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).
San Bernardino, California 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 a legal document that allows student-athletes in San Bernardino, California, to grant permission for the disclosure of their protected health information to the NCAA. This consent is granted to facilitate the monitoring and research of sports-related injuries or illnesses among student-athletes. By authorizing the disclosure of their protected health information, student-athletes provide the NCAA with valuable data that helps advance research on sports injuries and illnesses. This data plays a crucial role in identifying trends, improving prevention strategies, and enhancing athletes' overall well-being and safety. The San Bernardino California Student-Athlete Authorization or Consent for Disclosure of Protected Health Information to the NCAA for Monitoring and Research of Sports Injuries or Illnesses involves several key components. These may include: 1. Student-Athlete Information: This section requires the student-athlete to provide their full name, contact details, date of birth, and other relevant personal information needed to identify and authenticate the individual. 2. Consent to Disclose Health Information: In this section, the student-athlete acknowledges and grants consent for their health information to be shared with the NCAA. It is important to note that only protected health information related to sports injuries or illnesses is disclosed. 3. Purpose of Disclosure: This section outlines the specific purpose for which the information will be disclosed, which is monitoring and research of sports injuries or illnesses. The student-athlete understands that their participation in this research aims to improve the overall health and safety of collegiate athletes. 4. Nature of Health Information: The document may state which types of health information will be disclosed. This can include medical records, treatment plans, injury reports, diagnostic tests, and any other relevant health information related to the student-athlete's participation in collegiate sports. 5. Duration and Termination of Consent: The consent form specifies the duration of the authorization and whether it automatically terminates upon completion of the research or if the student-athlete has the option to revoke their consent at any time. It may also outline the steps required to revoke the authorization. 6. Confidentiality and Data Security: This section assures the student-athlete that their health information will be treated with strict confidentiality and stored securely following all applicable laws and regulations. Different types of San Bernardino California Student-Athlete Authorization or Consent for Disclosure of Protected Health Information to the NCAA for Monitoring and Research of Sports Injuries or Illnesses may exist, depending on specific institutional requirements or variations. However, the underlying purpose of these forms remains consistent: to allow the NCAA access to relevant health information in order to monitor and research sports injuries and illnesses among student-athletes, thus promoting their well-being and safety.San Bernardino, California 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 a legal document that allows student-athletes in San Bernardino, California, to grant permission for the disclosure of their protected health information to the NCAA. This consent is granted to facilitate the monitoring and research of sports-related injuries or illnesses among student-athletes. By authorizing the disclosure of their protected health information, student-athletes provide the NCAA with valuable data that helps advance research on sports injuries and illnesses. This data plays a crucial role in identifying trends, improving prevention strategies, and enhancing athletes' overall well-being and safety. The San Bernardino California Student-Athlete Authorization or Consent for Disclosure of Protected Health Information to the NCAA for Monitoring and Research of Sports Injuries or Illnesses involves several key components. These may include: 1. Student-Athlete Information: This section requires the student-athlete to provide their full name, contact details, date of birth, and other relevant personal information needed to identify and authenticate the individual. 2. Consent to Disclose Health Information: In this section, the student-athlete acknowledges and grants consent for their health information to be shared with the NCAA. It is important to note that only protected health information related to sports injuries or illnesses is disclosed. 3. Purpose of Disclosure: This section outlines the specific purpose for which the information will be disclosed, which is monitoring and research of sports injuries or illnesses. The student-athlete understands that their participation in this research aims to improve the overall health and safety of collegiate athletes. 4. Nature of Health Information: The document may state which types of health information will be disclosed. This can include medical records, treatment plans, injury reports, diagnostic tests, and any other relevant health information related to the student-athlete's participation in collegiate sports. 5. Duration and Termination of Consent: The consent form specifies the duration of the authorization and whether it automatically terminates upon completion of the research or if the student-athlete has the option to revoke their consent at any time. It may also outline the steps required to revoke the authorization. 6. Confidentiality and Data Security: This section assures the student-athlete that their health information will be treated with strict confidentiality and stored securely following all applicable laws and regulations. Different types of San Bernardino California Student-Athlete Authorization or Consent for Disclosure of Protected Health Information to the NCAA for Monitoring and Research of Sports Injuries or Illnesses may exist, depending on specific institutional requirements or variations. However, the underlying purpose of these forms remains consistent: to allow the NCAA access to relevant health information in order to monitor and research sports injuries and illnesses among student-athletes, thus promoting their well-being and safety.
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.
