Forms and Insurance Information

UPDATED INSTRUCTIONS FOR 2018-2019 MEDICAL PAPERWORK ARE NOW AVAILABLE

 

Medical paperwork compiled while an athlete at UCSC is stored on the electronic medical records system, Athletic Trainer System (ATS). 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.

2018-2019 MEDICAL FORMS & ATS INSTRUCTIONS Physicals can be uploaded to the "e-files" section on ATS. Insurance cards can be uploaded into the insurance area on ATS. If the paper medical physical form and insurance cards cannot be uploaded into ATS, they can be mailed or handed to an athletic training staff member by the respective due dates below.

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 the paper form on file before you can compete.

INSURANCE INFORMATION Please click on this link for insurance requirements to participate in Intercollegiate Athletics. Please note, the insurance information linked in the document for the UC Santa Cruz Student Health Center website will not update until late summer 2018 but the information is still valid.

 

Due dates for 2018-2019 for all medical paperwork

Mailing address:

Intercollegiate Athletics
Attn: Athletic Training
East Field House
1156 High St.
Santa Cruz, CA 95064

 

August 1, 2018 - M&W Cross Country, Women's Golf, M&W Soccer, W Volleyball

September 1, 2018 - M&W Tennis, M&W Track & Field

September 13, 2018 - M&W Swimming and Diving

October 1, 2018  - M&W Basketball, M Volleyball