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Student-Athlete Insurance/Pre-Participation Physical

School Year 2014-15

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 training staff and physicians.

Below is a list of forms to be completed and returned to Jonell Peterson 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 WSU Student-Athletes:

(Parent(s)/guardian(s) must sign most of these forms for any student-athlete under 18)

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: Jonell Peterson

Mail forms to: Jonell Peterson, Coordinator of Internal Operations - ATS
Washington State University - Athletics
P.O. Box 641602
Pullman, WA 99164-1602

Scan/PDF Email:

Questions: please email or call Jonell Peterson: or 509-335-0310.