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.
Franklin Ohio Sports Medicine offers a comprehensive General Pre-Participation Form, Assumption of Risk, Consent to Receive Medical Care, and HIPAA Release for athletes and individuals participating in sports-related activities. These forms are vital in ensuring the safety and well-being of participants while providing necessary medical care and protecting their privacy. The General Pre-Participation Form covers essential personal and medical information, including details on medical history, allergies, medications, and emergency contacts. This form allows the sports medicine team to have a complete understanding of the individual's health status and any potential risks or conditions that may affect their participation in sports activities. The Assumption of Risk form acknowledges that participation in sports carries inherent risks, including the potential for injuries. It includes a thorough explanation of the potential risks involved in the chosen sport or activity, ensuring participants are fully aware of the potential dangers and voluntarily assume those risks. The Consent to Receive Medical Care form grants permission to Franklin Ohio Sports Medicine personnel to provide medical treatment and care to participants in case of injury or illness during sports activities. This form allows the medical staff to act promptly without delay, ensuring the timely and appropriate administration of medical care. Lastly, the HIPAA Release form addresses the privacy of participants' medical information. It grants Franklin Ohio Sports Medicine permission to disclose relevant medical information to authorized personnel involved in the individual's care, both within the organization and external healthcare providers. This ensures the seamless coordination of healthcare services and the protection of the participant's privacy rights in compliance with the Health Insurance Portability and Accountability Act (HIPAA). There may be variations of these forms specific to different sports or activities offered by Franklin Ohio Sports Medicine. For example, there might be separate forms for contact sports, endurance sports, or specialized activities like team-based sports or individual sports. These variations ensure that the forms cater to the specific needs and risks associated with each sport, guaranteeing accurate and comprehensive documentation for participants' safety and well-being.Franklin Ohio Sports Medicine offers a comprehensive General Pre-Participation Form, Assumption of Risk, Consent to Receive Medical Care, and HIPAA Release for athletes and individuals participating in sports-related activities. These forms are vital in ensuring the safety and well-being of participants while providing necessary medical care and protecting their privacy. The General Pre-Participation Form covers essential personal and medical information, including details on medical history, allergies, medications, and emergency contacts. This form allows the sports medicine team to have a complete understanding of the individual's health status and any potential risks or conditions that may affect their participation in sports activities. The Assumption of Risk form acknowledges that participation in sports carries inherent risks, including the potential for injuries. It includes a thorough explanation of the potential risks involved in the chosen sport or activity, ensuring participants are fully aware of the potential dangers and voluntarily assume those risks. The Consent to Receive Medical Care form grants permission to Franklin Ohio Sports Medicine personnel to provide medical treatment and care to participants in case of injury or illness during sports activities. This form allows the medical staff to act promptly without delay, ensuring the timely and appropriate administration of medical care. Lastly, the HIPAA Release form addresses the privacy of participants' medical information. It grants Franklin Ohio Sports Medicine permission to disclose relevant medical information to authorized personnel involved in the individual's care, both within the organization and external healthcare providers. This ensures the seamless coordination of healthcare services and the protection of the participant's privacy rights in compliance with the Health Insurance Portability and Accountability Act (HIPAA). There may be variations of these forms specific to different sports or activities offered by Franklin Ohio Sports Medicine. For example, there might be separate forms for contact sports, endurance sports, or specialized activities like team-based sports or individual sports. These variations ensure that the forms cater to the specific needs and risks associated with each sport, guaranteeing accurate and comprehensive documentation for participants' safety and well-being.
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.
