Western Washington Vikings Athletics - Western Washington University Official Athletic Site

If you are an incoming Freshman, Transfer, Try-out, or a returning WWU athlete you will need to complete these forms. Please complete all the forms that best fits your situation. If you have any questions as to which forms you need please feel free to contact us at the numbers below. Download the form(s) that you need, complete those form(s) with all the necessary information and signatures, and then mail, e-mail, or Fax those forms back to the Athletic Training Services

INCOMING FRESHMEN:

WWU Athletics Pre-Participation Evaluation & Information Form

ADHD Form

ADHD Letter

Athletic Health Insurance Form

Athletic Training Protocols

HIPPA Release Form

HIPPA Release Log, Page 1

HIPPA Release Log, Page 2

Hold Harmless Form

Sickle Cell Trait Packet

Sickle Cell Trait Waiver Form

TRANSFER STUDENTS:

WWU Athletics Pre-Participation Evaluation & Information Form

ADHD Form

ADHD Letter

Athletic Health Insurance Form

Athletic Training Protocols

HIPPA Release Form

HIPPA Release Log, Page 1

HIPPA Release Log, Page 2

Hold Harmless Form

Sickle Cell Trait Packet

Sickle Cell Trait Waiver Form

TRYOUTS:

WWU Athletics Pre-Participation Evaluation & Information Form

Athletic Health Insurance Form

Hold Harmless Form

RETURNING STUDENT ATHLETES:

ADHD Form

ADHD Letter

Athletic Health Insurance Form

ATHLETIC TRAINING SERVICES ROOM
516 High Street
Carver Gym CV #100
Attention: Athletic Training Room
Fax: 360.650.3495

Physical Location: Carver Gym CV #120D. This room is across the main hallway from the vending machines at the south end of the hallway.

SERVICES AVAILABLE:

Emergency Care (AED, Splints, Crutches)

Injury Evaluation

Injury Rehabilitation

Taping/Bracing

Various Modalities (Ice, Heat, Etc.)

Wound Care

Referrals for other general medical conditions

ATHLETIC TRAINING STAFF

Lonnie Lyon MST, ATC - Head Athletic Trainer - Phone: 360.650.4138
Team Coverage: W Soccer, M & W Cross Country, M Basketball, M & W Track & Field

Julie Scrimsher MSED, CSCS, ATC - Associate Women's Head Athletic Trainer - Phone: 360.650.7635
Team Coverage: Volleyball, W Basketball, Cheer, M & W Track & Field

Masa Migita CSCS, ATC - Associate Men's Head Athletic Trainer - Phone: 360.650.6484
Team Coverage:M Soccer, W Rowing, Softball, M & W Golf

Team Physician (Orthopedic Surgeon): Dr. Michael Thorpe

OTHER LOCAL MEDICAL CONTACTS:
Student Health Center - Phone: 360.650.3400
Saint Joseph Hospital Emergency Room - Phone: 360.734-5400

If you have been diagnosed with ADHD or any other disorders associated with ADHD, and are taking prescription medications for these conditions, please review and print off the forms below and take them to your prescribing physician. The NCAA has a procedure to review and approve legitimate use of medications that contain NCAA banned substances through a Medical Exceptions Procedure. Completion of these forms will allow us to initiate this procedure if and when you are tested for stimulants. Please feel free to contact us if you have any questions.

Athletic Training Protocols, Policies & Procedures

Physicals Information

Concussion Management Plan

Emergency Action Plan

Automated External Defibrillator Protocol Plan

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