Forms and Insurance Information

Medical paperwork is being transitioned to Athletic Trainer System (ATS) with the exception of the 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

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. 

 

Due dates for 2017-2018 for all medical paperwork

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 date below.

Mailing address:

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

 

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, M&W Track & Field

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