Athletics Health Questionnaire for Intercollegiate Program

Brown University Health Requirements Before Entering Brown

In order for you to participate in intercollegiate athletic programs at Brown University, you are required to complete a health questionnaire that will be reviewed by the Athletic Training Staff.  A web service has been developed to allow you to complete this form from your home.

The health questionnaire site is secured.  Therefore, you will be required to enter your Brown username and password to access the site.  As a new student, you were assigned a username and temporary passkey, which you changed to a permanent password, when you applied to Brown. This username and password is the same one that is used to logon to Banner to check admission decision results, missing documents, etc.  You will use this username and password to gain access to HealthQuest. If you no longer have that information, please contact the Brown Computing Help Desk for assistance by calling (401) 863-HELP.

To complete the health questionnaire you will also need your health insurance provider information for this upcoming school year.  If you purchased the Brown Student Health Insurance, list it as your insurance carrier and your Banner ID as your insurance policy number.

The service will be available starting on August 1, and must be completed no later than August 15, 2009.  If this form is not completed, you will not be allowed to participate in team practices or games.  To access the health questionnaire, go to the Brown University website at www.brown.edu and choose the A to Z index on the home page, Activities & Athletics, and then Athletic Health Questionnaire for intercollegiate program to view the health questionnaire welcome page.

Information entered in the questionnaire is kept strictly confidential, and can be accessed by only a limited number of athletic training staff members. 

If you have any questions about how to fill out the questionnaire, contact the Athletic Training Staff at (401) 863-3851. A member of the staff will be available weekdays from August 1st-15th between 4:00 and 7:00 p.m.