Arkansas Tech University Athletics

1. Primary Insurance Information (Must cover collegiate sport-related injuries)
2. Out-of-state Medicaid is NOT accepted
3. Copy of insurance card (Front & Back)
4. Insurance verification letter (contact your insurance company. The letter should state that your insurance policy is active and current)
5. Up-to-Date Physical
6. Submit an ECG (Electrocardiogram), one month prior to your arrival for workouts. The ECG cannot be dated any sooner than one month prior to your arrival. New S/A's only
7. Summer Workout Waiver (PDF)
8. Sickle Cell Trait Waiver form (PDF)