*****Attention NCAA Student Athletes*****

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REQUIRED ATHLETE HEALTH FORMS MUST BE COMPLETED ONLINE in the Patient Portal, MY HAZEN, by August 1. Paper forms are no longer available.

To register for your Patient Portal, you must have paid your deposit.

  • Go to MY HAZEN and log in with your Brockport NetID and password.
  • Click the “Forms” tab or button to review required forms.
  • Need assistance? Email healthce@brockport.edu or call (585) 395-2414.

Returning Athletes

  1. Complete Annual Update For Returning Athletes form
    • Answer all the questions in detail. Incomplete Forms Cannot Be Saved and Submitted.
    • Once form is completed, click Submit.

Returning athletes Do Not need to provide Sickle Cell status or physical.

New Athletes

  1. New NCAA Athlete Health History
    • Answer all the questions in detail. Allow at least 20 minutes. Incomplete Forms Cannot Be Saved and Submitted.
    • Once form is completed, click Submit.
  2. Downloadable Forms: Physical Form
    • You Must Have a Physical Performed Within the 12 months prior to the start of classes.
    • Take this form to your doctor to be completed.
    • Scan and upload this form back to the My Hazen site for our review.
  3. Required Immunizations
    • Go to Immunization area and follow the instructions for Mandatory Immunizations.

Once forms are processed, a secure email will be sent indicating missing requirements, need for follow-up, or clearance. Check to see if you have been cleared to participate in your sport:

  1. Log In
  2. Click “Immunization” tab
  3. “View History”

Last Updated 8/15/18

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