TEXAS LUTHERAN UNIVERSITY

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Student-Athlete Medical Forms
Forms related to Health Insurance, Physicals

Medical Forms
Located on this page are forms that athletes are required to fill out in order to participate in athletics at Texas Lutheran University.  If you have not filled out all of the forms listed below and located on this page prior to the first day of practice you will not be able to begin practice with your athletic team.  If you have any questions about the medical forms required to participate in athletics, please contact your coach or the athletics secretary Judy Johnson (judyjohnson@tlu.edu).


**ATTENTION NEW ATHLETES**
The following forms are to be filled out only by new incoming athletes:  Pre-participation Physical and Authorization to Release Medical Information.  Along with those two forms, the following are required as well:  Insurance Questionnaire, HIPPA, Proof of Loss, and Insurance Policy Addendum. Finally, a copy of your insurance card is also required. 


**RETURNING ATHLETES**

Each year returning athletes are required to fill out the following forms:  Insurance Questionnaire, HIPPA, Proof of Loss, and Insurance Policy Addendum.  A copy of your insurance card is also required.   

Completed forms should be mailed to:

Texas Lutheran University
ATTN: Athletics Insurance
1000 W. Court St.
Seguin, TX 78155

**NEED INSURANCE???**

Students at Texas Lutheran University are require to carry comprehensive medical insurance in order to participate in athletics.  If you are not covered under a comprehensive medical insurance plan, you need to obtain a policy that covers intercollegiate athletics, allows for providers in the Seguin-New Braunfels area, and has a maximum coverage limit of $90,000 or better per incident. 

Insurance Forms

Maps to Team Physicians Offices: 
Dr. David Starch, Orthopedic Surgeon, 54 Gruene Park Dr., New Braunfels, TX, 78130
Dr. Brian Stigall, Family and Sports Medicine, 774 Landa St., New Braunfels, TX, 78130