Embedded Files
Healthy Roster Required Documents:
Annual Demographic and Insurance Information
Proof of Insurance
Upload/scan a front and back picture of your insurance card under “proof of insurance.”
Combined Medical History
NCAA Medical Exceptions Documentation Reporting Form
Sickle Cell Information & Documentation
Upload/scan your sickle cell lab results under “proof of sickle cell.”
UCI Athletics History Information
HIPAA Release Form
Physical Therapy Payment Agreement
**You will receive an email from Healthy Roster with an access code (please check this email address) in the next 24 hours, if you do NOT see the email, please check your junk or spam email boxes. Use the email with the access code to either create an account on a laptop/desktop or your mobile device.
Instructions on how to access documents on Healthy Roster via mobile device:
you MUST download the App
2. Create an account with the access code.
3. Once logged in, click view “your name”
4. Click “documents”
5. Under “missing documents” click on each document to fully complete and sign
*Make sure to upload sickle cell results under “proof of sickle cell” and the front and back copy of your insurance cards under “proof of insurance.”
Instructions on how to access documents on Healthy Roster via desktop/laptop:
Create an account with the access code.
2. Once logged in, at bottom of screen select “athlete name”
3. Click “documents” tab
4. Under “missing documents” click on each document and click “complete form online” for each form to complete and sign.
*Make sure to upload sickle cell results under “proof of sickle cell” and the front and back copy of your insurance cards under “proof of insurance.”
Video Links:
Creating account and logging in
Creating account and logging in
Uploading Documents
Uploading Documents
Page updated
Report abuse