University of Delaware Athletics
Forms for New Student-Athletes
REQUIRED FORMS FOR PRE-PARTICIPATION PHYSICAL AT UD SPORTS MEDICINE
· UD Sports Medicine Pre-Participation Questionnaire
· Sickle Cell Information and Consent Form
· Supplement Notification Form
· NCAA Concussion Education Fact Sheet to be Reviewed
PERMISSION TO RELEASE MEDICAL RECORDS
· Authorization for Release of Protected Health Information TO UD Student Health Services
· Authorization for Release of Protected Health Information FROM UD Student Health Services
REQUIRED FORMS FOR ADD/ADHD NCAA COMPLIANCE
To be completed by physician who has diagnosed and prescribed medications for treatment of ADD/ADHD:
· ADD/ADHD NCAA Compliance Form (to be completed when student-athlete first reports taking medication for ADD/ADHD)
· ADD/ADHD NCAA Annual Compliance Form (to be completed at the beginning of each academic year)
To be completed by student-athlete:
· Authorization for Release of Protected Health Information ADD/ADHD NCAA
NCAA BANNED MEDICATIONS
· Spironolactone
· UD Sports Medicine Pre-Participation Questionnaire
· Sickle Cell Information and Consent Form
· Supplement Notification Form
· NCAA Concussion Education Fact Sheet to be Reviewed
PERMISSION TO RELEASE MEDICAL RECORDS
· Authorization for Release of Protected Health Information TO UD Student Health Services
· Authorization for Release of Protected Health Information FROM UD Student Health Services
REQUIRED FORMS FOR ADD/ADHD NCAA COMPLIANCE
To be completed by physician who has diagnosed and prescribed medications for treatment of ADD/ADHD:
· ADD/ADHD NCAA Compliance Form (to be completed when student-athlete first reports taking medication for ADD/ADHD)
· ADD/ADHD NCAA Annual Compliance Form (to be completed at the beginning of each academic year)
To be completed by student-athlete:
· Authorization for Release of Protected Health Information ADD/ADHD NCAA
NCAA BANNED MEDICATIONS
· Spironolactone
