scsu athletic training website
St. Cloud State University's
Athletic Training Website and
Athletic Training Forms Center
The St. Cloud State University Athletic Training staff is pleased to welcome you to our campus. The Athletic Trainers are here to help you with all your health care needs and injuries. Our staff includes the following personnel:
SCSU Athletic Training Staff
Julie Alexander, ATC, Head Athletic Trainer. Football, wrestling, swimming and diving and track & field.
PHONE: 320-308-3827,
E-MAIL: jaalexander@stcloudstate.edu.
Bryan DeMaine, ATC, Associate Athletic Trainer. Men’s & women’s ice hockey, soccer and Nordic skiing.
PHONE: 320-308-2588,
E-MAIL: bgdemaine@stcloudstate.edu.
Rachel Johnson, ATC, Associate Athletic Trainer. Men’s basketball, volleyball, softball and tennis.
PHONE: 320-308-2590
E-MAIL: rljohnson@stcloudstate.edu.
Stephen Patterson, ATC, Associate Athletic Trainer. Women’s basketball, baseball and golf.
PHONE: 320-308-2503
E-MAIL: smpatterson@stcloudstate.edu.
On this website you will find all the forms needed to complete your clearance for participation in athletics at SCSU. Please fill out the forms completely and return to the SCSU Athletic Training room by August 1st. All forms are in a PDF format.
SCSU Athletic Training Forms and Information
- Athletic Physical Form (PDF format)
- Emergency Contact and Insurance Form (PDF format)
- Emergency Contact and Insurance Form (WORD DOC)
- University Obligations and Summary forms (PDF format)
- University Obligations and Summary forms (WORD DOC)
- Insurance claim protocol form (PDF format)
- Insurance claim protocol form (WORD format)
- Returning Football Exam form (PDF format)
- Returning Football Exam form (WORD format)
- SCSU Concussion Protocol Information Sheet (PDF Format)
1. Athletic Physical Form. Please schedule an appointment for a physical with your primary physician and have the form completed as soon as possible. You may have to wait a month or two from when you call until you are scheduled, so do not delay. You will notice that we require a lot of information.
Before you see your physician, there are some items you can complete.
Your SCSU dorm or off-campus address goes in the top section on the first page. If you do not know your SCSU dorm or off-campus address, leave it blank. Please do not leave any other items blank. Your parent(s) or guardian(s) name(s) and address go in the section under that. Please make sure that you answer all of the questions and sign and date on the bottom of the fifth page. Explain any “YES” answers in the space provided. If you require further space, please use the back of the sheet. The Athletic Participation Health Form must be completed and returned prior to participation in St. Cloud State University Athletics.
Make sure that you take the form with you to your appointment and that your physician completes the information on the last page and signs at the bottom. NO OTHER FORM WILL BE ACCEPTED (i.e. a Minnesota High School League form)
If you have a primary care clinic and need referrals to see physician specialists, we strongly encourage you to change your primary care clinic to a clinic in St. Cloud. Speak with your parents and their insurance company to make this change. Also, we work closely with selected general/family practice physicians in this area. If you need some advice on which clinic or doctor to choose, please contact a staff member.
2. Emergency Contact and Insurance form. Please fill out the insurance form completely. Attach a photo copy of your insurance card to the form. Please supply your son/daughter with a card for possible appointments in St. Cloud. The policy holder must sign at the bottom acknowledging that the policy is in effect for the full school year and covers any athletic injuries sustained while participating at SCSU.
Please return your physical and insurance forms to:
Julie Alexander, ATC
720 4th Ave. So., HaH303
St. Cloud, MN 56301-4498
Or fax to 320-308-2099.
If you have any questions or concerns, please feel free to contact a member of our staff.
3. University Obligations and Summary forms. These forms are for your information and need not be returned. They outline our obligations as a University in helping to defray the cost of injuries sustained while participating on our athletic teams. Please read them thoroughly so that you understand how our secondary coverage works. If you have any questions, please contact Julie Alexander.
4. Insurance claim protocol form. This form will help guide you through the process of collecting from our secondary insurance carrier, 1st Agency Inc., Kalamazoo, MI. Please refer to it if your son/daughter should incur any expenses due to an athletic injury.
5. Returning Football Exam form. This form is for all returning football players only. Please schedule your physical during the summer and either send it to or drop off the form with Julie Alexander. This must be done every year and completed before you can take part in fall camp.
If you have questions or concerns, please do not hesitate to contact our staff at any time during your son/daughter’s athletic career here at St. Cloud State University. Welcome and good luck in your academic and athletic experiences at SCSU.
Free E-Mail Updates
If you would like FREE e-mail updates about SCSU athletics, visit our Husky Sports Updates page for information on how to sign up to be on the listserv.
