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Cortland Red Dragons

SUNY Cortland Athletics

NEW STUDENT-ATHLETE MEDICAL CLEARANCE


*If you are under the age of 18, a parent/guardian signature is required on several forms.  Please complete the online forms as instructed, but contact Head Athletic Trainer, Harry Campbell (harry.campbell@cortland.edu) to receive hard copied of the forms for parent/guardian to sign.
 
1) Pre-Participation Physical Evaluation Form - This form must be completed by your Primary Care Physician within six months from the start of the season.
 
2) Sickle Cell Trait Lab Test Results - contact your pediatrician or birth hospital medical records department to obtain a copy of the test results.
 
    *Please mail or fax PPE Form & Sickle Cell Lab Results to Student Health Services:
 
    Student Health Services
    SUNY Cortland
    Van Hoesen Hall, Room B-26
    Cortland, NY 13045
    Fax: 607-753-2486
 
3) Immunization & Health History Forms - accessible on myRedDragon - Student Health Services Web Portal (bottom right side of the page under Student Health Services)
 
    *Please fax immunization records to Student Health Services (607-753-2486). Health history forms are submitted electronically.
 
4) Athletic Training Forms - accessible on myRedDragon - Student Health Services Web Portal (bottom right side of the page under Student Health Services) - on the left hand side, click on “forms” - complete all required forms listed
 
    *NOTE: if any information is missing, the system will not let you submit the form until complete
 
5) Insurance Card - bring a copy (front and back) of current insurance card(s) to the NCAA compliance meeting.
 
6) ADD/ADHD Medical Exception Form - to be completed by prescribing physician and include supporting documentation outlined in letter.
 
    *NOTE: this form is only required if applicable