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).
Cook Illinois Student-Athlete Authorization or Consent for Disclosure of Protected Health Information to the National Collegiate Athletic Association (NCAA) is a document that allows the sharing of a student-athlete's protected health information with the NCAA for the purpose of monitoring and researching sports injuries and illnesses. This consent form is essential for student-athletes who are participating in NCAA-sanctioned sports and want to contribute to the advancement of sports medicine and athlete well-being. The Cook Illinois Student-Athlete Authorization or Consent for Disclosure of Protected Health Information is designed to protect and secure the privacy of the student-athlete's health records while allowing crucial data to be accessed by the NCAA. By signing this consent, student-athletes give their permission to share their health information such as injury history, medical records, treatment plans, and related data with the NCAA. The National Collegiate Athletic Association ensures that the authorized information is used solely for the purposes of studying and analyzing sports-related injuries and illnesses. The research conducted by the NCAA aims to identify trends, evaluate the effectiveness of various treatment approaches, and develop strategies to prevent and address injuries or illnesses commonly experienced by student-athletes. It is important to note that the consent forms may vary based on the specific requirements of Cook Illinois. Different types of Cook Illinois Student-Athlete Authorization or Consent for Disclosure of Protected Health Information to the NCAA may include: 1. Initial Consent Form: This form is typically used when student-athletes first join the athletic program. It establishes the basis for sharing their health information with the NCAA for ongoing monitoring and research purposes. 2. Annual Consent Form: Student-athletes may be required to renew their consent annually to ensure the continuous sharing of their health information with the NCAA. This allows the NCAA to maintain up-to-date records for monitoring and research purposes. 3. Injury-Specific Consent Form: In certain cases, if a student-athlete sustains a significant injury or develops a specific medical condition, a separate consent form may be necessary to disclose additional protected health information related to that specific injury or condition. Overall, the Cook Illinois Student-Athlete Authorization or Consent for Disclosure of Protected Health Information to the National Collegiate Athletic Association enables student-athletes to contribute to the advancement of sports medicine research while ensuring the privacy and confidentiality of their personal health information.Cook Illinois Student-Athlete Authorization or Consent for Disclosure of Protected Health Information to the National Collegiate Athletic Association (NCAA) is a document that allows the sharing of a student-athlete's protected health information with the NCAA for the purpose of monitoring and researching sports injuries and illnesses. This consent form is essential for student-athletes who are participating in NCAA-sanctioned sports and want to contribute to the advancement of sports medicine and athlete well-being. The Cook Illinois Student-Athlete Authorization or Consent for Disclosure of Protected Health Information is designed to protect and secure the privacy of the student-athlete's health records while allowing crucial data to be accessed by the NCAA. By signing this consent, student-athletes give their permission to share their health information such as injury history, medical records, treatment plans, and related data with the NCAA. The National Collegiate Athletic Association ensures that the authorized information is used solely for the purposes of studying and analyzing sports-related injuries and illnesses. The research conducted by the NCAA aims to identify trends, evaluate the effectiveness of various treatment approaches, and develop strategies to prevent and address injuries or illnesses commonly experienced by student-athletes. It is important to note that the consent forms may vary based on the specific requirements of Cook Illinois. Different types of Cook Illinois Student-Athlete Authorization or Consent for Disclosure of Protected Health Information to the NCAA may include: 1. Initial Consent Form: This form is typically used when student-athletes first join the athletic program. It establishes the basis for sharing their health information with the NCAA for ongoing monitoring and research purposes. 2. Annual Consent Form: Student-athletes may be required to renew their consent annually to ensure the continuous sharing of their health information with the NCAA. This allows the NCAA to maintain up-to-date records for monitoring and research purposes. 3. Injury-Specific Consent Form: In certain cases, if a student-athlete sustains a significant injury or develops a specific medical condition, a separate consent form may be necessary to disclose additional protected health information related to that specific injury or condition. Overall, the Cook Illinois Student-Athlete Authorization or Consent for Disclosure of Protected Health Information to the National Collegiate Athletic Association enables student-athletes to contribute to the advancement of sports medicine research while ensuring the privacy and confidentiality of their personal health information.
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.