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).
Houston Texas 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 is a document that allows student-athletes in Houston, Texas to grant permission for the disclosure of their protected health information to the National Collegiate Athletic Association (NCAA) for the purpose of monitoring and researching sports injuries or illnesses. This authorization is essential for gathering data and conducting studies to improve the overall health and wellness of student-athletes at a collegiate level. The Houston Texas Student-Athlete Authorization or Consent for Disclosure of Protected Health Information serves as a legal agreement between the student-athlete and their institution's athletic department. Its primary objective is to ensure the necessary sharing of medical information between healthcare providers, athletic trainers, and the NCAA, thereby enabling comprehensive injury surveillance and effective research in the field. By granting explicit consent, student-athletes contribute to advancements in sports medicine, injury prevention strategies, and the overall well-being of athletes nationwide. The document typically includes the following key elements: 1. Personal Information: The student-athlete's full name, date of birth, contact details, and identification number. 2. Disclosure Purpose: A clear statement specifying the purpose for which the disclosure of protected health information is being sought, particularly for the monitoring and research of sports injuries or illnesses by the NCAA. 3. Description of Information: A detailed list of the specific types of health information that may be disclosed, such as medical records, diagnostic test results, treatment plans, and any related information deemed relevant for research purposes. 4. Parties Involved: Identification of the entities or individuals who may disclose and receive the protected health information. This typically includes healthcare providers, athletic trainers, university athletic department personnel, and the NCAA. 5. Authorization Duration: The period for which the authorization is valid, which is often defined in terms of academic years or for the duration of the student-athlete's participation in collegiate sports. 6. Revocation Terms: Information on how the student-athlete can modify or withdraw their authorization in writing, while acknowledging that any actions taken prior to revocation will remain valid. Different types or variations of this authorization document may exist depending on the specific policies and requirements of the Houston, Texas educational institutions or the NCAA. However, the core purpose, content, and intent of the authorization remain consistent as outlined above. In summary, the Houston Texas Student-Athlete Authorization or Consent for Disclosure of Protected Health Information is a crucial document that facilitates the sharing of medical data between student-athletes, healthcare providers, and the NCAA. By giving consent, student-athletes contribute to valuable research and monitoring efforts aimed at improving the overall understanding and management of sports-related injuries and illnesses within collegiate athletic programs.Houston Texas 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 is a document that allows student-athletes in Houston, Texas to grant permission for the disclosure of their protected health information to the National Collegiate Athletic Association (NCAA) for the purpose of monitoring and researching sports injuries or illnesses. This authorization is essential for gathering data and conducting studies to improve the overall health and wellness of student-athletes at a collegiate level. The Houston Texas Student-Athlete Authorization or Consent for Disclosure of Protected Health Information serves as a legal agreement between the student-athlete and their institution's athletic department. Its primary objective is to ensure the necessary sharing of medical information between healthcare providers, athletic trainers, and the NCAA, thereby enabling comprehensive injury surveillance and effective research in the field. By granting explicit consent, student-athletes contribute to advancements in sports medicine, injury prevention strategies, and the overall well-being of athletes nationwide. The document typically includes the following key elements: 1. Personal Information: The student-athlete's full name, date of birth, contact details, and identification number. 2. Disclosure Purpose: A clear statement specifying the purpose for which the disclosure of protected health information is being sought, particularly for the monitoring and research of sports injuries or illnesses by the NCAA. 3. Description of Information: A detailed list of the specific types of health information that may be disclosed, such as medical records, diagnostic test results, treatment plans, and any related information deemed relevant for research purposes. 4. Parties Involved: Identification of the entities or individuals who may disclose and receive the protected health information. This typically includes healthcare providers, athletic trainers, university athletic department personnel, and the NCAA. 5. Authorization Duration: The period for which the authorization is valid, which is often defined in terms of academic years or for the duration of the student-athlete's participation in collegiate sports. 6. Revocation Terms: Information on how the student-athlete can modify or withdraw their authorization in writing, while acknowledging that any actions taken prior to revocation will remain valid. Different types or variations of this authorization document may exist depending on the specific policies and requirements of the Houston, Texas educational institutions or the NCAA. However, the core purpose, content, and intent of the authorization remain consistent as outlined above. In summary, the Houston Texas Student-Athlete Authorization or Consent for Disclosure of Protected Health Information is a crucial document that facilitates the sharing of medical data between student-athletes, healthcare providers, and the NCAA. By giving consent, student-athletes contribute to valuable research and monitoring efforts aimed at improving the overall understanding and management of sports-related injuries and illnesses within collegiate athletic programs.
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.
