Medical Screening

Your medical paperwork must be completed by August 1st no matter what sport you are participating in. If your medical paperwork is incomplete, you will not be allowed to start practice.

Medical Screening

New Athletes

Credentials

Athletics ID new
Password new
Database atswillamette

Get Started

  • Fill out the athlete information page. Make sure to fill in all the yellow fields as well as your sport and picture.
  • Your Athlete ID needs to be your Willamette University student ID number.
  • After saving this page you will see multiple tabs show up across the top – you will need to complete information under each tab (entire process could take up to 2 hours).

Medical History

  • Please list any surgeries you’ve had in the past.

Insurance

  • Add current insurance information
  • Do this by clicking the +Add button and filling in all the yellow fields.
  • If your insurance company is not listed in the pull down menu. Please click the “add new insurance company” button to add it.
  • The Payor # would be one for your primary insurance and 2 if you have a secondary.
  • Once complete click on the check mark at the bottom to save.

Contacts

  • Please provide your emergency contact information.
  • Do this by clicking the +Add button and filling in all the yellow fields and saving the form.

Athlete Forms

  • There are 5 form you must fill out under this tab:
    • Assumption of Risk
    • New Athlete Health History
    • Sickle Cell Trait
    • Statement of Insurance
    • Student-Athlete Authorization/Consent for Disclosure of Protected Health Information
  • Choose the form you want to fill out from the drop down menu and then click New. A list of questions or statements will appear below. Please fill out, sign the form and SAVE each form.
  • New Athlete Health History Form – There are 7 pages to this form that must be filled out before you will be allowed to save.  You will need to print this form off after you have completed it for your physician to review during your physical.

eFiles

  • ImPact Directions – Must be completed if you have had a previous concussion, or will be playing Football, Soccer, Basketball, Baseball, Softball or Pole Vault.
  • Pre-Participation Physical Exam – You will need to take this form with you for your physician to complete during your physical exam (No substitute forms may be used). Your physical must be completed after April 1, 2014. You will also need to have your Health History available for your physician to review during your physical.
  • Return to Athletics Release – Please have the treating physician complete this form if you have:
    • A heart murmur or other cardiac abnormality currently or in your medical history
    • Absence of a paired organ.
    • Been diagnosed with any disease or disorder
    • Had a major illness within the last 12 months
    • Had a physical injury requiring ongoing medical attention or rehabilitation in the last 24 months.
    • Had a surgery in the past 24 months. 

Returning Athletes

Credentials

Athletics ID your student ID number   
Password bearcats
Database atswillamette

Get Started

  • You will see 6 tabs across the top of the page and will need to complete information under each tab.  See directions for each tab below.
  • Confirm all the yellow fields are complete as well as add your picture.
  • Please remember to change your password.
  • Make sure to save and verify your information.

Medical History

  • Please list any surgeries you’ve had in the past.

Insurance

  • Add current insurance information
  • Do this by clicking the +Add button and filling in all the yellow fields.
  • If your insurance company is not listed in the pull down menu. Please click the “add new insurance company” button to add it.
  • The Payor # would be one for your primary insurance and 2 if you have a secondary.
  • Once complete click on the check mark at the bottom to save.

Contacts

  • Please provide your emergency contact information.
  • Do this by clicking the +Add button and filling in all the yellow fields and saving the form.

Athlete Forms

  • There are 4 forms you must fill out under this tab
    • Assumption of Risk
    • Returning Athlete Health Update
    • Statement of Insurance, and Student-Athlete Authorization/Consent for Disclosure of Protected Health Information
  • Choose the form you want to fill out from the drop down menu and then click New. A list of questions or statements will appear below. Please fill out, sign and SAVE each form.
  • Returning Athlete Health Update Form – Please remember to only include injuries and illness that have occurred since this time last year.

eFiles

  • Return to Athletics Release – Please have the treating physician (if that is one of our team physicians or Bishop Wellness center we can assist in getting the form signed) complete this form if any of the below have occurred in the last year:
    • Been diagnosed with a  heart murmur or other cardiac abnormality
    • Absence of a paired organ.
    • Been diagnosed with any disease or disorder
    • Had a major illness within the last 12 months
    • Had a physical injury requiring ongoing medical attention or rehabilitation in the last 12 months.
    • Had a surgery in the past 12 months.