UC Irvine Sports Medicine
Physical Examination and Athletic Screening Information

All NEW student athletes (freshman and transfers) need to have a completed Physical Examination on file with UCI Sports Medicine prior to obtaining clearance for participation. All Physicals must be current (within 90 days of the start of the academic term). Your Entrance Physical may be obtained one of two ways:

• You may have your personal physician; HMO, etc. perform the physical on the form provided (see below) and send the completed information to UCI Sports Medicine at the address provided below.
• You may schedule a physical at Student Health Services (SHS) at (949) 824-5304. The physical will cost approximately $90 and will require two days to complete in order to check TB test results and follow-up on any lab work. This will need to be scheduled prior to August 1st. If you opt to have your physical done at Student Health, you must get a copy of your history and physical form from Student Health and bring it to the Sports Medicine Center.

PLEASE Schedule your physical examination TODAY to insure your completion of the physical on time so that you will have no delays with your start date. This exam is only required the first year of participation in athletics.

All students are required to have a proof of Immunization form on file at Student Health Services as a part of their academic admission to UCI. We will photocopy the SHS Immunization form and submit it to Student Health Services for you.

NOTE: Student-Athletes are responsible for all costs associated with the Entrance Physical Exam!

All NEW and RETURNING student athletes must also undergo an Athletic Medical Screen and Clearance. This is an annual process, which is in compliance with the NCAA Sports Medicine guidelines. The "Screen and Clearance" will be performed by the UCI Intercollegiate Athletics Team Physicians and will take place at the Gottschalk Medical Plaza located on campus (at Academy Way and Medical Plaza Drive). Each sport will be assigned a date and time for their "Screen and Clearance" which corresponds to their Fall practice start date. Prior to obtaining your Athletic Medical Screen and Clearance, you MUST HAVE ALL PAPERWORK TURNED IN!! Medical clearance to participate will not be scheduled with our Team Physician if paperwork is incomplete.

If you have a complex medical history or if you have had a recent orthopedic problem, you must bring in a copy of medical records documenting any prior athletic injury for our physicians to review before you will be cleared to participate.

New and Transfer Student Athletes Forms: (Print Out & Return to Sports Medicine)

• Athlete & Parent Emergency Contact Information and Insurance Form
• Attach a Copy of Athlete's current Insurance Card (front & back)
• Authorization of Medical Information Forms (4)
1. Authorization of Release of Medical Information to Media
2. Authorization of Release of Medical Information to UCI Athletics Staff
3. Authorization of Release of Medical Information to UCI Student Health Services
4. Authorization for Medical Treatment of a Minor (less than 18 years of age at enrollment)
• Physical Examination Record (filled out by your MD)
• Athletic Participation Health History Form
• Student Health Center Immunization History Form (filled out by your MD)
• NCAA Required ADHD Documentation Requirements for Participation In Sports

Returning Student Athletes Forms: (Print Out & Return to Sport Medicine)

• Athlete & Parent Information and Insurance Form
• Copy of Athlete's Current Insurance Card (front & back)
• UCI Sports Medicine Athletic Participation Health History Form
• NCAA Required ADHD Documentation Requirements for Participation In Sports

If you have any questions regarding this information, please call UC Irvine Sports Medicine at (949) 824-2876 OR (949) 824-7633.

All student athletes should turn in their paperwork BY AUGUST 1ST to:

UC Irvine Sports Medicine
Re: Student-Athlete Clearance Forms
209 Crawford Hall
Irvine, CA 92697-4500

FAX : (949) 824-1091 (please include Athlete's Name & Sport on Cover Sheet)

Additional Information

• Scheduled Screening and Clearance Dates
• Insurance Information
• Recommended Physicians
• NCAA Banned Drugs and Medical Exceptions for ADHD
• NCAA Banned Substances List
• Resource Exchange Center