Medium

Available on

Apple Android Windows

Walk-On, Addition to Roster Authorization Form Mobile App

This mobile application is for medical clearance. Th app asks for the student athlete's name and sport. Then it has a checklist of medical things and a signature page. It also notifies whether or not the student passes.

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

Want to learn more about GoCanvas?

Request a Demo

Take a peek inside the Walk-On, Addition to Roster Authorization Form Mobile App

Included Features

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more features.'}}

  • {{data.title}}

Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox

    Student-Athlete Name

  • Ico textbox

    Sport

  • Ico statictext

    Medical Clearance:

  • Ico checkbox

    Health Insurance Information & Authorization Form

  • Ico checkbox

    Photocopy (front & back) of Health Insurance Card

  • Ico checkbox

    Statement of Primary Insurance Form (if applicable)

  • Ico checkbox

    Student Health Services Information Form

  • Ico checkbox

    Health History Questionnaire Form

  • Ico checkbox

    Medical Examination & Authorization Waiver

  • Ico checkbox

    Authorization for the Use, Disclosure, & Release of Protected Health Information (PHI) Form

  • Ico checkbox

    Authorization for Release of Information to Media

  • Ico checkbox

    Supplement Notification Form

  • Ico checkbox

    Substance Abuse Policy Authorization

  • Ico checkbox

    Medical Physical Examination

  • Ico checkbox

    Orthopedic Screening Examination

  • Ico checkbox

    Blood Test (female student-athletes) // Sickle Cell Screen (African-American student-athletes)

  • Ico dropdown

    The above named prospective student-athlete has completed the required physical examination / med...

  • Ico textbox

    Athletic Trainer Name

  • Ico date

    Date

  • Ico signature

    Athletic Trainer's Signature

  • Ico date

    Date

  • Ico signature

    Compliance Signature

  • ...and More!

Related Health Care & Social Services Apps... and they're all free for GoCanvas subscribers!

App Name

Student-Athlete Cardiovascular Screening

This mobile application is a screening for heart problems of a student. This mobile app asks for the students information ...

App Name

High School Health Examination & Cons...

Complete this High School Health Examination & Consent Form quickly and easily right on your smartphone or tablet. Mo...

App Name

Sports Medicine Department

This mobile application is for the athletic trainer to fill out. It has a checklist of professional dimensions and their ...

App Name

Student Athlete Injury Report

This mobile application is to take note of an injury that the student got. It asks for the students information like name,...

App Name

Coach’s Evaluation Form

The Athletes Performance Evaluation Form mobile app is a log for athletes' performance. This application has basic info li...

App Name

High School Physical Examination Form

It is required by most schools that all students complete a health examination and consent form. Now with help from GoCan...

App Name

AED Policy

This mobile app id for schools that have an AED. It tells you under which conditions to use the AED. It also tells you wer...

App Name

Head Injury Warning Sheet

This is a medical follow-up sheet for your heath and safety. Quite often the signs of a head injury do not appear immedia...

More Information