We are pleased that your son/daughter will be a member of the intercollegiate athletic program at Southeastern Oklahoma State University during the upcoming academic year. The University strives to provide an environment in which all students may develop academically, socially, and athletically.

Enclosed, you will find information relating to the medical policies of Southeastern Oklahoma State University. It is important that the attached forms be read and filled out in entirety. Any student-athlete who does not have the required paperwork completed will be held from participation until it is received by the SE Athletic Training Department. Please fill out all forms completely, this includes policy #’s and addresses for insurance coverage. All parental signatures must be signed if the student-athlete is a minor. Also, it is required that you enclose a copy of the front and back of your insurance card. IF any parts of the forms do not apply to you, please put a “N/A” in the space provided.

Southeastern Oklahoma State University strongly recommends that you receive your physical from team physicians at the time of the compliance and physical meetings. Cost for this physical will be $10.00 and is the financial responsibility of the student-athlete. Physicals will be conducted in Bloomer Sullivan Arena on designated dates corresponding with compliance meetings. Insurance packets will be required to be turned in at the time of the compliance/physical meetings.

A drug testing policy has been adopted at SE that is in accordance with the NCAA. A copy of this policy will be given to each student-athlete upon arrival and it will be explained in full detail at the initial team meeting of each sport. This policy must be signed and dated by the student-athlete (also the parent/guardian if a minor) before the individual is allowed to participate.

It is also suggested that any student-athlete who requires the use of inhalers, contact, lenses, or any other type of medical prescriptions to participate in athletics bring an extra one to give to the Head Athletic Trainer in case of emergencies.

Should you have any questions concerning Southeastern Oklahoma State University’s insurance, medical, or drug testing policies, feel free to contact the Athletic Training department at 580-745-2026. General Information
The Athletic Training Department provides care, prevention, management, and rehabilitation of injuries commonly occurring in intercollegiate athletics. The Head Athletic Trainer, Assistant Athletic Trainer, and Graduate Assistant Athletic Trainers also provide instruction and guidance to student athletic trainers who assist with the health care needs of the student-athletes in their respective sports.

Pre-Participation Physical Examinations
Prior to any participation in conditioning, practice, or competition, student-athletes must complete a medical history and pre-participation physical examination which will be arranged by the Athletic Training Department. Student-Athletes are not permitted to participate in any capacity without prior approval from the Athletic Training Department.
The Athletic Training Department will schedule physical exams with head coaches prior to the beginning of the school year for all student-athletes. All forms contained in this packet as well as the physical examination must be completed and submitted to the University before the student-athlete will be permitted to participate in any capacity.
Any student-athlete that is added to any team during the school year must first complete the consent and insurance form packet, complete the medical history form and undergo a physical exam through the Athletic Training Department before the student-athlete will be permitted to participate in any capacity.

Medical Waivers for Tryouts
All individuals who wish to participate in athletic tryouts must read, agree to and sign an Assumption of Risk Form and a Sickle Cell Form prior to the tryout, but will not be required to undergo a physical examination prior to the tryout. SE coaches supervising the tryout will be available to answer questions related to the Assumption of Risk form. The coach supervising the tryout will be responsible for ensuring the process is completed before the individual engages in the tryout.

Coordination of Care for Injured or Ill Student-Athletes
Coaches will instruct student-athletes to report to the main Athletic Training room as soon as they are advised of a student-athlete’s injury or illness. At the Training room (upon arrival at the Athletic Training room), a certified athletic trainer will evaluate the student-athlete’s condition and will refer the student-athlete to the necessary physicians, where appropriate.

Coaches shall neither require nor permit an injured or ill student-athlete to participate without approval of the certified athletic trainer. Injured athletes are required to report for rehabilitation and treatment as instructed by the athletic trainers. Injury and medical condition and participation status reports will be provided to the coaches by the athletic trainers.
Policies and Procedures for Referral for Medical Care and for Payment of Medical Expenses
Members of the Southeastern Oklahoma State University intercollegiate athletics teams may be covered for athletic injuries by the University’s insurance policy under the following conditions:

1. The student-athlete must be an official member of a SE intercollegiate athletic team.

2. The injury must have occurred while the student-athlete was engaging in athletic department supervised conditioning, practice or contests.

3. The student-athlete must have a written physician referral from the Athletic Training Department. SE has fostered positive relationships with medical providers in the Texoma area who have consistently provided high quality service to SE student-athletes. Members of the SE Athletic Training Department will refer student-athletes to these providers, unless extenuating circumstances necessitate a different provider. All student-athletes must be seen and evaluated by a certified athletic trainer before a referral to an approved physician will be made, except in cases of medical emergency. In such cases, student-athletes are required to notify the Athletic Training Department of their injury as soon as practical. Appropriate referrals are required for diagnostic testing and follow-up care.

4. The medical care must be rendered the referral physician or designee.

5. The student-athlete must submit a claim for the medical attention to his or her personal insurance for primary coverage.

If these conditions are met, the University will submit a claim for the balance remaining to its insurance carrier for secondary coverage after explanation of benefit (EOB’s) and secondary statements are received by the Athletic Training Department. It is the student-athlete’s responsibility to obtain all necessary claims and EOB’s. The SE Athletic Training Department will assist the student-athlete with this process. The University will submit a claim for primary coverage for those student-athletes who do not have personal health insurance who otherwise meet these conditions. All policy provisions, coverage, and exclusions are listed in the master insurance policy. A copy of the master insurance policy is available through the Athletic Training Department.

Medical expenses recorded after the student-athlete has been released by the attending physician are not the responsibility of the Southeastern Oklahoma State University.

Claims for second opinions may be submitted for secondary coverage to the Southeastern Oklahoma State University insurance carrier as long as the Athletic Training Department provided a referral for the second opinion. Second opinions obtained from physicians not referred by the Athletic Training Department will not be submitted to the University’s insurance carrier and are not the responsibility of the University.

NCAA Insurance
In addition to the above, the NCAA provides catastrophic insurance at the time of this writing that plan provided coverage for medical expenses exceeding $75,000. Please see the SE Head Athletic Trainer or contact the NCAA at www.ncaa.org for further information about this coverage.

Policies