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University of Texas at San Antonio / Institutional investors / Insurance / Health insurance / Medical record / Higher education / Education in the United States / Economics / American Association of State Colleges and Universities / Association of Public and Land-Grant Universities / Consortium for North American Higher Education Collaboration


TRYOUT CLEARANCE The University of Texas at San Antonio Student’s Name: ____________________________________ Sport: _____________________________________
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Document Date: 2013-08-24 00:02:49

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City

Banner / /

Company

BP / INSURANCE INFORMATION Insurance Company / /

Country

United States / /

Facility

University of Texas / TRYOUT CLEARANCE The University of Texas / /

IndustryTerm

insurance coverage / secondary insurance coverage / insurance coverage changes / attached insurance card / health insurance / dental insurance card / health insurance card / secondary insurance / insurance policy / healthcare / insurance card / /

MedicalCondition

hypertrophic cardiomyopathy / ADHD / headaches / Chest pain / migraines / enlarged heart / significant injuries / Attention Deficit Hyperactivity Disorder / Hyperactivity Disorder / high cholesterol / injury / Head Injuries / high blood pressure / Sickle Cell Trait / Dizziness / Attention Deficit Disorder / MS / light headedness Fainting / injuries / Marfan’s syndrome / head injury / Long QT syndrome / /

MedicalTreatment

drug prescription / /

Organization

University of Texas at San Antonio / JR SR / Compliance Office / UTSA Athletics Tryout Medical History UTSA Department of Intercollegiate Athletics Health and Medical History Questionnaire / Eligibility Center / /

Person

ARY H EALTH / Non-Qualifier Yes / Teammate / FR SO JR SR / Personnel / /

/

Position

licensed Medical Physician / cardiologist / UTSA General / family physician / athlete / nurse / physician / above student-athlete / coach / Student-Athlete / physician assistant / chiropractor / STUDENT-ATHLETE INFORMATION Name / licensed physician / chiropractor / nurse / Qualifier / /

Product

MONTH NO OTHER____________ YES NO Migraine Medication / /

ProvinceOrState

Texas / /

SportsEvent

NCAA / the NCAA / /

Technology

cellular telephone / Sports Medicine / MRI / /

SocialTag