Dear Student-Athletes and Parents,
As we rapidly approach the upcoming athletics season, the Sports Medicine Department at Fairmont State University would like to inform everyone of the athletic medical information submission process for 2024-25. Fairmont State uses SportsWare OnLine (SWOL) to collect and store ALL REQUIRED MEDICAL INFORMATION.
All Student-Athletes are required to submit these forms, as mandated by the NCAA. The Health Insurance Portability and Accountability Act (HIPAA) requires all athletes to complete, update and sign the entire list of forms on SportsWare OnLine Website yearly. Athletes must complete all forms before being allowed to participate in any team activity.
PLEASE!!! Make sure that you use Google Chrome as the server when downloading information. SWOL works best with Google Chrome. If you do not have Google Chrome, you can download it to your computer free of charge.
Be aware that you are downloading data; this will take time and if the data is downloaded incorrectly, the computer MAY kick you out of the program. Therefore, it is our recommendation that you take your time and save each page as you complete it (several of the forms have multiple pages). This will keep you from having to re-do the entire process if you are kicked out of the program.
Please visit the following link to complete all required athletic training paperwork: SportsWare OnLine
School ID: FigthingFalcons (case sensitive)
SportsWare OnLine Instructions
ALL INFORMATION IS DUE BY JULY 19th OF EACH YEAR; THIS WILL ALLOW TIME FOR REVIEW AND FOLLOW-UP BY THE MEDICAL STAFF PRIOR TO COMING TO CAMPUS.Required forms are as follows:
1. Acknowledgment of Risk Form - This is a HIPPA Form and must be signed / resigned on a yearly basis by ALL STUDENT ATHLETES.
2. Physical Form - Print PDF here (All athletes are required to provide their own physical, please use the attached form)* - PLEASE!!! Use the attached Physical Form (print it and take it to the Physician of your choice). Once you have the physical form completed and signed by the Physician, mail it to me using the address listed below. I will review and download it to your file.
3. Insurance Protocol Form - Print PDF here* - PLEASE!!! Be aware that Fairmont State University DOES NOT provide insurance of any type. ALL STUDENT ATHLETES must provide proof of insurance and you must have current insurance information on file in SWOL before you are allowed to participate in ANY ATHLETICS ACTIVITY. In addition to completing the required insurance information on SWOL; print the attached forms and send a copy of the front and back of your insurance card to me when you send your physical to the address listed below … I will download it to your file… THIS SHOULD BE UPDATED ON A YEARLY BASIS, IF NECESSARY.
4. Medical Information/HIPAA Release Form - This is a HIPPA Form and must be signed / resigned on a yearly basis by ALL STUDENT ATHLETES.
5. Medical History Questionnaire Form - This is a HIPPA Form and must be signed / resigned on a yearly basis by ALL STUDENT ATHLETES.
6. Sickle Cell Testing Information Form (All athletes are REQUIRED to provide one-time proof of receiving a sickle cell test and provide the results of the test)* - This is a HIPPA Form and must be signed / resigned on a yearly basis by ALL STUDENT ATHLETES … However, it is not necessary to get a Sickle Cell Test on a yearly basis. (Be aware that this does involve a blood draw and should be done in conjunction with your physical). Please send the results to me with the other required items to the address listed below.
7. Concussion information and education - This is required by the NCAA and Fairmont State University and must be completed on a yearly basis.
8. Sickle Cell Testing and education - This is required by the NCAA and Fairmont State University and must be completed on a yearly basis.
9. Athletic Training Room Rules and Regulations - This is required by Fairmont State University Athletics and the Fairmont State University Athletic Training Department and must be completed on a yearly basis.
* See form for additional information. Results need to be uploaded as eFiles on the website. This action will be done by Fairmont State University’s Medical Staff as they are completed and sent to the address listed below.
International Student Insurance Information:
As previously stated, Fairmont State University and the Fairmont State Athletics Department require that ALL STUDENT ATHLETES show proof of Primary Health Insurance that includes coverage for athletic injuries. In an effort to assist in this process, listed below are three insurance companies that meet those requirements. This is by no means an endorsement of any insurance company. It is simply a starting point for individuals that do not have Primary Health Insurance coverage and are looking for options in seeking coverage.
1) Student Secure
https://www.internationalstudentinsurance.com/student-health-insurance/?gad=1
US: 1-877-758-4391
Thanks,
Michael Nyquist, MA, LAT, ATC
Associate Athletic Director of Sports Medicine
Head Athletic Trainer
Athletics Healthcare Administrator
Fairmont State University
1201 Locust Ave
Fairmont, WV 26554
(O) 304-367-4273
(F) 304-333-3597
michael.nyquist@fairmontstate.edu
