Cuyahoga Ohio Autorización o consentimiento del estudiante atleta para la divulgación de información de salud protegida a la Asociación Atlética Colegial Nacional para el Monitoreo e Investigación de Lesiones o Enfermedades Deportivas - Student-Athlete Authorization or Consent for Disclosure of Protected Health Information to the National Collegiate Athletic Association for Monitoring and Research of Sports Injuries or Illnesses

State:
Multi-State
County:
Cuyahoga
Control #:
US-01719BG
Format:
Word
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Description

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).

The Cuyahoga Ohio Student-Athlete Authorization or Consent for Disclosure of Protected Health Information to the National Collegiate Athletic Association (NCAA) for Monitoring and Research of Sports Injuries or Illnesses is an important document that allows student-athletes in Cuyahoga County, Ohio to grant consent for the disclosure of their protected health information to the NCAA. The purpose of this consent form is to enable the NCAA to collect and analyze data regarding sports injuries and illnesses among student-athletes. This allows the NCAA to monitor the overall health and safety of college athletes and conduct research to improve prevention, treatment, and management of sports-related injuries or illnesses. When student-athletes sign this consent form, they are authorizing healthcare providers, athletic trainers, and other relevant personnel to disclose their protected health information to the NCAA. The protected health information may include medical records, injury reports, diagnostic tests, treatment plans, and any other pertinent information related to sports injuries or illnesses. By consenting to this disclosure, student-athletes contribute to a broader understanding of sports-related health issues. The information collected through this process assists the NCAA in identifying trends, evaluating prevention strategies, and implementing appropriate guidelines or policies to safeguard the well-being of student-athletes. It is important to note that there may be different variations or types of the Cuyahoga Ohio Student-Athlete Authorization or Consent for Disclosure of Protected Health Information to the NCAA for Monitoring and Research of Sports Injuries or Illnesses. These variations could depend on specific institutions, athletic programs, or governing bodies within Cuyahoga County. Each may have its unique requirements, formatting, or additional clauses that align with their individual policies and procedures for ensuring student-athlete health and safety. To best comply with the rules and regulations, student-athletes are encouraged to consult their respective athletic departments or medical personnel to obtain the appropriate consent form. It is essential for student-athletes to fully understand the terms and conditions outlined in the document before signing, ensuring they make an informed decision about the disclosure of their protected health information to the NCAA.

The Cuyahoga Ohio Student-Athlete Authorization or Consent for Disclosure of Protected Health Information to the National Collegiate Athletic Association (NCAA) for Monitoring and Research of Sports Injuries or Illnesses is an important document that allows student-athletes in Cuyahoga County, Ohio to grant consent for the disclosure of their protected health information to the NCAA. The purpose of this consent form is to enable the NCAA to collect and analyze data regarding sports injuries and illnesses among student-athletes. This allows the NCAA to monitor the overall health and safety of college athletes and conduct research to improve prevention, treatment, and management of sports-related injuries or illnesses. When student-athletes sign this consent form, they are authorizing healthcare providers, athletic trainers, and other relevant personnel to disclose their protected health information to the NCAA. The protected health information may include medical records, injury reports, diagnostic tests, treatment plans, and any other pertinent information related to sports injuries or illnesses. By consenting to this disclosure, student-athletes contribute to a broader understanding of sports-related health issues. The information collected through this process assists the NCAA in identifying trends, evaluating prevention strategies, and implementing appropriate guidelines or policies to safeguard the well-being of student-athletes. It is important to note that there may be different variations or types of the Cuyahoga Ohio Student-Athlete Authorization or Consent for Disclosure of Protected Health Information to the NCAA for Monitoring and Research of Sports Injuries or Illnesses. These variations could depend on specific institutions, athletic programs, or governing bodies within Cuyahoga County. Each may have its unique requirements, formatting, or additional clauses that align with their individual policies and procedures for ensuring student-athlete health and safety. To best comply with the rules and regulations, student-athletes are encouraged to consult their respective athletic departments or medical personnel to obtain the appropriate consent form. It is essential for student-athletes to fully understand the terms and conditions outlined in the document before signing, ensuring they make an informed decision about the disclosure of their protected health information to the NCAA.

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.
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Cuyahoga Ohio Autorización o consentimiento del estudiante atleta para la divulgación de información de salud protegida a la Asociación Atlética Colegial Nacional para el Monitoreo e Investigación de Lesiones o Enfermedades Deportivas