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Sat November 22, 2008
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UCI Sports Medicine Physical Examination and Athletic Screening Information

New and Transfer Student Athletes

  • Athlete & Parent Information and Insurance Form (Completed on line by parent)
  • Student Health Center Health History Form   (Printed online, return to UCI Sports Med)
  • Authorization for Release of Medical Information (3) (Printed online, return to UCI Sports Med)
       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  
  • Student Health Service Confidential Medical History   (Printed online, return to UCI Sports Med)
  • Physical Examination Record   (filled out by your MD) (Printed online, return to UCI Sports Med)
  • Student Health Center Immunization History Form   (filled out by your MD) (Printed online, return to UCI Sports Med)

    Returning Student Athletes

  • Athlete & Parent Information and Insurance Form (Completed online by parent)
  • UCI Sports Medicine Athletic Participation Health History Form   (Only if you did not fill this form out at the end of the school year) (Printed online, return to UCI Sports Med)

    All NEW student athletes (freshman and transfers) need to have a complete 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). The Physical Examination form is available for download.

    Prior to obtaining your physical, you should fill out your health history questionnaires and insurance information sheets. 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 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 $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, 2008. If you opt to have your physical done at Student Health, you must get a copy of your history and physical 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.

    All students are required to have a proof of immunization on file at Student Health Services as a part of their academic admission to UCI. We will photocopy the SHS Immunization / Physical Exam forms and submit it to Student Health Services for you. This exam is a "one time" exam (unless you leave UCI for more than two quarters) and will allow you to use SHS during your entire academic career at UCI.

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

    All NEW and RETURNING student athletes must 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). Clearances will be performed on specified dates from 8:00 am to 12:00 pm. Each sport will be assigned a date and time for their "Screen and Clearance" which corresponds to their Fall practice start date.

    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.

    ALL medical forms must be turned in to UCI Sports Medicine by AUGUST 1st 2008.

    If you have your physical done at UC Irvine Student Health Services you must obtain a copy of the SHS Health History and Physical Forms from Student Health Services and hand carry them to UC Irvine Sports Medicine at Crawford Hall..

    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 (see forms checklist) BY AUGUST 1ST to:

    UC Irvine Sports Medicine
    309 Crawford Hall
    Irvine, CA 92697-4500

    Physical Forms

  • Parent Information Form  

    Additional Information

  • Insurance Information Online Forms
  • Scheduled Screening and Clearance Dates
  • Insurance Information
  • Recommended Physicians