to keep current records and expedite your clearance status through our sports medicine doctors.

Any documentation can be faxed to the athletic training room (ATR) prior to your physical date at (805) 893-5420. If you are faxing forms, please make sure to identify your sport and name clearly.