Medical Servcies Breakout Module – College Campus Online (Tm)

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!

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!

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!

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!

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!

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!

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!

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!

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!

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!

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!

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!

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