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department of athletics policies & procedures - UNC Wilmington ...

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Any student-athlete who presents with a suspicious medical history suggestive <strong>of</strong><br />

potential cardiovascular abnormalities will be referred for a specialty consult and possible<br />

additional diagnostic work-up if indicated by the Team Physician.<br />

The following documents can be found in the appendix and constitute the preseason<br />

forms that need to be completed by a student-athlete prior to their clearance for<br />

participation.<br />

Pre-participation Documentation<br />

1. Student-athlete Information Form<br />

2. Health Assessment Form<br />

3. Insurance Coverage Information Form-with a copy <strong>of</strong> the insurance card<br />

4. Warning Statement and Treatment Consent Form<br />

5. Confidentiality Form<br />

6. Consent for the Release <strong>of</strong> Medical Records Form<br />

7. Understanding <strong>of</strong> Payment Form<br />

8. Steps for Processing Medical Bills Information Form<br />

9. University <strong>of</strong> North Carolina Insurance Authorization Form<br />

10. Statement <strong>of</strong> Acknowledgement <strong>of</strong> Sports Medicine Policies<br />

Team Tryout/Walk-On Policy<br />

PUROSE: The Department <strong>of</strong> Athletic Training is responsible for the health and welfare<br />

<strong>of</strong> all participants during a practice or competition. This document is to ensure that those<br />

individuals whom have elected to “try-out” for an athletic team at <strong>UNC</strong>W are in no<br />

immediate physical danger from the rigors that a trial period with the team might<br />

include. Completion <strong>of</strong> this form indicates that the individual has been seen and cleared<br />

by the <strong>UNC</strong>W Team Physician for participation in an intercollegiate activity with a team<br />

at <strong>UNC</strong>W.<br />

POLICY STATEMENT: Every student who expresses an interest to tryout or walk-on<br />

to an athletic team at <strong>UNC</strong>W must be first sent to the <strong>UNC</strong>W Compliance Office to<br />

receive a tryout packet. Coaches are encouraged to contact the Department <strong>of</strong> Athletic<br />

Training and the Compliance Office prior to scheduling an open tryout to help facilitate<br />

the medical screening and documentation completion that will need to occur.<br />

186

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