6/2/2008
To: All Student-Athletes and Parents
Fr: John Ratliff, Athletic Director
Robert Merrow, Head Athletic Trainer
Re: Athletic Pre-participation paperwork. Physical Exams, Assumption of Risk / Release of information and Health Insurance
It is the policy of the Keene State College (KSC) Athletic Department, that all incoming freshman, first year student-athletes or transfer students have a completed health physical form on file in the Athletic Training Department and with the KSC Student Health Services. NCAA policy requires that these Health physical exams must be current, dated within six months of the student athletes entrance to KSC. Please make sure you have a properly dated physical, in time for the start of your season and return the original KSC Health Physical exam form to Student Health Services and mail or bring a complete copy to the Athletic Training Department. Student-athletes will not be allowed to participate in any practices or games unless current physicals are on hand. Physical forms can be downloaded from the KSC Web site under Health Services or the Athletics Web site under Athletic Training links. If you are a returning student-athlete, you do not have to submit a new physical unless your health status has changed due to injury or illness since your most recent sports season, in such case, please bring a Physicians note clearing you for sports participation.
New NCAA Drug testing Requirements: Please be aware of NCAA rules which require documentation by your Physician for any ADHD medications. Please provide the following information in addition to physical exams;
- A record of the medical evaluation for ADHD
- Statement of the diagnosis, including when it was confirmed
- History of ADHD treatment (previous/ongoing)
- A copy of the most recent prescription (as documented by the prescribing physician)
Please complete all health physical forms and clearly indicate which sport(s) you plan to participate in, then mail or bring copies to both the Head Athletic Trainer and the Student Health services.
ORIGINAL |
COPY |
|
Student Health Services Keene State College 229 Main Street Keene NH 03435-2802
|
Robert Merrow, MS, ATC, NH-LAT Head Athletic Trainer Keene State College 229 Main Street Keene NH 03435-2375 |
Health Insurance: An Important Note To All:
Health Insurance is very important for you to have in the event that you are sick or injured and need to be treated at a hospital or clinic. Students are responsible for their own medical expenses. Keene State College and the Athletic Department require that students have some form of health insurance, either under your parent(s), guardian(s), or your own personal coverage. The student is required to maintain coverage while a Student Athlete at KSC. The KSC Athletic Department carries secondary insurance exclusively for athletically related injuries or illness for Student Athletes. This insurance provides secondary coverage only after the first $1,000.00, up to a maximum of $75,000.00, after which the NCAA Catastrophic insurance takes over. If you accumulate any medical bills not covered by your insurance under $1,000.00, you are responsible for payment. NCAA policy requires proof of insurance coverage. Please check with your insurance organization to make sure that the Student Athlete is covered under the insurance plan for any athletic related injuries. Every year please submit a copy of your insurance card, front and back to the Athletic Training department for NCAA verification of insurance. Student athletes will not be allowed to participate in any practices or games unless this verification is on file with the Athletic Training department each year.
Bob Merrow