The NCAA Injury Surveillance System (ISS), an ongoing surveillance database maintained by the NCAA. The ISS provides NCAA committees, athletic conferences and individual schools and NCAA-approved researchers with injury, relevant illness and participation information that does not identify individual athletes or schools. The data provide the Association and other groups with an information resource upon which to base and evaluate the effectiveness of health and safety rules and policy, and to study other sports medicine questions. This letter is meant to satisfy requirements of the Health Insurance Portability and Accountability Act (HIPAA).
Maryland Student-Athlete Authorization or Consent for Disclosure of Protected Health Information to the National Collegiate Athletic Association (NCAA) for Monitoring and Research of Sports Injuries or Illnesses is a vital document that allows student-athletes in Maryland to grant permission for their protected health information (PHI) to be shared with the NCAA. This disclosure enables the NCAA to collect data and conduct research to better understand and potentially prevent sports-related injuries or illnesses amongst student-athletes. The Maryland Student-Athlete Authorization or Consent for Disclosure of Protected Health Information to the NCAA serves as a legal and ethical safeguard, ensuring that student-athletes' health information is handled responsibly and securely. By granting consent, student-athletes contribute to the voluntary sharing of data for monitoring and research purposes, potentially leading to improved health outcomes and enhanced athlete safety. This consent form typically includes the following key elements: 1. Personal Information: The form will require the student-athlete's basic information, including name, date of birth, address, contact details, and student-athlete identification number. 2. Consent Statement: The document will contain a clear and explicit consent statement where the student-athlete acknowledges their understanding and grants permission for the disclosure of their PHI to the NCAA for monitoring and research purposes related to sports injuries and illnesses. 3. Scope of Authorization: The form might outline the specific types of PHI that can be disclosed, such as medical records, diagnostic results, treatment plans, prior injuries or illnesses, and any other relevant health information related to athletic performance. 4. Duration of Consent: The duration of consent should be specified, indicating if it is a one-time authorization or if it applies for a certain time period, such as a specific competitive season or the student-athlete's entire collegiate career. 5. HIPAA Compliance: The form will address compliance with the Health Insurance Portability and Accountability Act (HIPAA) regulations, reassuring the student-athlete that their PHI will be protected and shared only for legitimate monitoring and research purposes. It is worth noting that while the general concept of the Maryland Student-Athlete Authorization or Consent for Disclosure of Protected Health Information to the NCAA remains consistent, there might be variations in the actual format or content based on individual institutions or athletic programs.Maryland Student-Athlete Authorization or Consent for Disclosure of Protected Health Information to the National Collegiate Athletic Association (NCAA) for Monitoring and Research of Sports Injuries or Illnesses is a vital document that allows student-athletes in Maryland to grant permission for their protected health information (PHI) to be shared with the NCAA. This disclosure enables the NCAA to collect data and conduct research to better understand and potentially prevent sports-related injuries or illnesses amongst student-athletes. The Maryland Student-Athlete Authorization or Consent for Disclosure of Protected Health Information to the NCAA serves as a legal and ethical safeguard, ensuring that student-athletes' health information is handled responsibly and securely. By granting consent, student-athletes contribute to the voluntary sharing of data for monitoring and research purposes, potentially leading to improved health outcomes and enhanced athlete safety. This consent form typically includes the following key elements: 1. Personal Information: The form will require the student-athlete's basic information, including name, date of birth, address, contact details, and student-athlete identification number. 2. Consent Statement: The document will contain a clear and explicit consent statement where the student-athlete acknowledges their understanding and grants permission for the disclosure of their PHI to the NCAA for monitoring and research purposes related to sports injuries and illnesses. 3. Scope of Authorization: The form might outline the specific types of PHI that can be disclosed, such as medical records, diagnostic results, treatment plans, prior injuries or illnesses, and any other relevant health information related to athletic performance. 4. Duration of Consent: The duration of consent should be specified, indicating if it is a one-time authorization or if it applies for a certain time period, such as a specific competitive season or the student-athlete's entire collegiate career. 5. HIPAA Compliance: The form will address compliance with the Health Insurance Portability and Accountability Act (HIPAA) regulations, reassuring the student-athlete that their PHI will be protected and shared only for legitimate monitoring and research purposes. It is worth noting that while the general concept of the Maryland Student-Athlete Authorization or Consent for Disclosure of Protected Health Information to the NCAA remains consistent, there might be variations in the actual format or content based on individual institutions or athletic programs.
Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.
