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Medical Clearance for Athletics

2017-2018 Student-athletes please choose from the following:

Clearance information for incoming first year, transfer, and upperclass walk-on student-athletes:

This process is sometimes confusing. Please read through this information carefully and completely.  It is your responsibility to complete this paperwork correctly and on time. 

  • Required paperwork is due in full by July 1, 2017. Late submission may result in your inability to participate in team activities upon your arrival to campus, including team testing and practices. 
  • We are aware that many insurance plans allow for only one well-child visit per year which may fall after our specified deadline. We suggest your contact your insurance provider to ask whether they might waive this restriction for the purpose of a college entrance physical. 

The following three items are required:

1.) Complete the Athletic History & Physical Exam for NCAA Intercollegiate Teams & Rugby form:

Athletic History & Physical Exam found here (pdf).

The form must be filled out COMPLETELY.

  • If there are any unanswered questions, your forms will not be accepted.
  • The form must be signed by a physician (MD or DO) or a Nurse Practitioner. Forms completed by another health professional will not be accepted unless co-signed.
  • The physical must be completed on or after March 5, 2017.

2.) Satisfy the Sickle Cell Testing Requirements:

Per the NCAA, all student-athletes must do one of the following. 

  • Provide test results of prior Sickle Cell Trait testing to the Health Service, or
  • Get tested for Sickle Cell Trait and submit the test results to the Health Service (do not wait until you get to campus to get tested), or
  • Sign a waiver form declining to be tested or declining to submit proof of prior testing for Sickle Cell Trait (waiver included in Athletic History & Physical Exam packet)

We encourage all students to be tested for Sickle Cell Trait if they have not already been tested. Knowing your Sickle Cell Trait status is helpful information for you and the Sports Medicine staff. Read more about Sickle Cell Trait and why you may choose to be tested on the NCAA website.

3.) Provide documentation for use of any banned prescription medications including for ADD/ADHD (if applicable):

The NCAA has compiled a list of prescribed medications which are banned for use by NCAA athletes.

The NCAA recognizes that some banned substances are used for legitimate medical purposes. With appropriate documentation, exceptions may be granted for substances included in the following classes of banned drugs: stimulants, beta blockers, diuretics, anti-estrogens, beta-2 agonists, peptide hormones and anabolic agents.

  • Student-athletes taking prescription medications to treat ADD/ADHD will be particularly affected.
  • You must provide specific documentation of diagnosis and treatment to allow for medical exception (Medical Exception form included in Athletic History and Physical Exam packet).
  • A detailed explanation of what is required for medical exception in other banned classes can be found in the Athletic History & Physical Exam packet. 

Read more about drug testing on the NCAA website.

A positive drug test could keep you from participating in your sport for up to one year.

 

Additional information and contact information:

 

The mailing address is:
Dartmouth College Health Service
Attn: Medical Records - Athlete Record
7 Rope Ferry Road
Hanover, NH 03755


Alternatively, scanned forms can be emailed to: tracy.a.purcell@dartmouth.edu
Or, faxed to Attn: Medical Records - Athlete Record at: 603-646-9410.


All completed forms must be received by the Health Service prior to July 1, 2017. 

 

**Please note that this clearance status is different from the requirements for the NCAA Clearinghouse.  Visit the Dartmouth Athletic Department Compliance website for more information on the NCAA Clearance process. 

**This clearance is also separate from the Pre-Matriculation medical clearance required of the College Health Service (including such items as immunization records and proof of insurance).  The above clearance paperwork is ONLY valid for your clearance to participate in Varsity Athletics at Dartmouth College.   For more information on Pre-Matriculation requirements, visit the Dartmouth College Health Service.

Clearance information for returning upperclassmen:

All returning Dartmouth student-athletes must complete the Online Questionnaire in order to be eligible to participate in your chosen sport. This is required by NCAA regulations.  The following instructions are for RETURNING upperclass student-athletes.

Due by **August 1, 2017**  If the required components are not complete by August 1, 2017, your medical clearance for sports participation will be delayed. This may result in your inability to participate in team activities upon your arrival to campus, including team testing and practices.

The following two items are required:

1.) Complete our Online Medical History Questionnaire:

To access the 2017-2018 Medical History Questionnaire:

  1. Login to your Health Services Portal.
  2. Enter your birthday and proceed.
  3. On the left side of the screen select: "Forms"
  4. From the list of Forms select: "NCAA Sports Form- Returning Athletes (2017-18)"
  5. Complete the questionnaire, being sure to answer all required questions, and where appropriate provide as much detail as possible regarding previous injuries or illnesses.
  6. Once completed, click "Submit Final" at the bottom of the questionnaire.
  7. You will get a message that the questionnaire has been successfully completed.

2.) Provide documentation for use of any banned prescription medications including for ADD/ADHD (if applicable):

A detailed explanation of what is required is included on the Medical Exception Waiver (pdf).

  • Documentation of the use of these banned medications is required to be re-submitted annually as long as you continue to participate in NCAA athletics.
  • Student-athletes taking prescription medications to treat ADD/ADHD will be particularly affected.
  • You must provide specific documentation of diagnosis and treatment to allow for medical exception.
  • A detailed explanation of what is required for medical exception in other banned classes can be found on the Medical Exception Waiver.

Read more about drug testing on the NCAA website.

A positive drug test could keep you from participating in your sport for up to one year.

 

Please send any documentation to: 
     Attn: Tracy Purcell
     HB 6083 Alumni Hall
     Hanover, NH 03755
     Fax: 603/646-6455
     tracy.a.purcell@dartmouth.edu

Questions may be directed to:
     Jeff Frechette
     Head Athletic Trainer
     Dartmouth College
     Hanover, NH 03755
     jeff.frechette@dartmouth.edu

 

Last Updated: 5/24/17