Our pre-participation physical exam (PPE) is required for varsity and club rugby student-athletes prior to participating in any athletic activities. This is separate from the physical exam and completed Medical Clearance form (.pdf), required for all incoming Princeton University students. 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. Special sport populations may benefit from recommended (not required) anemia screening. See requirements for: First-Year Student-Athletes Returning Student-Athletes Walk-on Students (per coach invitation) First-Year Student-Athletes Prior to the PPE, you are required to: complete the Incoming Athlete's Health History form; upload proof of Sickle Cell Trait status; and upload medical exemption forms (if applicable) Documentation of Prescribed Banned NCAA Medications for ADD/ADHD Documentation of Prescribed Banned NCAA Medications for Anabolic Agents, Anti-estrogens, or Peptide Hormones. The Princeton University Athletic Medicine PPE includes: a complete physical examination by a UHS clinician; cardiac screening through history, physical exam, and electrocardiogram (EKG); and If EKG is interpreted as abnormal, additional cardiac testing will be required with possible associated fees for this service. baseline concussion testing. Returning Student-Athletes Prior to the PPE, you are required to: complete the Returning Athlete's Health History form; and upload medical exemption forms (if applicable) Documentation of Prescribed Banned NCAA Medications for ADD/ADHD Documentation of Prescribed Banned NCAA Medications for Anabolic Agents, Anti-estrogens, or Peptide Hormones. Walk-on Students (per coach invitation) You must first have a conversation with and be invited by the coach to participate in a try out period. The following is required: general physical exam within the previous 6 months that provides clearance for participation in intercollegiate sport activity proof of Sickle Cell Trait status After a try out period, a pre-participation physical exam must be completed. Additional information about the importance of these screening tests 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. Your EKG will be reviewed by our consulting cardiologist and, if your EKG is interpreted as abnormal, an echocardiogram (ECHO) will be performed by our on-site consulting cardiology staff and reviewed to determine if additional cardiac testing is required. There is no charge for the screening EKG. If an ECHO is performed, there are associated fees for this service which will be billed to your insurance provider and any remaining balance will be your responsibility. 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. Baseline Concussion Testing For all varsity and club rugby student-athletes, we obtain a Sports Concussion Assessment Tool (SCAT-5), 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 Management Policy and Procedures. Annual review of the NCAA Concussion fact sheet (.pdf) 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 Disorder (ADD) or 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 health care provider complete this Medical Exemption for ADHD form (.pdf). Upload it to MyUHS, along with all records regarding the testing. If you are receiving treatment with Anabolic Agents, Anti-estrogens, or Peptide Hormones, 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 health care provider complete this NCAA Medical Exception Documentation Reporting form (.pdf). Upload it to MyUHS, along with all records regarding the testing.