Medical Servcies Breakout Module Prospective Student Athlete (PSA): What's Up DOC? Full Name Email Enter School Name Phone (Optional) Required College Immunizations: 1/12 Do you know what immunizations are required to play sports at your selected colleges and universities? Yes No - if no, visit our Medical Guide to Get The Facts! I am Opting to keep my Medical Information Private! None General Shot Series: 2/12 Have you completed your required High School Shot Series? Yes No - if no, visit our Medical Guide for help with resolving this Issue! I am Opting to keep my Medical Information Private! None TB Screening: 3/12 Have you been screened for TB? Yes No - if no, visit our Medical Guide for help with resolving this issue! I am Opting to keep my Medical Information Private! None COVID-19 Vaccinations: 4/14 Have you received your COVID-19 Vaccination? Yes No - if no, visit our Medical Guide for help with resolving this issue! I am Opting to keep my Medical Information Private! None COVID-19 Booster: 5/12 Which COVID-19 Vaccination did you receive? Pizer Moderna Johnson & Johnson No - if no, visit our Medical Guide for more lifesaving information! I am opting to keep my Medical Information Private! None COVID-19 Booster: 6/12 Have you received your COVID-19 Booster? Yes No - if no, visit our Medical Guide for help with resolving this issue! I am opting to keep my Medical Information Private! None COVID-19 Booster: 7/12 Which COVID-19 Booster did you receive? Pizer Moderna Johnson & Johnson None - if none, visit our Medical Guide for help with resolving this issue! I am opting to keep my Medical Information Private! None COVID-19 Booster Received When?: 8/14 Have you received a COVID-19 Shot or Booster within the last 6 months? Yes No - if no, visit our Medical Guide for help with resolving this issue! I am opting to keep my Medical Information Private! None Free Sports Physicals: 9/14 Have you completed a required High School Sports Physical? Yes No - if no, visit our Medical Guide for help with resolving this issue! I am opting to keep my Medical Information Private! None Drug Screening: 10/12 Have you completed or are you aware of FHSAA and/or NCAA Drug Screening Requirements? Yes No - if no, visit our Medical Guide for more information! I am opting to keep my Medical Information Private! None Required College Immunizations: 1/12 Do you know what immunizations are required to play sports at your selected colleges and universities? Yes No - if no, visit our Medical Guide to Get The Facts! I am Opting to keep my Medical Information Private! None U.S. Passports: 12/12 Do You have a Passport? Yes No - if needed, visit our Medical Guide for help with resolving this issue! I am opting to keep my Medical/Travel Information Private! None Time's up
