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.
Travis Texas Sports Medicine offers a comprehensive Pre-Participation Form, Assumption of Risk, Consent to Receive Medical Care, and HIPAA Release designed to ensure the well-being of athletes. This form is vitally important for athletes, coaches, and parents/guardians participating in sports activities and seeking medical care or treatment. The Travis Texas Sports Medicine General Pre-Participation Form consists of several sections that gather crucial information. It includes personal, medical, and emergency contact details. Athletes are required to provide accurate information about their medical history, including any previous injuries, illnesses, or surgeries they have undergone. This helps the medical staff at Travis Texas Sports Medicine to better understand the athlete's health profile and provide appropriate care. The Assumption of Risk section of the form outlines the potential risks associated with participating in sports activities. By acknowledging and signing this section, athletes and their parents/guardians acknowledge their understanding of these risks and agree to accept full responsibility for any injuries or accidents that may occur during sports participation. The Consent to Receive Medical Care section grants permission for Travis Texas Sports Medicine professionals to provide necessary medical treatment or care to the athlete. This ensures that immediate medical attention can be given if an injury or medical issue arises during sports activities. It is important for athletes and parents/guardians to carefully read and sign this section to authorize the medical staff's actions in case of an emergency. Regarding privacy and confidentiality, the HIPAA Release section complies with the Health Insurance Portability and Accountability Act (HIPAA). This section allows Travis Texas Sports Medicine to use and disclose the athlete's protected health information for treatment, payment, and healthcare operations purposes. By signing this section, the athlete and parent/guardian acknowledge that they have read and understood the privacy practices and policies of the healthcare provider. It's important to note that while the Travis Texas Sports Medicine General Pre-Participation Form, Assumption of Risk, Consent to Receive Medical Care, and HIPAA Release are standard documents, there may be variations or additional forms that cater to specific sports or athletic programs. For example, there might be separate forms for contact sports like football, combat sports like wrestling, or specialized forms for athletes with specific medical conditions. Travis Texas Sports Medicine understands the significance of these forms and ensures their strict adherence to promote athletes' safety and provide appropriate medical care. It is recommended that athletes, parents/guardians, and coaches thoroughly review and complete these forms to facilitate a safe and successful sports experience.Travis Texas Sports Medicine offers a comprehensive Pre-Participation Form, Assumption of Risk, Consent to Receive Medical Care, and HIPAA Release designed to ensure the well-being of athletes. This form is vitally important for athletes, coaches, and parents/guardians participating in sports activities and seeking medical care or treatment. The Travis Texas Sports Medicine General Pre-Participation Form consists of several sections that gather crucial information. It includes personal, medical, and emergency contact details. Athletes are required to provide accurate information about their medical history, including any previous injuries, illnesses, or surgeries they have undergone. This helps the medical staff at Travis Texas Sports Medicine to better understand the athlete's health profile and provide appropriate care. The Assumption of Risk section of the form outlines the potential risks associated with participating in sports activities. By acknowledging and signing this section, athletes and their parents/guardians acknowledge their understanding of these risks and agree to accept full responsibility for any injuries or accidents that may occur during sports participation. The Consent to Receive Medical Care section grants permission for Travis Texas Sports Medicine professionals to provide necessary medical treatment or care to the athlete. This ensures that immediate medical attention can be given if an injury or medical issue arises during sports activities. It is important for athletes and parents/guardians to carefully read and sign this section to authorize the medical staff's actions in case of an emergency. Regarding privacy and confidentiality, the HIPAA Release section complies with the Health Insurance Portability and Accountability Act (HIPAA). This section allows Travis Texas Sports Medicine to use and disclose the athlete's protected health information for treatment, payment, and healthcare operations purposes. By signing this section, the athlete and parent/guardian acknowledge that they have read and understood the privacy practices and policies of the healthcare provider. It's important to note that while the Travis Texas Sports Medicine General Pre-Participation Form, Assumption of Risk, Consent to Receive Medical Care, and HIPAA Release are standard documents, there may be variations or additional forms that cater to specific sports or athletic programs. For example, there might be separate forms for contact sports like football, combat sports like wrestling, or specialized forms for athletes with specific medical conditions. Travis Texas Sports Medicine understands the significance of these forms and ensures their strict adherence to promote athletes' safety and provide appropriate medical care. It is recommended that athletes, parents/guardians, and coaches thoroughly review and complete these forms to facilitate a safe and successful sports experience.
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.
