Pre-Participation Physical Exams

Before participating in athletic activities, all varsity and club rugby student-athletes are required to complete a Princeton University Athletic Medicine (PUAM) pre-participation physical exam. This is separate from the physical exam and completed Medical Clearance form, required for all incoming Princeton University students.

You may participate as a “try out” for a period of two weeks as long as you have had a physical within the previous 6 months clearing you to participate in intercollegiate sport activity. After this two-week period, you must have a complete PUAM pre-participation physical exam.

If you have any significant medical or surgical history (e.g., heart murmur, dizziness, notes from musculoskeletal evaluation, operative/surgical notes, MRI, x-ray or other test reports), you must upload records to MyUHS before arriving on campus. We may require copies of surgical consultations and diagnostic test results for clearance. 

First year student-athletes

The PUAM physical exam includes:

Returning student-athletes

The PUAM physical exam includes:

Proof of Sickle Cell Trait Status

Sickle cell has been associated with sudden death in athletes. We require sickle cell testing or proof of sickle cell status for participation clearance. You will need a clinician to order these tests. You can obtain testing from your health care provider before coming to campus, or on campus through UHS; we charge a laboratory fee for testing. Read about sickle cell trait precautions during activity

Cardiac Screening

Sudden Cardiac Death is a common cause of death in collegiate athletes, and can occur without symptoms. Cardiac history, as well as physical examination (electrocardiogram (EKG)) can detect abnormalities (e.g., structural problems in the heart, or rhythm/electrical disturbances) that might otherwise go unnoticed. 

If the EKG is interpreted as abnormal, additional diagnostic testing and consultation may be necessary to clear you for participation.

Anemia Screening

Iron deficiency anemia is common in athletes and can negatively impact performance. If you are a female, vegetarian, endurance athlete, or participate in weight-restricted sports, we recommend hemoglobin and ferritin testing.

You can obtain your screening (blood tests) through your health care provider before coming to campus or at the UHS laboratory once you are on campus. If you obtain testing on campus, we charge a laboratory fee. You will need a clinician to order these tests.

Concussion Screening

For all varsity and club rugby student-athletes, we obtain a Sports Concussion Assessment Tool (SCAT-3), and for several sports we include computerized neuropsychological testing (ImPACT) before participation. This baseline evaluation includes your history of:

  • concussions
  • learning disabilities requiring stimulant medications
  • migraines
  • seizures
  • depression, anxiety or other mental health disorders

Review our complete Concussion Policy and Procedures. Annual review of the NCAA Concussion fact sheet is also required.

Documentation of Prescribed Banned NCAA Medications

If you take any banned NCAA medications, prescribed by a health care provider for a medical problem, you must submit appropriate documentation as a part of the pre-participation physical exam process.

If you have Attention Deficit Hyperactivity Disorder (ADHD) that requires stimulant medication for treatment, the NCAA requires that you provide additional information regarding your diagnosis and evaluation. This information must be completed each year. 

If applicable, print and have your prescribing doctor complete this form. Upload it to MyUHS, along with all records regarding the testing.