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).
Chicago Illinois Student-Athlete Authorization or Consent for Disclosure of Protected Health Information (PHI) to the National Collegiate Athletic Association (NCAA) for Monitoring and Research of Sports Injuries or Illnesses is a legal document that allows student-athletes in Chicago, Illinois to authorize the release of their protected health information to the NCAA. This consent is crucial for enhancing the monitoring and research of sports-related injuries and illnesses among college athletes. The Chicago Illinois Student-Athlete Authorization or Consent for Disclosure of Protected Health Information to the National Collegiate Athletic Association ensures that student-athletes' medical records and health information remain confidential and used only for monitoring and research purposes by the NCAA. The document typically includes the following components: 1. Student-Athlete Information: This section gathers pertinent information about the student-athlete, including their name, contact details, date of birth, and sports program affiliation. 2. PHI Disclosure Consent: Here, the student-athlete grants consent to their healthcare provider(s) to disclose their PHI to the NCAA for monitoring and research purposes. The consent specifies that only necessary and relevant information related to sports injuries or illnesses may be released. 3. Purpose and Scope: This section clarifies that the disclosure is exclusively for the purpose of monitoring and research conducted by the NCAA to advance sports medicine, improve safety protocols, and develop preventive measures for the benefit of student-athletes. 4. Confidentiality and Data Security: The consent emphasizes that the released information must be handled with utmost confidentiality and securely stored by the NCAA to protect the student-athlete's privacy and compliance with relevant legal requirements like HIPAA (Health Insurance Portability and Accountability Act). 5. Duration of Consent: This part specifies the timeframe during which the consent is valid, typically covering a particular academic year or sports season. Different types of the Chicago Illinois Student-Athlete Authorization or Consent for Disclosure of Protected Health Information to the NCAA may be classified based on the category of sports injuries or illnesses being monitored or researched. For example: 1. Concussion Monitoring Consent: This type of consent specifically allows the NCAA to collect and analyze data related to concussion injuries among student-athletes. 2. Musculoskeletal Injuries Consent: This consent focuses on gathering information about musculoskeletal injuries prevalent in various sports and enables the NCAA to develop effective injury prevention strategies. 3. Cardiac Health Monitoring Consent: Student-athletes participating in sports with a higher risk of cardiac events may provide consent explicitly for cardiac-related monitoring and research. In summary, the Chicago Illinois Student-Athlete Authorization or Consent for Disclosure of Protected Health Information to the NCAA for Monitoring and Research of Sports Injuries or Illnesses is a crucial document that enables student-athletes to contribute to the advancement of sports medicine and safety protocols while protecting their privacy and confidentiality.Chicago Illinois Student-Athlete Authorization or Consent for Disclosure of Protected Health Information (PHI) to the National Collegiate Athletic Association (NCAA) for Monitoring and Research of Sports Injuries or Illnesses is a legal document that allows student-athletes in Chicago, Illinois to authorize the release of their protected health information to the NCAA. This consent is crucial for enhancing the monitoring and research of sports-related injuries and illnesses among college athletes. The Chicago Illinois Student-Athlete Authorization or Consent for Disclosure of Protected Health Information to the National Collegiate Athletic Association ensures that student-athletes' medical records and health information remain confidential and used only for monitoring and research purposes by the NCAA. The document typically includes the following components: 1. Student-Athlete Information: This section gathers pertinent information about the student-athlete, including their name, contact details, date of birth, and sports program affiliation. 2. PHI Disclosure Consent: Here, the student-athlete grants consent to their healthcare provider(s) to disclose their PHI to the NCAA for monitoring and research purposes. The consent specifies that only necessary and relevant information related to sports injuries or illnesses may be released. 3. Purpose and Scope: This section clarifies that the disclosure is exclusively for the purpose of monitoring and research conducted by the NCAA to advance sports medicine, improve safety protocols, and develop preventive measures for the benefit of student-athletes. 4. Confidentiality and Data Security: The consent emphasizes that the released information must be handled with utmost confidentiality and securely stored by the NCAA to protect the student-athlete's privacy and compliance with relevant legal requirements like HIPAA (Health Insurance Portability and Accountability Act). 5. Duration of Consent: This part specifies the timeframe during which the consent is valid, typically covering a particular academic year or sports season. Different types of the Chicago Illinois Student-Athlete Authorization or Consent for Disclosure of Protected Health Information to the NCAA may be classified based on the category of sports injuries or illnesses being monitored or researched. For example: 1. Concussion Monitoring Consent: This type of consent specifically allows the NCAA to collect and analyze data related to concussion injuries among student-athletes. 2. Musculoskeletal Injuries Consent: This consent focuses on gathering information about musculoskeletal injuries prevalent in various sports and enables the NCAA to develop effective injury prevention strategies. 3. Cardiac Health Monitoring Consent: Student-athletes participating in sports with a higher risk of cardiac events may provide consent explicitly for cardiac-related monitoring and research. In summary, the Chicago Illinois Student-Athlete Authorization or Consent for Disclosure of Protected Health Information to the NCAA for Monitoring and Research of Sports Injuries or Illnesses is a crucial document that enables student-athletes to contribute to the advancement of sports medicine and safety protocols while protecting their privacy and confidentiality.
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.
