Athletic Training & Sports Medicine Center

*Athletic Training & Sports Medicine Center Forms*
Athletic Department Telephone Listing		Athletic Training Telephone/Address Listing
*Schedules, Assignments, Lists, etc.*

Athletic Training Student Clinical Rotations
Spring 13 Sport Assignments		Spring 13 Freshman Sport Rotations
Spring 13 Physicians Clinic Rotations		Spring 13 Saturday Morning Rotations
Spring 13 MHS & WLHS Rotations		High School Rotation Mileage Log
Graduate Assistant Rotations
GA Physician's Clinic Rotation		GA Saturday Morning Clinic
Medical History/Physical Exam/Release/Insurance Forms
Preparticipation Physical Examination/Medical History for New Athletes PhysicalsNew07-15-18		Preparticipation Physical Examination/Medical History for Returning Athletes PhysicalsReturners07-15-18
Medical Releases MedicalRelease07-15-18		Concussion Compliance Form ReleaseConcussionCompliance07-15-18
Pregnancy Policy Form PregnantStudentAthletePolicy07-15-18		Medication Notification Form ReleaseMedicationNotification07-15-18
Privacy Practices & Release ReleasePrivacyPractices07-15-18		Insurance Forms & Payment Procedure isf
Sickle Cell Policy/Release ReleaseSickleCell07-15-18		Insurance Letter to Parents isl isl (pdf)
Physical Supply List
*High Schools*
Highway 17	Highway 43	East	North
High School Football Schedule Alabama High School Football Historical Society Alabama High School Athletic Association Alabama Independent School Association Summer 2014 High School Pre-participation Physical Examinations Scheduling Form
Checklists
Athletic Training Room Duties Checklist html		Daily Laundry Room Work Duties html
Athletic Training Room Duties Checklist doc		Daily Laundry Room Work Duties doc
Daily Taping Room Work Duties html		Checklists for Stocking Kits & Trunks html Gray Taping Kit Checklist doc White Trunk Checklist doc
Daily Taping Room Work Duties doc
Behavior, To Do, Suggestion, Evaluation Forms
Professional Behavior Report Form		Athletic Training Suggestion Submission
Athletic Training To Do List		Clinical Experience Evaluation of Athletic Training Student by Clinical Experience Site Administrator ClinExpEvalCoach.doc
UWA Faculty Evaluation of Student Athletic Trainers StudEval.doc
Patient forms, Logs, Maps
Private Patient Form PvtPatFm1-22.doc		UWA Athletic Map UWAMap.doc
Varsity Athlete Form VAFORM.DOC		Sign In Sheets for All Patients
Daily Treatment Log injury treatment log.xls		Sign In Sheets for UWA Varsity Athletes
Physicians Visit Appointment Log		Sign In Sheets for High School Athletes & Other Patients (photocopy on green paper)
ASMOC Directions pdf		OTC Log Sheet
Mileage Log		OTC Log Sheet OTCLogSheet.doc
ASMOC & Other Physician/ Professionals Contact Info		Referral List
School/Work Excuse Form		UWA Directions
St. Vincent's Visitors Guide		Referral to Rush Medical Group, Livingston.
Schedules, etc.
High School Football Schedule		GA High School List
GA Work Schedule for UWA ATSMC		2001-2002 High School Basketball Schedule
Student Class Schedules		2002 High School Baseball and Softball Schedule
Undergraduate Daily ATR Work Schedule		High School Games Sign-Up
Athletic Training Student Forms
UWA Athletic Training Student Update Form
Athletic Training Education Program Professional Component Application Form LUATSMAP.doc		Athletic Training Education Program Admission Requirements, Suggested 4 Year Course Plan for 1st Semester Entering Freshman, and Suggested 3 Year Course Plan for Transfers above the Freshman Level Accepted Directly into the Program in the Fall Semester AdmisInfo07-1.doc
Faculty Recommendation for Admission to the Professional Component of The Athletic Training Program REFORM.doc		2008 Athletic Training Camp 08ATCamp.htm
Returning Student Athletic Trainer Form 08RSFORM.doc		Communicable Disease Statement Forms/UWAATCDP.docx
Pre-professional Student Athletic Trainer Form 08NSFORM.doc		Athletic Training Student Mileage Reimbursement for Clinical Rotations to Demopolis High School ATSMileageLog.doc
Confidentiality Statement for Athletic Training Students ConfidStSt.doc		Hepatitis B Vaccine Waiver Form HBVWvFm.doc
OSHA Compliance Statement OSHACompSt.doc		Outside Employment Notification Form OutsideEmployFm
Request for Absence from Clinical Experience AbsenceClinExpFm		Clinical Experience Evaluation of Athletic Training Student by Clinical Experience Site Administrator for AH 381/382 ClinExpEvalCoach2.doc
Book Form		Clinical Experience Evaluation of Athletic Training Student by Clinical Experience Site Administrator for AH 481/482 ClinExpEvalCoach3.doc
Tentative Weekly Clinical Assignment Form WeeklyAssignment.doc		Student Evaluation of ACI ACIEval03.doc
Clinical Experience Evaluation of Athletic Training Student by Clinical Experience Site Administrator for AH 281/282 ClinExpEvalCoach1.doc		UWA Athletic Training Student Self-Evaluation stselfev.htm
Supervised Athletic Training Clinical Experience Record HoursSheetS.doc		Travel Policy Form Unsupervised Athletic Training Student Travel
Athletic Training Unsupervised Hours Record HoursSheetU.doc		First Responder Policy Form First Responder Policy and Responsibilities
Preparticipation Physical Examination/Medical History for Athletic Training Students PhysicalsSAT's8-02		Clinical Experience Student Self-Evaluation 281/282 Forms/SelfEval281.282.docx
Technical Standards Form TechStanFm.doc		Clinical Experience Student Self-Evaluation 381/382 Forms/SelfEval381.382.docx
UWA Sports Medicine Club Order Form		Clinical Experience Student Self-Evaluation 481.482 Forms/SelfEval481.482.docx
ATrack Application

Rehab Protocol Forms
Under Construction

Ankle Rehabilitation Protocol AnkleRehab.doc	Knee Rehabilitation Protocol KneeRehab.doc	Elbow Rehabilitation Protocol ElbowRehab.doc	Back Rehabilitation Protocol BackRehab.doc
Rotator Cuff Strengthening Protocol RotCuffStren.doc	Shoulder Rehabilitation Exercises ShRehab.doc	Eccentric Shoulder Protocol	Throwers Ten Protocol ThrowerTen.doc
Interval Running Program	Head Injuries Instruction Sheet	Edema Management EdemaMgmt.doc	Wrist & Hand Rehabilitation Protocol
Fast Weight Bearing Rehab Program		Child SCAT 5 Sport Concussion Assessment Tool 5	Consensus statement on concussion in sport – The 5th International Conference on concussion in sport, held in Berlin, October 2016
Interval Throwing Program Phase 1	Interval Throwing Program Phase 2	Concussion Management Protocol
Interval Golf Program	Interval Tennis Program	SCAT 5 Sport Concussion Assessment Tool 5
Rehab Guidelines	Child SCAT 3	Pocket Concussion Recognition Tool

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