You must submit the following by August 1. Follow the instructions in the pages below to complete, sign and submit the following forms.

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Marshall Heath
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1 Baker University Student-Athletes and Parents, Welcome from Baker University Sports Medicine. The athletic trainers at Baker University, along with medical doctors from OrthoKansas, LLC, consider all student-athletes members of our family and as such, we welcome you to the Baker family. We honor student-athletes by providing access to the best health care and will provide the care, evaluation, and rehabilitation when athletically related injuries occur. All required information (FORM A, B, C, D, E) must be completed thoroughly and submitted to the Sports Medicine Department before you are allowed to participate in any athletically related practices or competitions. When completed, fax, or mail FORM E to the attention of the Sports Medicine Department by August 1. In the event that all information is not received by this date, you will not be eligible to participate in practice and will be assessed a $20.00 late processing fee on your student account. Please call if you have any questions. You must submit the following by August 1. Follow the instructions in the pages below to complete, sign and submit the following forms. FORM A- Medical History o complete this form yearly via the student portal FORM B - Acceptance of Risk/Liability Waiver o read thoroughly, sign, date and submit this form yearly via the student portal FORM C - Insurance Questionnaire o This requests a legible copy of your health care insurance card be electronically uploaded to the NExTT PIC app via your iphone or other mobile device or manually uploaded to the student portal following the instructions below. Please complete in full and to the best of your knowledge. Please secure a card for your personal use. Providers require this upon admittance for services. FORM D - Concussion Waiver o This states that you have read and understand the concussion fact sheet. Your next step is to read the concussion waiver, sign, date and submit on your student portal FORM E - Physical Examination o Download and print this form via your student portal. This is completed yearly and must be administered and signed by one of the following: Doctor of Medicine (MD), Doctor of Osteopathy (DO), Physician Assistant (PA) or Nurse Practitioner (APRN). Physical examination signed by a health provider other than requested will not be accepted and a subsequent examination will be required. Return this completed, signed form before August 1 via fax, or mail. Thank you, Lynn Bott, MS, LAT, ATC Lynsey Payne, MS, LAT, ATC Austin Hills, MS, LAT, ATC Director of Sports Medicine Athletic Trainer Athletic Trainer Baseball, Football, Tennis Basketball, Golf, Soccer, Cheer/Dance Bowling, Cross Country, Track & Field, Volleyball, Wrestling lbott@bakeru.edu lpayne@bakeru.edu ahills@bakeru.edu (O) (O) (O) (C) (C) (C) (F) (F) (F) Baker University Sports Medicine, th Street, PO Box 65, Baldwin City, Kansas 66006

2 Returning students Select One I have been provided and KNOW my Vivature Username and Password. I DO NOT KNOW/REMEMBER my Vivature Username and Password. Incoming students I am a new student and do not have a Vivature account and/or I have been told to self-register. I am a new student but my Athletic Training staff has provided Vivature credentials to me. Please contact your Athletic Trainer with any questions or for assistance throughout this process.

3 Table of Contents I- Activate/Retrieve Credentials... 4 II- Register an account - step III- Portal Login... 9 IV- Your Portal Account V- Forms VI- My Fill-In Forms VII- Forgot Credentials... 15

I- Activate/Retrieve Credentials Please contact your Athletic Trainer with any questions or for

Go to https://blueocean.edh.com/welcomescreen.aspx. 2. Click New User Registration 3.

4 I- Activate/Retrieve Credentials Please contact your Athletic Trainer with any questions or for assistance throughout this process. Check out the Credentials Video for additional guidance. 1. Go to 2. Click New User Registration 3. Click Activate Credentials 4. Complete all required (*) fields a. Student ID b. Last Name c. First name d. Date of Birth e. Address (this must be the same address currently associated with your account Likely your school address or other valid address) 5. Type the code from the image 6. Click Get Login Credentials

7. IF (select a, b or c) a. If activation is successful, congratulations!

sent to your email on file. Proceed now to Portal Login. b.

All information entered must match information in your account.

5 7. IF (select a, b or c) a. If activation is successful, congratulations! Your new credentials to access the NExTT portal will be sent to your on file. Proceed now to Portal Login. b. If you are prompted that your information does not match our records, i. Click OK. All information entered must match information in your account. Try again with alternate information (ex: ) Do NOT register a new account if you are a returner! ii. Incoming students only, you might not have an account at all, navigate to the New User Registration tab and proceed to Register in this document. c. If you are prompted that you are already registered, that means you have already supplied answers to security questions. Proceed to Forgot Credentials.

Check out the Self Registration Video for additional guidance. 1. Go to https://blueocean.edh.

6 II- Register an account - step1 Please contact your Athletic Trainer with any questions or for assistance throughout this process. Check out the Self Registration Video for additional guidance. 1. Go to 2. Click New User Registration 3. SCHOOL CODE: BKUADS Enter your school code. 4. Type the code from the image 5. Click Continue Type: BKUADS

7 Register - Step 2 1. Complete all required fields School ID # (If you haven t yet been issued an ID use your phone number- no dashes) First Name Last Name Date of birth Your school or valid address ( ID) Click Continue. If you are prompted that You are already registered, Click OK and proceed now to Activate Credentials. School ID # Your School or valid Address

Address State Address Zip Mobile Phone 3.

8 Register Step 3 1. Complete the remaining 10 required fields and any others you d like to complete. 2. Click Save. SS# Gender Marital Status Primary Sport Class - please choose athletic year (FRESHMAN 5 th YEAR SENIOR) Local Address Street Address City Address State Address Zip Mobile Phone 3. Once your registration is approved by the athletic department you will receive an from no_reply@orchr.com with your login credentials. NOTE: Your forms may not be available until tomorrow morning. Contact the Athletic Training staff if you need forms immediately.

III- Portal Login Login here using credentials provided/emailed to

9 III- Portal Login Login here using credentials provided/ ed to you. If prompted, reset your password Login here with your new password.

IV- Your Portal Account 1. Check that your demographic information is correct. Update Email Address, Phone Number(s), Birthdate and/or Address via the Demographic Changes menu option. 2.

10 IV- Your Portal Account 1. Check that your demographic information is correct. Update Address, Phone Number(s), Birthdate and/or Address via the Demographic Changes menu option. 2. Complete/Update/Confirm Insurance Information using NExTT PIC app (Watch Video) 3. Complete/Update/Confirm Parent/Guardian Information (Watch Video) 4. Complete/Update/Confirm Emergency Contact Information (Watch Video) 5. Answer your Security Questions in case you forget your ID/Password. 6. Click the Forms link to access and complete your required forms a. FORM A - Medical History (annual) b. FORM B - Acceptance of Risk/Liability Waiver (annual) c. FORM C - Insurance Questionnaire (annual) d. FORM D - Concussion Waiver (annual) 7. Download and print any listed/required Fill-In Form. (Provide completed/signed copies, from a physician - see submission methods page 1). a. FORM E - Physical Examination(must be signed by physician) b. Concussion Fact Sheet Read thoroughly before completing FORM D c. Injury Procedure Read thoroughly

Click the plus sign to add information to each of the Insurance, Parents/Guardians and Contacts tabs. Complete all fields marked with a red asterisk ( * ) and Save.

Complete all fields marked with a red asterisk ( * ). 3. Use the 2 Add Image links at the bottom to load images of the insurance card. No PDFs please! 4. Save. 5.

Information for least one (1) parent/guardian must be entered. 2. Complete all fields marked with a red asterisk ( * ). 3. Include at least one (1) valid phone number for each parent/guardian. 4.

11 Click the plus sign to add information to each of the Insurance, Parents/Guardians and Contacts tabs. Complete all fields marked with a red asterisk ( * ) and Save. Insurance Tab Watch Video - try the new NEXTT PIC App to upload your insurance card. 1. Click the plus sign to add insurance information for each insurance policy. 2. Complete all fields marked with a red asterisk ( * ). 3. Use the 2 Add Image links at the bottom to load images of the insurance card. No PDFs please! 4. Save. 5. REPEAT steps 1-4 for EACH Insurance card. a. Primary b. Secondary c. and Prescription Parent/Guardian Tab Watch Video 1. Click the plus sign to add information for each parent/guardian. Information for least one (1) parent/guardian must be entered. 2. Complete all fields marked with a red asterisk ( * ). 3. Include at least one (1) valid phone number for each parent/guardian. 4. Save. 5. REPEAT steps 1-4 for EACH parent/guardian. Contacts Watch Video 1. Click the plus sign to add information for each emergency contact. Information for least two (2) emergency contacts must be entered. 2. Complete all fields marked with a red asterisk ( * ). 3. Include at least one (1) valid phone number for each contact. 4. Save. 5. REPEAT steps 1-4 for EACH emergency contact.

V- Forms Click on one of the Forms links to access and complete the following forms in your pending list. a. FORM A - Medical History (annual) b.

FORM C - Insurance Questionnaire (annual) be SURE to upload insurance via NEXTT PIC d.

You need to complete all forms in your Pending List before the End Date. Complete all fields.

12 V- Forms Click on one of the Forms links to access and complete the following forms in your pending list. a. FORM A - Medical History (annual) b. FORM B - Acceptance of Risk/Liability Waiver (annual) c. FORM C - Insurance Questionnaire (annual) be SURE to upload insurance via NEXTT PIC d. FORM D - Concussion Waiver (annual) Click on a form title from your Pending List. You need to complete all forms in your Pending List before the End Date. Complete all fields. Fields marked with a red asterisk ( * ) are required. NOTE: If under the age of 18, your parent should be present and aware when signing forms that ask for a parent signature. Scroll to the bottom and Save partially completed forms for completion later.

Submit when complete. You cannot update the form after you click Submit.

13 Successfully saved, partially complete forms reflect in your Pending List as Incomplete. Incomplete status also reflects forms with outstanding required answers. Submit when complete. You cannot update the form after you click Submit. Completed, submitted forms appear in your Completed List. Click the Description title to review your responses.

Concussion Fact Sheet Read thoroughly before completing FORM D c.

14 VI- My Fill-In Forms Download and print, complete and return per individual form instructions to the Athletic Training Room. a. FORM E - Physical Examination(must be signed by physician) Read Thoroughly b. Concussion Fact Sheet Read thoroughly before completing FORM D c. Injury Procedure Read thoroughly Click the form title to download the PDF. Print the PDF, complete, sign and return to the Athletic Training staff.

VII- Forgot Credentials This feature only works on accounts with answered security questions.

Both options require answering your security question.

Forgot Password allows you to reset your password a.

15 VII- Forgot Credentials This feature only works on accounts with answered security questions. Watch Video Open the applicable tab. Complete all required fields. Both options require answering your security question. Your credentials will be ed to the address on record. 1. Forgot Password allows you to reset your password a. Enter User ID (If you don t remember your ID move to step 2) b. Type the CAPTCHA Click Continue c. Answer your security question d. Enter your preferred password, confirm it and click Change Password. e. Login with your new password.

2. Forgot User ID Have your ID and password emailed

16 2. Forgot User ID Have your ID and password ed to you. a. Enter last & First name, Date of birth and the address on file. b. Type the CAPTCHA Click Continue c. Answer your security question d. Click Continue. Your User ID and Password are sent to your ID. Proceed to portal login instructions.

Do NOT navigate this document by scrolling page by page. Navigate these instructions by clicking the hyperlinks.

1 v.5-10-17 Click ONE of the four boxes below. Do NOT navigate this document by scrolling page by page. Navigate these instructions by clicking the hyperlinks. Incoming students I am a new student and