Preparticipation Medical Documentation and Confidentiality of Records
The Louisiana State University Eunice Sports Medicine Department, as a part of Opelousas General Health Systems, will utilize
Healthy Roster as its Emergency Medical Record keeping system.
Healthy Roster is software designed to connect parents, coaches, athletes, and patients with their organization’s Providers. Because
Healthy Roster values the privacy of its consumers, its software is strictly HIPAA compliant while allowing for the communication and transferring of protected health information only between persons that the parent or adult athlete has allowed permissions. Each athlete will have their own
Healthy Roster account so that they can access and complete all medical documents. This also allows them to input injuries for evaluation when the teams are on the road, and it allows the athletes to save their documents for their future schools. To create each athlete's account, the information below can be emailed to Zach Standiford,
zstandif@lsue.edu. Once that information is received, an account will be made and instructions to finalize your account set up will be emailed from myself and
Healthy Roster.
- Full Name
- Sport
- Date of Birth
- School Email Address
- Phone Number
HIPAA stands for Health Insurance Portability and Accountability Act. HIPAA requires health care providers and organizations, as well as their business associates, to develop and follow procedures that ensure the confidentiality and security of all protected health information (PHI). What this means is that only the provider user, the adult athlete/patient or the parent will see protected health information unless permission has been granted through Healthy Roster to a coach or administrator to also see that protected health information.
The LSUE Sports Medicine Department requires annual Preparticipation Medical Documentation from all returning and incoming LSUE Student-Athletes.
Each student-athlete will be required to complete 9 preparticipation documents on the Healthy Roster Website, and all documents must be completed prior to the athlete beginning athletic participation in practice, weight room activities, or games. All LSUE incoming athletes will be required to have a physical examination performed by a DO, MD, APRN, or PA. You can access the LSUE downloadable and printable PDF Pre-Participation Examination form by clicking this link. The physical can be emailed to your coach,
zstandif@lsue.edu, or uploaded to Healthy Roster under the Physical Document.
This must also be completed prior to the student-athlete beginning athletic participation. The
Healthy Roster Preparticipation Medical Documents that must be completed are listed below.
Reminder, any incoming student-athlete that is under the age of 18 must have parent or guardian signatures on all documents.
- LSUE Student-Athlete Acknowledgement of Insurance Policy
- LSUE Student-Athlete Insurance Information
- LSUE Student-Athlete Concussion Fact Sheet
- LSUE Student-Athlete Sickle Cell Trait Fact Sheet
- LSUE Student-Athlete Detailed Medical History
- LSUE Student-Athlete Medical Records Privacy Consent
- LSUE Student-Athlete Participation Consent and Consent to Treat
- LSUE Student-Athlete Registration Information
- LSUE Student-Athlete’s Insurance Card Copy (Upload Scan)
- LSUE Student-Athlete Physical (Upload Scan)
