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.
Maricopa Arizona Sports Medicine General Pre-Participation Form, Assumption of Risk, Consent to Receive Medical Care, and HIPAA Release are essential documents that outline the terms, conditions, and consent required for participating in sports activities with Maricopa Arizona Sports Medicine. These forms are designed to ensure the safety and well-being of athletes by providing necessary information about their medical history, potential risks, and allowing medical professionals to administer the required care while adhering to HIPAA regulations. The Maricopa Arizona Sports Medicine General Pre-Participation Form is a detailed document that collects extensive information about the athlete's medical history, previous injuries, allergies, and any ongoing medical conditions. It plays a crucial role in evaluating an athlete's suitability for participation by helping medical professionals understand their specific needs and capabilities. The Assumption of Risk form is an acknowledgment by the athlete and their parent/guardian (if applicable) that participation in sports activities carries inherent risks, including the possibility of injury. By signing this form, the participant acknowledges and accepts these risks voluntarily, releasing Maricopa Arizona Sports Medicine from any liability in the event of an injury resulting from participation. The Consent to Receive Medical Care form grants permission to authorized medical personnel at Maricopa Arizona Sports Medicine to provide necessary medical treatment, including emergency care, during sports events or practices. This ensures that prompt and appropriate medical attention can be provided if an injury or illness occurs. Additionally, the HIPAA Release form complies with the Health Insurance Portability and Accountability Act (HIPAA), which safeguards the privacy and security of individuals' protected health information (PHI). By signing this form, the athlete and their parent/guardians authorize Maricopa Arizona Sports Medicine to use and disclose their PHI for purposes of treatment, payment, and healthcare operations, while maintaining confidentiality and adhering to HIPAA guidelines. It's important to note that while the general structure and purpose of these forms remain the same, the specific details and requirements may vary depending on the sport or activity involved. Maricopa Arizona Sports Medicine may have specific versions of these forms tailored for different sports, such as football, soccer, basketball, etc., to address the unique risks and considerations associated with each sport.Maricopa Arizona Sports Medicine General Pre-Participation Form, Assumption of Risk, Consent to Receive Medical Care, and HIPAA Release are essential documents that outline the terms, conditions, and consent required for participating in sports activities with Maricopa Arizona Sports Medicine. These forms are designed to ensure the safety and well-being of athletes by providing necessary information about their medical history, potential risks, and allowing medical professionals to administer the required care while adhering to HIPAA regulations. The Maricopa Arizona Sports Medicine General Pre-Participation Form is a detailed document that collects extensive information about the athlete's medical history, previous injuries, allergies, and any ongoing medical conditions. It plays a crucial role in evaluating an athlete's suitability for participation by helping medical professionals understand their specific needs and capabilities. The Assumption of Risk form is an acknowledgment by the athlete and their parent/guardian (if applicable) that participation in sports activities carries inherent risks, including the possibility of injury. By signing this form, the participant acknowledges and accepts these risks voluntarily, releasing Maricopa Arizona Sports Medicine from any liability in the event of an injury resulting from participation. The Consent to Receive Medical Care form grants permission to authorized medical personnel at Maricopa Arizona Sports Medicine to provide necessary medical treatment, including emergency care, during sports events or practices. This ensures that prompt and appropriate medical attention can be provided if an injury or illness occurs. Additionally, the HIPAA Release form complies with the Health Insurance Portability and Accountability Act (HIPAA), which safeguards the privacy and security of individuals' protected health information (PHI). By signing this form, the athlete and their parent/guardians authorize Maricopa Arizona Sports Medicine to use and disclose their PHI for purposes of treatment, payment, and healthcare operations, while maintaining confidentiality and adhering to HIPAA guidelines. It's important to note that while the general structure and purpose of these forms remain the same, the specific details and requirements may vary depending on the sport or activity involved. Maricopa Arizona Sports Medicine may have specific versions of these forms tailored for different sports, such as football, soccer, basketball, etc., to address the unique risks and considerations associated with each sport.
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.
