Returning Student-Athlete Medical Eligibility Checklist
I am looking forward to your continued participation as a Student-Athlete at Santiago Canyon College and wish you great success in your academic and athletic pursuits. As a student-athlete you will have access to SCC’s Team Physician and Certified Athletic Trainer, whom are available to you in order to help care for any injuries or illness you may sustain while participating in intercollegiate athletics at Santiago Canyon College.
In accordance with the California Community College Athletic Association (CCCAA), I require that the following medical documentation be complete and submitted to SportsWare by Tuesday,
Santiago Canyon College-Athletic Training
All the information that you need is located on the Santiago Canyon College Athletics website under the Athletic Training Tab and the documents can be accessed and submitted through www.SWOL123.net.
Late completion of these required documents will delay your ability to participate in
ANY team activities. Please complete the following checklist and
submit ALL documents to the above web-address.
_____Santiago Canyon College Returning Student Athlete Packet: You, as the student-athlete, are responsible to complete the paperwork either by filling out on-line. You must sign the appropriate pages where indicated and complete all required documents. The
Returning Student-Athlete Packet includes:
p Assumption of Risk (pg. 1) p HIPPA Release (pg. 2) p Approval/Consent to Treat (pg. 3)
p Health History Form (pg. 4-5) p Insurance Reporting (pg. 6-9)
Picture of the front and back of the Primary Insurance Card for the policy under which, you, the student-athlete is covered. If you, the student-athlete are covered by more than one policy, please include copies of cards for all policies. Upload the Picture to SportsWare.
Complete and Submit the Concussion and Injury Acknowledgment on Sportsware"
_____ Complete a
Pre-Participation Physical Examination (PPE) using the form located in the
Returning Student-Athlete Packet titled PPE evaluation Form (pg. 6). A new physical is required each academic year. A
Medical Physician (MD/DO) or a
Physician Assistant (PA-C) working under a physician
must SIGN and provide an office
STAMP on the provided form from his/her establishment.
_____ If you have had
surgery or have been under the care of a physician for an injury or illness within the past 12 months, you must provide:
§ A note clearing you for unrestricted participation in the intercollegiate sport you are intending to play, or a note describing your current activity restrictions
§ Physician notes, including post-op reports, imaging reports, and any precautions or restrictions related to the treated condition
Santiago Canyon College aims to provide student-athletes with the best possible medical care. If you have any questions regarding any of these forms or policies, please do not hesitate to contact me at (714) 628-4704 or email me at
Kelsey Bains, MA, ATC
Forms to be completed by Student-Athlete found on SportsWare:
Returning Student-Athlete Forms
Injury and Concussion Acknowledgement