RETURNING STUDENT-ATHLETE

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1 RETURNING STUDENT-ATHLETE MEDICAL ELIGIBILITY TUTORIAL Los Angeles Valley College Sports Medicine

2 SportsWare Online Prior to participating on a team at LA Valley College, athletes must provide to the LA Valley College Athletic Department Sports Medicine Staff: Current Addresses Emergency Contacts Health Insurance Information Medical Alerts Medical History Information To expedite this process, LAVC uses an online data entry system

3 Go To Kendall Type in your PERSONAL that you used last year Select Reset Password

4 Follow the link sent to you in the within 24 hours

5 Your online access or is your full PERSONAL address that you used to join SportsWare Make sure to follow the specifications for creating a password Save and remember this information Click *SAVE*

6 Input your and Password LOGIN

7 Dashboard The Dashboard will tell you everything that you have left to do to complete the medical eligibility process You will have to go through and REVIEW and make any necessary changes to all four tabs My Info Medical History Forms Print Adding a photo is OPTIONAL but highly encouraged Head shots please Click MY INFO tab to start

8 Everything with a RED STAR (*) is REQUIRED & MANDATORY My Info - General ID is LACCD Student-ID Number SSN = Social Security Number Sport 1 is your first sport by season of competition If you play football (Fall), basketball (Winter), and baseball (Spring); Football = Sport 1 Basketball = Sport 2 Baseball = Sport 3 If you only play one sport, only fill out Sport 1 Click ADDRESS tab to go to the next section

9 Everything with a RED STAR (*) is REQUIRED & MANDATORY My Info Address Primary address is your IN-STATE California address Where you LIVE Secondary address only applies if you are from OUT-OF-STATE If you had to move to California to go to LAVC please fill out Click EMERGENCY tab to go to the next section

10 My Info Emergency Contacts This is the first info we look at if you ever need to go to the hospital Please make sure it is correct and accurate to the best of your ability Please make sure that it s someone that CARES about you and will pick up the phone Prefer parents and other family Helps if they are IN-STATE and LOCAL Click INSURANCE tab to go to the next section

11 My Info - Insurance This is the information we use to send you to doctors if you get injured Please make sure it is correct and accurate to the best of your ability You will need a FRONT and BACK copy of your health insurance card to complete this section Primary Insurance is what you most likely have through either your mom or dad s work Secondary Insurance only applies if you are double covered through both of your parents work Very rare

12 My Info - Insurance ALL THIS INFORMATION CAN BE FOUND ON YOUR INSURANCE CARD ADDRESS is generally found on the back of the card and is usually a PO Box PHONE NUMBER is generally found on the back of the card is usually a toll-free number POLICY HOLDER is who you have insurance from Usually one of your parents if their name is on the card Use their address, phone number, and birthdate If YOUR name is the only one on the card then YOU are the Policy Holder

13 My Info - Insurance MEMBER ID and POLICY # are generally the same Could also be listed as Medical Record Number TYPE refers to HMO, PPO, POS, Medi-Cal, Medicaid, Fee-For- Service and is generally found on your card If you have Medi-Cal you should have a State Benefit Card and a Managed Care Card If you are UNINSURED, then just put N/A under company

14 My Info - Insurance Company Policy Holder Member ID / Policy # / Medical Record Number Phone Number Insurance Type Address

15 My Info - Insurance This next part is VERY important if filling out the boxes was confusing We need FRONT and BACK copies of your insurance card attached to SportsWare Please take a picture with your phone of your card on a FLAT, WELL-LIT surface Do NOT hold it up, do not take a picture on your bed, or take a selfie with it See previous slide for example the pictures to YOURSELF

16 My Info - Insurance Save the pictures to your desktop Save FRONT with file name: YourLastNameFront Save BACK with file name: YourLastNameBack Click Choose File Select FRONT picture Click Add Click Choose File Select BACK picture Click Add Medi-Cal: Repeat on other side if you have a State Benefit Card AND a Managed Care Card Repeat on other side if you have SECONDARY insurance Click MEDICAL tab to go to the next section

17 My Info - Medical Click *SAVE* to go back to the dashboard ALERTS is anything that can kill you that we should about Asthma, Allergies (Food, Insects, Medications), Sickle Cell Trait, etc.. If NONE, select None from the drop down menu IMMUNIZATIONS are your vaccine records, which your parents most likely have Please fill out to the best of your ability Do NOT make up a date DRUGS TAKEN are any prescriptions that you take on a DAILY basis Type in the name and click INSERT If NONE, select None from the drop down menu and click INSERT

18 My Info Check Your Work If you missed anything with a RED STAR (*), you will see this page Please Go Back and fill out everything to the best of your ability If you are uninsured put N/A for related fields If you do not see this page, GOOD JOB! Click OK to go back to the dashboard

19 Medical History Click MED HISTORY tab to start

20 Medical History Scroll through the ENTIRE list answering each item with a Yes or No from the drop down menu Read each question carefully and answer to the best of your knowledge Do NOT answer with all No s. Some questions will require a Yes Explain any Yes or No answers in the comment box, as appropriate If you do NOT answer truthfully, we reserve the right to NOT cover an injury if you were not truthful in this section Orthopedic surgery = anything with your bones and/or muscles Non-orthopedic surgery = anything else Click *SAVE* to go back to the dashboard

21 Forms Click FORMS tab to start

22 Forms There are THREE forms to complete and download Do not do the form marked Minors ONLY if you re >18 Do NOT use your forms for previous years. Complete the forms that say NOT STARTED For each form, you will need to click Select and then Open For each form, you will need to click Select and then Open

23 Forms - Multiform This form covers multiple areas Medical Screening Policy Injury Reporting Procedure Medical Insurance Information Consent for Care Please read thoroughly Scroll through the entire document. Everything with a blue box needs to be typed in Do NOT click Save Do NOT click Download When all the information is filled out Click Save & Submit All signatures need to be PHYSICAL signatures

24 Forms Multiform After you click Save & Submit, you will need to E- Sign the document. Enter your First Name, Middle Initial, and Last Name Check the box Click Submit

25 Forms Medical Information Release/HIPAA This form covers multiple areas regarding releasing your medical information to certain parties Insurance Companies Coaches & Administrators Medical Staff Scouts Please read thoroughly Scroll through the entire document. Everything with a blue box needs to be typed in Do NOT click Save Do NOT click Download When all the information is filled out Click Save & Submit All signatures need to be PHYSICAL signatures

26 Forms Medical Information Release/HIPAA After you click Save & Submit, you will need to E-Sign the document. Enter your First Name, Middle Initial, and Last Name Check the box Click Submit

27 Forms Student Waiver This form covers multiple areas regarding releasing your medical information to certain parties Assumption of Risk Waiver of Liability Indemnification and Hold Harmless Please read thoroughly. There are TWO pages. Scroll through the entire document. Everything with a blue box needs to be typed in Do NOT click Save Do NOT click Download When all the information is filled out Click Save & Submit All signatures need to be PHYSICAL signatures Initial on the bottom of the second page

28 Forms Student Waiver After you click Save & Submit, you will need to E-Sign the document. Enter your First Name, Middle Initial, and Last Name Check the box Click Submit

29 Forms When you are done, all forms should say SIGNED in the Status box If it says STARTED in the Status box, then you did not click Save & Submit. Go back and click Save & Submit If it says NOT STARTED in the Status box, then you need to click Select on the form and then click Open to complete the form. If you are over the age of 18, then you leave the Consent for Care form untouched and as Not Started

30 Dashboard You can track your progress from the Dashboard If you are over the age of 18, it is OK for it to say You have 1 form(s) to complete/download If you are under 18, you should see nothing as long as you completed all the forms If you see no directives under Forms or Status, GOOD JOB!! Hover over PRINT tab

31 Print My Info Hover over Print and click My Info Click the printer icon to print

32 Print Medical History Hover over Print and click Med History Click the printer icon to print Review all your answers and physically SIGN page three On the ATHLETE line put your SIGNATURE On the NAME line PRINT your name

33 Print Forms You will need to print all your SIGNED forms from this CURRENT year 3 if you re >18 4 if you re < 18 For each form, you will need to click Select and then Open Each form will download as a PDF You will need to PHYSICALLY sign each form If you are a MINOR (less than 18 years old), then your parent/legal guardian also needs to sign the form

34 Finish Line FOURTH QUARTER You should have NINE total pages (TEN if you re a minor) My Info (2 pages) Medical History (3 pages) Multiform (1 page) Medical Information/HIPAA (1 page) Student Waiver (2 pages) Consent for Care Minors ONLY (1 page) Once you have PRINTED and SIGNED all your paperwork, please bring them to Dennis and Jon in the South Gym Athletic Training Center for review. If all your paperwork is in order, you will receive a form to get your REQUIRED physical

35 QUESTIONS?? If you are confused or have any questions whatsoever, please call or either of your friendly neighborhood athletic trainers Jon Sung or Dennis Mestas Jon Sung Dennis Mestas

36 That s It! Valley Pride!

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