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Parents Responsibility to the Injured Student Waiver Mobile App

This mobile application provides a detailed outline of the extent of medical coverage and procedures that are followed by the institution in the event of an injury or illness of student athlete. The app can be easily customized, but it is beneficial to check with your attorney after you tailor the words. Check out the "Parents Responsibility Waiver" app to sign and acknowledge the information stated here. When the user completes this app, GoCanvas will automatically store the user's information in their account in a secure location in the GoCanvas Cloud, or email a PDF. Users can access their data anytime from the GoCanvas Cloud.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the Parents Responsibility to the Injured Student Waiver Mobile App

Included Features

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Included Fields

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    quality care to each of its student athletes.

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    The medical care of all sports related injuries or illnesses is coordinated through the (enter co...

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    Athletic Training Room.

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    secondary athletic insurance.

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    1. All students at (enter college name)

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    are required to have primary health insurance, either through an outside policy or by insurance p...

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    Failure to have an ACTIVE primary insurance policy may result in failure of (enter college name)

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    to assist in medical expense coverage, even those injuries related to athletic activity.

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    Your complete primary medical insurance information must be on file in the athletic training room.

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    may not be held responsible for bills or charges related to the lack of notification.

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    In the event of a sports related injury or illness, your primary insurance will be billed direct...

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    4. The (enter college name)

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    illness, after the primary insurance has been billed.

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    5. (enter college name)

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    and the Athletic Training Staff must approve use of the (enter college name)

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    secondary insurance policy.

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    (enter college name)

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    medical care is authorized or recommended by the athletic training staff or its designees.

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    Failure to discuss, in advance, medical care requiring the use of (enter college name)

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    secondary insurance may result in loss of benefits.

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    carrier to the athletic training room IMMEDIATELY.

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    Please be aware that the (enter college name)

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    Athletic Training Room does not get copies of these bills.

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    (enter college name)

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    balances.

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    Our secondary insurance provider will only assist with medical bill payment for up to one year f...

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    8. (enter college name)

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    Athletics will not be responsible for non-sports related injuries.

  • ...and More!

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