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Student-Athlete Insurance/Pre-Participation Physical

School Year 2016-17

Welcome to Washington State University Athletics! Athletic Training Services provides medical care to student-athletes for athletic-related injuries while they are competing for WSU. WSU Athletics has an excess medical insurance policy that covers student-athletes in the event of an athletic-related injury after primary and secondary (if applicable) insurance pays on the claim. Student-athletes will NOT be able to practice until the following information has been received and the student-athlete has been cleared by the WSU Athletic Training Services staff and physicians.

Below is a list of forms to be completed and returned to Kim Schlake with a copy of the front and back of your Health Insurance Card(s) (primary & secondary), Prescription Drug Card and Dental Card. See below for return options. All forms should allow you to fill them out and then print.

All WSU Student-Athletes:

(Parent(s)/guardian(s) must sign most of these forms for any student-athlete under 18)
Note: The below documents work best in Google Chrome, Safari and Internet Explorer.

Freshman/Transfer Student-Athletes

Returning Student-Athletes

WSU Athletic Training must have this information as soon as possible. You will not be able to practice with your team until this information has been received and completed!

Return forms by any of the following

Fax 509-335-4729 Attn: Kim Schlake

Mail forms to: Kim Schlake, Insurance Coordinator - ATS
Washington State University - Athletics
P.O. Box 641602
Pullman, WA 99164-1602

Scan/PDF Email: (this is not a secure way to send confidential information)

Questions: please email or call Kim Schlake: or 509-335-7292.