Athletic Training Requirements for Student-Athletes

Dear Parents and Athlete:

This letter is in regards to the physical and medical history forms need to be completed to fully participate in Storm athletics. To ensure that you are able to begin practice at the start of the season we ask that you please read and return the insurance packet, physical and medical history forms directly to our head athletic trainer Jason Uhlenhake. 

If the forms are sent unmarked or to somewhere else, we cannot guarantee receipt.  Please note that both the athlete and a parent must sign ALL forms before returning. This not only makes it easier for the Athletic Training Department, but it allows you to begin practice the first day. 

We have also experienced some problems when an athlete’s parents’ insurance coverage or an individual’s insurance coverage has changed or expired during the school year.  Therefore, please notify the Simpson College Athletic Training Department at 515-961-1873) immediately if this occurs, so we may record the current plan information before an injury occurs.

Simpson College’s cost for this coverage is experience rated and we want to be able to keep this cost as reasonable as possible so we can continue to provide this valuable coverage for our intercollegiate student-athletes.

Thank you for your cooperation.

Sincerely,
Jason Uhlenhake MS LAT ATC
Simpson Athletics
701 N C St.
Indianola, IA  50125
515-961-1873

Checklist for incoming freshman/returning athletes:

___ Medical History/Physical completed within six months prior to September. First-year students can turn into either Athletic Training or Health Services prior to Aug 1. Returners directly to Athletic Training.

___ Completed secondary insurance form sent to Athletic Training. Form located below.

___ Copy front and back of student’s primary insurance card sent to Athletic Training.

___ Log into ATS and enter information. Directions are located below under the ATS section. 

___ If you have been diagnosed with ADHD or ADD, please see information located below.

- All forms are .pdf format

Physical and Medical History for Returning Athletes
Insurance Form
Insurance Claim Information Sheet
Physician Referral Form
NCAA Skin Conditions Form

Information Regarding ADHD
Letter
Form

Information Regarding Sickle Cell
Informational Letter
NATA Consensus Statement: Sickle Cell Trait and the Athlete
ACSM Current Comment: Sickle Cell Trait 

ATS Information
New Athletes
Returning Athletes