This is a multi-purpose form that informs the student-athlete of the inherent risk associated with participating in any athletic activities within the intercollegiate athletic department at an NCAA member institution. The subsequent sections allow the sports medicine staff to evaluate and treat any injury that might occur during an intercollegiate activity as well as allowing the sports medicine department to disclose information about those injuries to the individuals listed on the form and only those people. This form also includes an NCAA HIPAA form that allows the NCAA member institution to keep medical file on a secure server at the NCAA Headquarters as well as allows the NCAA to perform random drug testing to any student-athlete.
Allegheny Pennsylvania Sports Medicine offers a comprehensive range of services, including their General Pre-Participation Form, Assumption of Risk, Consent to Receive Medical Care, and HIPAA Release. These forms play a crucial role in ensuring the safety, well-being, and privacy of athletes participating in sports activities. The General Pre-Participation Form is an essential document that athletes must complete before engaging in any sporting event. It captures crucial information about the athlete's medical history and current condition, including any existing injuries, allergies, medications, or conditions that may impact their ability to participate safely. This form helps the medical personnel at Allegheny Pennsylvania Sports Medicine to assess the athlete's health status and provide appropriate care if needed. The Assumption of Risk form acknowledges that participation in sports activities carries inherent risks, including the possibility of injury. By signing this form, the athlete acknowledges their understanding of these risks and agrees to assume responsibility for any injuries that may occur while participating in sports events or activities organized by Allegheny Pennsylvania Sports Medicine. The Consent to Receive Medical Care form ensures that athletes receive prompt medical attention in case of injury or emergency during sporting events. By signing this form, athletes authorize the medical staff at Allegheny Pennsylvania Sports Medicine to provide necessary medical treatment and care, including evaluation, diagnosis, medication administration, and referrals to specialists if needed. This consent is crucial to guarantee the athlete's well-being and timely access to appropriate medical interventions. The HIPAA Release form ensures compliance with the Health Insurance Portability and Accountability Act (HIPAA). By signing this form, athletes authorize Allegheny Pennsylvania Sports Medicine to access, use, and disclose their protected health information (PHI) for the purposes of treatment, payment, and healthcare operations. This release enables the medical staff to share relevant information with other healthcare providers, insurance companies, and billing departments while maintaining strict confidentiality. It is important to note that the types of Allegheny Pennsylvania Sports Medicine General Pre-Participation Form, Assumption of Risk, Consent to Receive Medical Care, and HIPAA Release may vary depending on the specific department or services being offered. However, the overall purpose remains the same — ensuring the safety, informed consent, and privacy of athletes seeking medical care or participating in sports activities.Allegheny Pennsylvania Sports Medicine offers a comprehensive range of services, including their General Pre-Participation Form, Assumption of Risk, Consent to Receive Medical Care, and HIPAA Release. These forms play a crucial role in ensuring the safety, well-being, and privacy of athletes participating in sports activities. The General Pre-Participation Form is an essential document that athletes must complete before engaging in any sporting event. It captures crucial information about the athlete's medical history and current condition, including any existing injuries, allergies, medications, or conditions that may impact their ability to participate safely. This form helps the medical personnel at Allegheny Pennsylvania Sports Medicine to assess the athlete's health status and provide appropriate care if needed. The Assumption of Risk form acknowledges that participation in sports activities carries inherent risks, including the possibility of injury. By signing this form, the athlete acknowledges their understanding of these risks and agrees to assume responsibility for any injuries that may occur while participating in sports events or activities organized by Allegheny Pennsylvania Sports Medicine. The Consent to Receive Medical Care form ensures that athletes receive prompt medical attention in case of injury or emergency during sporting events. By signing this form, athletes authorize the medical staff at Allegheny Pennsylvania Sports Medicine to provide necessary medical treatment and care, including evaluation, diagnosis, medication administration, and referrals to specialists if needed. This consent is crucial to guarantee the athlete's well-being and timely access to appropriate medical interventions. The HIPAA Release form ensures compliance with the Health Insurance Portability and Accountability Act (HIPAA). By signing this form, athletes authorize Allegheny Pennsylvania Sports Medicine to access, use, and disclose their protected health information (PHI) for the purposes of treatment, payment, and healthcare operations. This release enables the medical staff to share relevant information with other healthcare providers, insurance companies, and billing departments while maintaining strict confidentiality. It is important to note that the types of Allegheny Pennsylvania Sports Medicine General Pre-Participation Form, Assumption of Risk, Consent to Receive Medical Care, and HIPAA Release may vary depending on the specific department or services being offered. However, the overall purpose remains the same — ensuring the safety, informed consent, and privacy of athletes seeking medical care or participating in sports activities.
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.
