Athletic Training information
(FORMS ABOVE ARE UPDATED FOR 2013-14 ACADEMIC
YEAR)
Dear UNCG Student-Athlete and Parents,
Congratulations on becoming a UNCG Spartan! Prior to
your arrival on campus, we ask that you take the time to share your
medical history and insurance information. Simultaneously, we would
like to inform you of the UNCG policies and procedures regarding
insurance and medical bill payment should you (your child) become
injured while a participant in UNCG Athletics.
If you (son/daughter) have/has ever been diagnosed with ADHD
OR prescribed stimulant medication to treat ADHD,
please be certain to read the specific documents that
we
must have on file, in the event of Drug Testing.
Receipt of these documents will be required for medical
clearance. The ADHD Info Sheet is accessible through the
Athletic Training section, found under the Inside Athletics tab at
www.uncgspartans.com. Also on this website,
please view Sickle cell educational information.
Click the link for the Student Athlete Portal <
uncg2.atsusers.com>.
You (son/daughter) will need to complete all forms online, which
should take approximately 30 minutes, and instructions on how to do
so are listed below. All information is confidential as a part of
your medical record and will aid the UNCG Sports Medicine staff in
caring for you in the best possible manner. Participation
clearance requires each student-athlete to undergo an orthopedic
screen and general medical evaluation by the UNCG Sports Medicine
Staff.
Log in information for you (son/daughter): ‘Athlete ID’ is
your (son/daughter) UNCG Banner ID number and the default password
is: ‘uncgathlete’. Please then click on Athlete
Information.
- Verify First Name, Middle Initial, and Last Name. Please
correct any spelling errors.
- Choose your (son/daughter) gender
- Enter your (son/daughter) correct date of birth (DOB)
- Input athlete cell phone number
- Enter athlete home address in the first ‘Additional
Address’ field and corresponding City, State/Province, and
Zip Code.
- Choose a new password. Please DO NOT enter an
‘Alternate ID’.
- Click on all medical alerts that apply to you
(son/daughter)
- Click on all allergies that apply to you (son/daughter) or
enter any allergies that are not listed
- Click on all medications that you (son/daughter) are currently
taking
10. Click ‘Save Athlete Information’
After information has been saved, click the
‘Insurance’ tab at the top of the screen. Click
on the green + sign to add your (son/daughter) current insurance
information. Please fill out the following information:
- Company
- Insurance type (medical insurance information is required,
vision/dental is optional)
- Enter “1” in Payor #
- ID# and/or Group#
- If insurance is an HMO: Primary Care Physician and Physician
Phone
- Policy Holder First Name, Middle Name, Last Name, Date of Birth
(DOB), Relation, Street Address, City, State, Zip, Phone, and
Employer
- If possible, please scan the front and back of your
(son/daughter) insurance card and upload the card by clicking
‘Select’ next to Card Front Image and Card Back
Image. If you cannot scan your insurance card, instructions
on what to do are listed at the end of this letter.
- Click the blue to save the information.
Click the ‘Contacts’ tab at the top of the
screen. Click on the green + sign to add contact information
for your (son/daughter) parent(s)/guardian(s) and one additional
emergency contact. For each person please fill out the
following information:
- Name
- Contact Order (Rank who we should contact first (1), second
(2), third (3), etc.)
- Relationship
- Primary phone, cell phone and/or work phone
- E-Mail address
- Click the blue to save the information.
If you need to edit any of the information listed above,
highlight what needs to be changed (by clicking the mouse) and then
click ‘Edit’ at the top. Make sure to then hit
‘Save’ when you are finished.
To complete required forms:
- Click on the drop-down list next to ‘Form Name’ to
select a form (only complete the forms listed below)
- Click ‘New’
- Complete form
- If requested, click and hold your mouse button to sign your
name, being sure to release the button between your first and last
name. You must then type your name in the ‘Signed
By:’ box under that. Then click ‘Sign’ next
to the area that you typed your name.
- Click the ‘Save’ button
- Repeat this process for all the forms.
Click the ‘Athlete Forms’ tab at the top of the
screen. Please complete the following forms:
- FIRST YEAR Insurance Information
Signature: This letter describes the policies and
procedures regarding medical insurance and bill payment.
Signature(s) as indicated.
- FIRST YEAR Athlete Medical
History: This form supplies UNCG with your
past and current medical history. Signature(s) as indicated.
- FIRST YEAR Contact Lens: Please
obtain your contact lens prescription from your optometrist and
complete the form. Signature(s) as indicated.
- FIRST YEAR Assumption of Risk: By
signing this form, you indicate that you are aware of and accept
the potential physical hazards of being a student-athlete.
Signature(s) as indicated.
- FIRST YEAR Consent to Disclose PHI: By
signing this form, you indicate that you are aware of how UNCG is
able to use your protected health information. ALSO,
all student-athletes must sign over authority to allow the
athletic training staff to procure, store and issue your
prescription medications if necessary, (ie albuterol).
Signature(s) as indicated.
- FIRST YEAR Eating
Attitudes: Healthy attitudes about and toward eating
and food are important for academic and athletic success.
This tool will assist in identifying any potential areas of concern
to be addressed with a member of the UNCG Sports Medicine
Team. Signature(s) as indicated.
- Sickle Cell Trait: After viewing the
“Sickle Cell Education” power point (found on the
athletics website under the athletic training section), you will
fill out one of the following forms. If you are able to
provide us with results from a previous screening, complete the
FIRST YEAR Sickle Cell Trait Screen
Declination and Release of Claims. If you do not have
results, you will be tested as part of your athletic physical and
at no cost to you. Please sign the FIRST
YEAR Sickle Cell Trait Screening and Release of
Results. Signature(s) as indicated.
Please assure that all forms are completed and saved 2 weeks
prior to when you (son/daughter) report to campus. If you
need to provide any additional documentation to us (such as a
front/back copy of your insurance card, sickle cell results,
supporting medical information, etc.), please do so as soon as
possible, during SOAR orientation or mail to the address listed
below.
Thank you and please don’t hesitate to contact the
athletic training staff if you have any questions
(336-334-5925).
Spartan Pride,
Erica Thornton, MS, LAT, ATC
UNCG Head Athletic Trainer
136 HHP Building
PO Box 26168
UNCG Athletics
Greensboro, NC 27402