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 questions can be directed by e-mail to athletic trainers, Primrose Pisares primrose@ucsc.edu and Neno Bartocci nbartocc@ucsc.edu or by phone at (831)459-4793.

2016-2017 MEDICAL FORMS & ATS INSTRUCTIONS

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

MEDICATION EXEMPTION FOR BANNED SUBSTANCES FORM

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

 

Mailing address for forms

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

 

Due dates for 2016-2017 paperwork (including ATS information)

August 1, 2016 - M&W Cross Country, W Golf, M&W Soccer, W Volleyball

September 1, 2016 - M&W Swimming/Diving, M&W Tennis

September 23, 2016 - M&W Basketball, M Volleyball

December 1, 2016 - M&W Track and Field