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Athletic Training Services

Student-Athlete Information

Student-Athlete Checklist Get Acrobat Reader

UMass Athletics Health Insurance Form 
UMass Athletics Health Insurance Options and Instructions Get Acrobat Reader
Drug Testing Consent Form 
ADD/ADHD Medication Information Get Acrobat Reader
HIPAA Form Get Acrobat Reader

To complete immunization information click HERE
To waive the UMass Student Health Insurance Plan click HERE

May 23, 2011

Dear UMass Student-Athletes, Parents and Guardians,

The following is information regarding the UMass athletic department health insurance policies for the 2011-12 academic year and the drug-testing program for UMass intercollegiate athletics. All forms and a copy of the athlete's insurance card (front and back) must be submitted by August 1, 2011. If not submitted, the athlete will not be cleared for practices at the beginning of his/her season.

All student athletes are required to have primary insurance that covers athletic injuries to participate in Intercollegiate Athletics.

If your son/daughters' insurance does not contain athletic injury coverage, medical care outside of your local area, or lapses for any reason, you will be responsible for paying all bills associated with any athletic injury that may occur.

The department of athletics wishes to convey to the parents and guardians of incoming student-athletes a supplemental secondary insurance plan is in place and will become effective after an athlete's primary insurance company has processed and paid for all coverable services. In regards to primary health insurance, you must verify with the sports medicine staff that you fall under one of the following categories:
1. The student athlete has primary insurance coverage through their parents or guardian that covers athletic related injuries.
* The student-athlete must waive the Student health Insurance Plan (SHIP)
* To provide the swiftest possible medical care and facilitate payment of medical bills, please change the primary care physician to Dr. Little or Dr. Rouzier.
2. The student athlete does not have primary health insurance through their parents or guardian and must purchase primary health insurance. One option is purchasing the Student Health Insurance Plan (SHIP) through Aetna Student Health offered by the university.
*The Athletic Department has a secondary insurance policy to pay for those athletically related expenses not covered by the primary insurance company.
*Any paperwork you receive from an insurance company regarding unpaid balances must be forwarded to the Sports Medicine Department in order to process unpaid bills.

THE DEPARTMENT OF ATHLETICS WILL NOT PAY FOR MEDICAL COSTS FOR NON-INTERCOLLEGIATE ATHLETIC RELATED INJURIES OR ILLNESSES.

The University of Massachusetts Athletic Department has instituted a drug-testing program for intercollegiate athletes. All student athletes must sign a consent form in order to participate in intercollegiate athletics.

This downloadable consent form is on-line at the UMass athletics web site. The drug testing consent form must be signed by the student athlete (or parent/guardian if athlete is not 18 years old) and turned into the sports medicine department before the student athlete is able to participate in a varsity sport practice.

At the top of this page, under Student Athlete Information, you can view and print all of the instructions and forms that need to be submitted to the Sports Medicine Department. Please print and return a completed Health Insurance Form, HIPPA Form, and Drug Testing Consent Form to the Boyden Athletic Training Room by August 1, 2011.

The student-athlete must also submit a copy of both sides of their insurance card to the Boyden Athletic Training Room before August 1, 2011.

All new students must submit a completed immunization record along with the previously listed forms to the Boyden Athletic Training room by August 1st 2011. Immunization forms can be found online here.

The NCAA decided that all Division I student-athletes must be tested for sickle cell trait, show proof of a prior test or sign a waiver releasing an institution from liability if they decline to be tested.

Due to a recent amendment to the NCAA drug testing policy, any new student-athlete who has been prescribed a stimulant medication for ADD or ADHD must submit a copy of his/her entire related medical history and ADD/ADHD workup, including the standard assessment done by counseling centers. Additionally, the student-athlete should submit a copy of the most recent prescription for the medication he/she is currently using. If the student-athlete has not had a formal assessment done, one will need to be done promptly in order for the student-athlete to be eligible to participate. Please click on the ADD/ADHD Medication Information link at the top of this page to find a copy of the NCAA guidelines for proper documentation of stimulant medication use.

Please submit all forms to:

Kathy Boyd MS ATC/LAT
UMass Athletics
131 Commonwealth Ave.
Amherst, MA 01003

Sincerely,

Jeff Smith MS, ATC/LAT
Associate Athletic Director for Sports Medicine

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