New Student-Athlete Forms

*These forms have now transitioned to the Smartabase portal. Please contact your respective athletic trainer for assistance.

In preparation of your son/daughter coming to the University of Iowa to participate on a sports team and to have their sports physical, there are three types of medical information that we ask you to send to us:

  1.  MyChart (online information) - A how to sheet is attached below. A link to MyChart is located in the right-hand side panel.
  2.  Medical Paper Forms - Please see the link in the right-hand side panel.
  3. Copy of your medical insurance cards- Please send a copy (front and back) of health insurance card and prescription card if separate from health insurance card. This should be sent with your medical paper forms.
    International student athletes and students athletes without health insurance, please contact Athletics Medical Insurance Coordinator, Chris Slauson, to make arrangements. (See contact link in the right-hand side panel)

The online information via MyChart, Medical Forms, and copies of insurance cards are required to be filled out and submitted/returned before we can process your son/daughter's information in preparation for their sports physical when they arrive on campus.

You are responsible for filling in ALL of the information asked for on MyChart, the medical forms as well as sending copies of your health insurance cards.  Obtaining all of this information is vital to our department in allowing us to guarantee a smooth transition for the injured student-athlete through our exceptional health care system made up of our primary care physicians, orthopedic physicians and specialists at the University of Iowa Hospitals and Clinics.

The sooner we receive your online information, your paper forms and copies of your health insurance cards, the sooner we can begin processing your information in preparation for your son/daughter's arrival on campus for their pre-participation physical.

When your son/daughter arrives on campus, it is very important that you provide them with a copy of each of their insurance cards (medical, prescription, dental and/or vision) to carry with them at all times to present to Athletic Training Services, the Sports Medicine Clinic, University of Iowa Hospitals & Clinics, Student Health Clinic, for medical appointments, treatments, and when picking up prescriptions at the pharmacy. Your son or daughter can be helped much faster if they can present their current & active insurance card.

We thank you for your time and assistance in maintaining current demographic and insurance information allowing us to provide exceptional health care services to our student-athletes. If you have any questions feel free to call me at 319-384-1748.

Please navigate to either the MyChart or Medical Paper Forms link in the right side panel to continue.


Jennie Sertterh
Interim Director of Athletic Training Services
University of Iowa