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).
Salt Lake Utah 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 Salt Lake, Utah, to provide consent for the sharing of their health information with the NCAA. This consent is crucial for the monitoring and research of sports injuries and illnesses in order to improve athlete safety, enhance injury prevention strategies, and promote overall athlete well-being. The Salt Lake Utah Student-Athlete Authorization or Consent for Disclosure complies with the Health Insurance Portability and Accountability Act (HIPAA), which safeguards the privacy of personal health information. The authorization or consent form ensures that protected health information — including medical history, treatment records, diagnostic reports, and injury details — can be shared between the student-athlete's healthcare provider and the NCAA. This enables the NCAA to conduct comprehensive research and analysis on sports-related injuries and illnesses, and develop evidence-based guidelines for injury prevention and recovery. The authorization or consent form typically includes specific sections and keywords such as: 1. Student-Athlete Information: This section captures the student-athlete's name, address, date of birth, contact details, and their affiliated college or university. 2. Consent for Disclosure: Here, the student-athlete grants permission for their health information to be shared with the NCAA. This includes authorizing the release of protected health information related to injuries, illnesses, medical treatments, surgeries, rehabilitation plans, and other relevant medical details. 3. Purpose of Disclosure: The form outlines the purpose behind sharing the protected health information, which is primarily for monitoring and research purposes related to sports injuries and illnesses. 4. Duration of Authorization: The student-athlete specifies the timeline during which their consent remains valid. This period may coincide with their academic and athletic eligibility or extend beyond it, depending on the context and institutional requirements. 5. Revocation of Authorization: This section allows the student-athlete to understand that they have the right to revoke their consent at any time, in writing, thereby stopping the disclosure of their health information to the NCAA. It is important to note that the exact structure and content of the Salt Lake Utah Student-Athlete Authorization or Consent for Disclosure may vary slightly between different educational institutions or sports organizations. However, the underlying goal remains consistent—facilitating the responsible sharing of health information to improve athlete safety and well-being.Salt Lake Utah 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 Salt Lake, Utah, to provide consent for the sharing of their health information with the NCAA. This consent is crucial for the monitoring and research of sports injuries and illnesses in order to improve athlete safety, enhance injury prevention strategies, and promote overall athlete well-being. The Salt Lake Utah Student-Athlete Authorization or Consent for Disclosure complies with the Health Insurance Portability and Accountability Act (HIPAA), which safeguards the privacy of personal health information. The authorization or consent form ensures that protected health information — including medical history, treatment records, diagnostic reports, and injury details — can be shared between the student-athlete's healthcare provider and the NCAA. This enables the NCAA to conduct comprehensive research and analysis on sports-related injuries and illnesses, and develop evidence-based guidelines for injury prevention and recovery. The authorization or consent form typically includes specific sections and keywords such as: 1. Student-Athlete Information: This section captures the student-athlete's name, address, date of birth, contact details, and their affiliated college or university. 2. Consent for Disclosure: Here, the student-athlete grants permission for their health information to be shared with the NCAA. This includes authorizing the release of protected health information related to injuries, illnesses, medical treatments, surgeries, rehabilitation plans, and other relevant medical details. 3. Purpose of Disclosure: The form outlines the purpose behind sharing the protected health information, which is primarily for monitoring and research purposes related to sports injuries and illnesses. 4. Duration of Authorization: The student-athlete specifies the timeline during which their consent remains valid. This period may coincide with their academic and athletic eligibility or extend beyond it, depending on the context and institutional requirements. 5. Revocation of Authorization: This section allows the student-athlete to understand that they have the right to revoke their consent at any time, in writing, thereby stopping the disclosure of their health information to the NCAA. It is important to note that the exact structure and content of the Salt Lake Utah Student-Athlete Authorization or Consent for Disclosure may vary slightly between different educational institutions or sports organizations. However, the underlying goal remains consistent—facilitating the responsible sharing of health information to improve athlete safety and well-being.
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.
