Athlete Medical Records

Athlete Medical Records
Program Year 2022-2023
1
What’s new for 2022-2023
 
Several sports have changed seasons
New Medical Deadlines (see page 3)
Online Athlete Paperwork
2
 
/  
S
pecial Olympics
New Medical Deadlines
 
October 1 – Bowling and Volleyball
January 1 – Alpine, Cross Country and
Snowshoe
February 1 – Basketball and Swimming
April 15 – Athletics (Track & Field), Soccer,
Corn hole, Tennis, Gymnastics and Powerlifting
July 1 - Golf
July 15 – Softball, Flag Football and Bocce
3
 
/  
S
peial Olympics
Online Athlete Paperwork
 
Athletes, Parents and Guardians may complete the
athlete paperwork online – the link can be found at
the bottom of the Become an Athlete page.
The forms will be sent to SOWI via DocuSign.  The
athlete, parent or guardian will be prompted to
print, complete and send in the Physical Exam
page separately.
The athlete’s record will not be updated until all
forms are received.
4
 
/  
S
peial Olympics
The 
Athlete Registration Form
Requests information such as address,
parent/guardian contact information, insurance
information, etc.
5
 
/  
S
pecial Olympics
The 
Athlete Medical Form
Will be accepted from another state program as long as
it is the July 2017 version or later and no alterations have
been made.
Pages 1-2: Health History section.  To be completed by
the athlete/parent/guardian.
Page 3: Physical Exam.  Must be completed and signed by
a licensed medical professional (M.D., D.O., N.P. or P.A.).
Medical is valid for 3 years from the date of exam listed
next to examiner’s signature.
Page 4: Should be completed if an athlete’s participation
is restricted and a follow-up exam is required.
6
 
/  
S
pecial Olympics
The 
Athlete Medical Form 
cont…
A current WIAA physical form is accepted in
lieu of page 3 of the 
Athlete Medical Form
.  The
WIAA physical form is good for three years
from the date of the exam.
7
 
/  
S
pecial Olympics
Athlete Medical Form 
Errors
Medical forms will not be processed for the following
reasons:
The current version of the 
Athlete Release Form 
has not been
submitted for new athletes AND returning athletes when
they renew their medical information.
The athlete medical is not the current 
Athlete Medical Form
or a current WIAA physical form.
The form is faxed to the State office – however, forms that
have been faxed back and forth to a doctor’s office but are
then 
mailed
 or 
emailed
 to the State office 
are
 acceptable
8
 
/  
S
pecial Olympics
More 
Athlete Medical Form 
Errors
Physical exam section is blank – we cannot
process forms that have notes attached instead
of this section being completed.
The medical examiner’s signature is missing.
The exam date is missing.
Restrictions or medical examiner’s comments
are unclear.
The medical was not signed by an M.D., D.O.,
N.P. or P.A.
9
 
/  
S
pecial Olympics
The 
Athlete Release Form
The 
Athlete Release Form
 needs to be completed
for new athletes and when a current athlete
renews their paperwork if they do not have the
2017 or later version of the form on file.  (If
unsure, just have them sign a new form)
10
 /  
Special Olympics
Athlete Release Form 
Errors
Athlete Release Forms will not be processed if:
Any section is crossed out/altered.
There is no medical form on file.
The adult athlete’s signature is missing if they are
their own guardian.
The signature of the parent/guardian is missing if
the athlete is a minor/not their own guardian.
The form is faxed to the State office.
11
 /  
Special Olympics
Athlete Likeness Release for Sponsors
This form gives athletes the option to allow our
sponsors to use their likeness for their own
promotional purposes/materials.
This form is OPTIONAL.
12
 /  
Special Olympics
The 
COVID-19 Participant Release
Form
Athletes participating in-person at practices and/or
competitions must sign this form.  If an athlete is not
their own guardian, the parent or guardian must sign
the form.
Forms may be given to the coach, volunteers or
program managers, but they then must be sent to and
received by the State office.
13
 /  
Special Olympics
The 
Communicable Disease
Participant Waiver
Athletes participating in-person at practices and/or
competitions must sign this form.  If an athlete is
not their own guardian, the parent or guardian
must sign the form.
Athletes will not be registered into competitions if
the form has not been received by the State office.
Forms may be given to the coach, volunteers or
program managers, but they then must be sent to
and received by the State office by the event
registration deadline.
14
 /  
Special Olympics
Athletes with Down Syndrome –
Medical Restrictions
If the medical examiner indicates the athlete has
neurological or physical findings that could be
associated with atlantoaxial instability, then the
Medical Referral Form (4th page of the new 
Athlete
Medical Form
) or the 
AAI Special Release Form 
must be
submitted to allow the athlete to participate in the
following sports offered by Special Olympics
Wisconsin: alpine skiing, butterfly stroke, diving start,
football (soccer) team, football (soccer) skills,
gymnastics – artistic, powerlifting (squat lift only),
snowboarding.
15
 /  
Special Olympics
The 
AAI Special Release Form
This form should be completed if symptoms of
spinal cord compression or Atlanto-axial instability
are noted in the Physical Exam section of the 
Athlete
Medical Form 
and a medical professional has
provided an additional neurological evaluation.
If an athlete is restricted from participation due to
symptoms of spinal cord compression or Atlanto-
axial instability, they must submit the 
AAI Special
Release Form 
one week following the event entry
deadline to be eligible for competition.
16
 /  
Special Olympics
The 
Emergency Medical Care Refusal Form
If refusal for emergency medical care and/or blood
transfusions is noted on the 
Athlete Release Form
,
then the athlete will be restricted from all practices
and competitions until the 
Emergency Medical Care
Refusal (EMCR) Form 
or a new, unaltered 
Athlete
Release Form 
is received by the State office.
ALL guidelines on the 
EMCR Form 
must be followed.
Please ensure the athlete and/or their
parent/guardians are aware of the guidelines if they
submit an 
EMCR Form
.
17
 /  
Special Olympics
More on the 
EMCR Form
If an athlete is restricted from participation in an
event due to a lack of the 
EMCR Form 
on file, they
must either submit the form or a new unaltered
Athlete Release Form 
one week following the event
entry deadline to be eligible for competition.
Wisconsin law only allows refusal of emergency
medical care in a life threatening situation if a
DNR or Advanced Directive is presented.
18
 /  
Special Olympics
Medical Deadline Date Exceptions
Requests for exceptions to missed medical deadlines
must be received no later than 7 days before the event
registration deadline.
Request forms must be obtained from, and submitted to,
Samantha Sotelo, Athlete Records Manager.
Current paperwork for the athlete must have already
been submitted or be submitted along with the request.
This includes the Athlete Registration Form, Athlete
Release Form and Physical Exam page. Requests
submitted without paperwork or incomplete paperwork
will not be considered.
19
 /  
Special Olympics
Missing Medical Deadlines
Once the medical and release forms are received
by the State office, and an extension was not
requested or approved, athletes may practice
for the rest of that sports season but cannot
compete in any competitions for that season
(for new athletes) or beyond the date their
current medical expires (for returning
athletes).
20
 /  
Special Olympics
Athlete Rosters
Updated rosters are emailed to programs every
Wednesday and updated on the website every
Friday afternoon.  Paper copies will be mailed upon
request.
21
 /  
Special Olympics
Mailing and Email Addresses for
Athlete Paperwork
Athlete Registration, Health History, Physical Exam and
Release Forms
Special Olympics Wisconsin, 2310 Crossroads Dr., Ste. 1000, Madison, WI
53718 
or
medicals@specialolympicswisconsin.org
COVID-19 Participant Release Forms and
Communicable Disease Participant Waivers
Can be mailed to the address above 
or
covid@specialolympicswisconsin.org
 
or
Can be completed online at the Return to Play 
During COVID-19 page
under “Return to Play Forms” or at the bottom of the Become an Athlete
page
22
 /  
Special Olympics
Some Reminders…
Athlete medical and release forms must be
postmarked and correctly completed by the medical
deadline for the sport the athlete is participating in.
Forms that are emailed must be correctly completed
and sent by 11:59pm on the medical deadline.
Medical restrictions do NOT have to be lifted by the
medical deadline date.  However, they MUST be lifted
one week following the event entry deadline.
Letters from medical examiners that lift athlete
restrictions CAN be faxed to the State office.
23
 /  
Special Olympics
More Reminders…
Athlete paperwork expires three years from the
exam date. If an athlete needs new paperwork but
their insurance/MA does not allow for another
physical, the athlete can have the medical
examiner write the date of the last physical exam
on the form.
Please provide the Athlete Records Manager your
most current email address, as roster updates and
other important reminders are sent at the end of
every week.
24
 /  
Special Olympics
Agency Management Portal
Athlete Medical Search
View your program’s entire roster, which is updated every
Friday afternoon
Agency Management – Tools and Resources
Download and print forms
Agency Management – Best Practices
Athlete Medical Records PowerPoint
25
 /  
Special Olympics
Potpourri
An athlete must be 8 years old by the medical
deadline date for the sport in which they are
participating in order to be eligible for that sport’s
competitions.
If someone other than the Local Program Manager is
responsible for your athletes’ medicals, please let us
know.  They MUST be a registered class A volunteer!
Questions?  Samantha Sotelo, Athlete Records
Manager, (608) 442-5677 or
ssotelo@specialolympicswisconsin.org
26
 /  
Special Olympics
Finally…
Athletes, parents and guardians with a valid email address
on file will receive medical deadline reminders 6 weeks
prior to every deadline if athlete paperwork needs
renewal.
Athletes and their parents, guardians and/or caregivers
can check when paperwork expires online.
To view when paperwork expires, the athlete’s last name and
8-digit DOB in the format MM/DD/YYYY should be entered at
the following link:
http://www.specialolympicswisconsin.org/athlete-medical-
info/
27
 /  
Special Olympics
Thank you for all you do!
28
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Discover the new changes and deadlines for the Special Olympics Athlete Medical Records Program for the year 2022-2023. Complete your athlete paperwork online and stay updated with the medical requirements. Find out more now!

  • Special Olympics
  • athlete
  • medical records
  • program
  • deadlines
  • online paperwork
  • registration form
  • medical form
  • errors
  • release form
  • COVID-19 participant release form
  • communicable disease waiver
  • Down Syndrome

Uploaded on Dec 08, 2023 | 7 Views


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  1. Athlete Medical Records Program Year 2022-2023 1

  2. Whats new for 2022-2023 Several sports have changed seasons New Medical Deadlines (see page 3) Online Athlete Paperwork 2 / Special Olympics

  3. New Medical Deadlines October 1 Bowling and Volleyball January 1 Alpine, Cross Country and Snowshoe February 1 Basketball and Swimming April 15 Athletics (Track & Field), Soccer, Corn hole, Tennis, Gymnastics and Powerlifting July 1 - Golf July 15 Softball, Flag Football and Bocce 3 / Speial Olympics

  4. Online Athlete Paperwork Athletes, Parents and Guardians may complete the athlete paperwork online the link can be found at the bottom of the Become an Athlete page. The forms will be sent to SOWI via DocuSign. The athlete, parent or guardian will be prompted to print, complete and send in the Physical Exam page separately. The athlete s record will not be updated until all forms are received. 4 / Speial Olympics

  5. The Athlete Registration Form Requests information such as address, parent/guardian contact information, insurance information, etc. 5 / Special Olympics

  6. The Athlete Medical Form Will be accepted from another state program as long as it is the July 2017 version or later and no alterations have been made. Pages 1-2: Health History section. To be completed by the athlete/parent/guardian. Page 3: Physical Exam. Must be completed and signed by a licensed medical professional (M.D., D.O., N.P. or P.A.). Medical is valid for 3 years from the date of exam listed next to examiner s signature. Page 4: Should be completed if an athlete s participation is restricted and a follow-up exam is required. 6 / Special Olympics

  7. The Athlete Medical Form cont A current WIAA physical form is accepted in lieu of page 3 of the Athlete Medical Form. The WIAA physical form is good for three years from the date of the exam. 7 / Special Olympics

  8. Athlete Medical Form Errors Medical forms will not be processed for the following reasons: The current version of the Athlete Release Form has not been submitted for new athletes AND returning athletes when they renew their medical information. The athlete medical is not the current Athlete Medical Form or a current WIAA physical form. The form is faxed to the State office however, forms that have been faxed back and forth to a doctor s office but are then mailedor emailedto the State office are acceptable 8 / Special Olympics

  9. More Athlete Medical Form Errors Physical exam section is blank we cannot process forms that have notes attached instead of this section being completed. The medical examiner s signature is missing. The exam date is missing. Restrictions or medical examiner s comments are unclear. The medical was not signed by an M.D., D.O., N.P. or P.A. 9 / Special Olympics

  10. The Athlete Release Form The Athlete Release Formneeds to be completed for new athletes and when a current athlete renews their paperwork if they do not have the 2017 or later version of the form on file. (If unsure, just have them sign a new form) 10 / Special Olympics

  11. Athlete Release Form Errors Athlete Release Forms will not be processed if: Any section is crossed out/altered. There is no medical form on file. The adult athlete s signature is missing if they are their own guardian. The signature of the parent/guardian is missing if the athlete is a minor/not their own guardian. The form is faxed to the State office. 11 / Special Olympics

  12. Athlete Likeness Release for Sponsors This form gives athletes the option to allow our sponsors to use their likeness for their own promotional purposes/materials. This form is OPTIONAL. 12 / Special Olympics

  13. The COVID-19 Participant Release Form Athletes participating in-person at practices and/or competitions must sign this form. If an athlete is not their own guardian, the parent or guardian must sign the form. Forms may be given to the coach, volunteers or program managers, but they then must be sent to and received by the State office. 13 / Special Olympics

  14. The Communicable Disease Participant Waiver Athletes participating in-person at practices and/or competitions must sign this form. If an athlete is not their own guardian, the parent or guardian must sign the form. Athletes will not be registered into competitions if the form has not been received by the State office. Forms may be given to the coach, volunteers or program managers, but they then must be sent to and received by the State office by the event registration deadline. 14 / Special Olympics

  15. Athletes with Down Syndrome Medical Restrictions If the medical examiner indicates the athlete has neurological or physical findings that could be associated with atlantoaxial instability, then the Medical Referral Form (4th page of the new Athlete Medical Form) or the AAI Special Release Form must be submitted to allow the athlete to participate in the following sports offered by Special Olympics Wisconsin: alpine skiing, butterfly stroke, diving start, football (soccer) team, football (soccer) skills, gymnastics artistic, powerlifting (squat lift only), snowboarding. 15 / Special Olympics

  16. The AAI Special Release Form This form should be completed if symptoms of spinal cord compression or Atlanto-axial instability are noted in the Physical Exam section of the Athlete Medical Form and a medical professional has provided an additional neurological evaluation. If an athlete is restricted from participation due to symptoms of spinal cord compression or Atlanto- axial instability, they must submit the AAI Special Release Form one week following the event entry deadline to be eligible for competition. 16 / Special Olympics

  17. The Emergency Medical Care Refusal Form If refusal for emergency medical care and/or blood transfusions is noted on the Athlete Release Form, then the athlete will be restricted from all practices and competitions until the Emergency Medical Care Refusal (EMCR) Form or a new, unaltered Athlete Release Form is received by the State office. ALL guidelines on the EMCR Form must be followed. Please ensure the athlete and/or their parent/guardians are aware of the guidelines if they submit an EMCR Form. 17 / Special Olympics

  18. More on the EMCR Form If an athlete is restricted from participation in an event due to a lack of the EMCR Form on file, they must either submit the form or a new unaltered Athlete Release Form one week following the event entry deadline to be eligible for competition. Wisconsin law only allows refusal of emergency medical care in a life threatening situation if a DNR or Advanced Directive is presented. 18 / Special Olympics

  19. Medical Deadline Date Exceptions Requests for exceptions to missed medical deadlines must be received no later than 7 days before the event registration deadline. Request forms must be obtained from, and submitted to, Samantha Sotelo, Athlete Records Manager. Current paperwork for the athlete must have already been submitted or be submitted along with the request. This includes the Athlete Registration Form, Athlete Release Form and Physical Exam page. Requests submitted without paperwork or incomplete paperwork will not be considered. 19 / Special Olympics

  20. Missing Medical Deadlines Once the medical and release forms are received by the State office, and an extension was not requested or approved, athletes may practice for the rest of that sports season but cannot compete in any competitions for that season (for new athletes) or beyond the date their current medical expires (for returning athletes). 20 / Special Olympics

  21. Athlete Rosters Updated rosters are emailed to programs every Wednesday and updated on the website every Friday afternoon. Paper copies will be mailed upon request. 21 / Special Olympics

  22. Mailing and Email Addresses for Athlete Paperwork Athlete Registration, Health History, Physical Exam and Release Forms Special Olympics Wisconsin, 2310 Crossroads Dr., Ste. 1000, Madison, WI 53718 or or medicals@specialolympicswisconsin.org COVID-19 Participant Release Forms and Communicable Disease Participant Waivers Can be mailed to the address above or or covid@specialolympicswisconsin.org or or Can be completed online at the Return to Play During COVID-19 page under Return to Play Forms or at the bottom of the Become an Athlete page 22 / Special Olympics

  23. Some Reminders Athlete medical and release forms must be postmarked and correctly completed by the medical deadline for the sport the athlete is participating in. Forms that are emailed must be correctly completed and sent by 11:59pm on the medical deadline. Medical restrictions do NOT have to be lifted by the medical deadline date. However, they MUST be lifted one week following the event entry deadline. Letters from medical examiners that lift athlete restrictions CAN be faxed to the State office. 23 / Special Olympics

  24. More Reminders Athlete paperwork expires three years from the exam date. If an athlete needs new paperwork but their insurance/MA does not allow for another physical, the athlete can have the medical examiner write the date of the last physical exam on the form. Please provide the Athlete Records Manager your most current email address, as roster updates and other important reminders are sent at the end of every week. 24 / Special Olympics

  25. Agency Management Portal Athlete Medical Search View your program s entire roster, which is updated every Friday afternoon Agency Management Tools and Resources Download and print forms Agency Management Best Practices Athlete Medical Records PowerPoint 25 / Special Olympics

  26. Potpourri An athlete must be 8 years old by the medical deadline date for the sport in which they are participating in order to be eligible for that sport s competitions. If someone other than the Local Program Manager is responsible for your athletes medicals, please let us know. They MUST be a registered class A volunteer! Questions? Samantha Sotelo, Athlete Records Manager, (608) 442-5677 or ssotelo@specialolympicswisconsin.org 26 / Special Olympics

  27. Finally Athletes, parents and guardians with a valid email address on file will receive medical deadline reminders 6 weeks prior to every deadline if athlete paperwork needs renewal. Athletes and their parents, guardians and/or caregivers can check when paperwork expires online. To view when paperwork expires, the athlete s last name and 8-digit DOB in the format MM/DD/YYYY should be entered at the following link: http://www.specialolympicswisconsin.org/athlete-medical- info/ 27 / Special Olympics

  28. Thank you for all you do! 28

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