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).
Connecticut Student-Athlete Authorization or Consent for Disclosure of Protected Health Information to the National Collegiate Athletic Association (NCAA) is an essential document that allows student-athletes to grant permission for the disclosure of their protected health information (PHI) to the NCAA. This authorization enables the NCAA to conduct monitoring and research related to sports injuries or illnesses, fostering the advancement of sports medicine and promoting the well-being of student-athletes. This consent form ensures that student-athletes understand and voluntarily authorize the sharing of their health information with the NCAA for specific purposes. By providing their consent, student-athletes allow the NCAA to collect and analyze data regarding injuries and illnesses sustained during collegiate athletic events. This information aids in identifying trends, evaluating prevention strategies, and enhancing the overall safety and health of student-athletes participating in NCAA-sanctioned activities. The Connecticut Student-Athlete Authorization or Consent for Disclosure of Protected Health Information to the NCAA typically includes the following key elements: 1. Personal Information: This section collects basic details such as the student-athlete's full name, date of birth, contact information, and NCAA identification number (if applicable). 2. Consent Statement: The form clearly states the purpose of obtaining authorization, emphasizing that the disclosure of protected health information is solely for monitoring and researching sports injuries or illnesses. It stresses that the authorization is voluntary and can be revoked at any time. 3. Scope of Authorization: This section specifies the types of PHI that will be disclosed to the NCAA, such as medical records, diagnostic reports, injury details, treatment plans, and any other relevant health information. This authorization is essential to facilitate comprehensive analysis for injury prevention and research purposes. 4. Duration of Authorization: The form indicates the period during which the authorization remains valid. Usually, the authorization is granted for a specific academic year or for the duration of the student-athlete's collegiate career. 5. Rights and Revocation: This portion highlights the student-athlete's rights regarding their health information, including their right to access, request amendments, and obtain an accounting of disclosures. It also outlines the procedure for revoking the authorization if the student-athlete decides to withdraw consent. Different versions or variations of the Connecticut Student-Athlete Authorization or Consent for Disclosure of Protected Health Information to the NCAA may exist, depending on specific institutional or state requirements. These variations may include additional elements or modify the language slightly while maintaining the core purpose of allowing PHI sharing between the student-athlete and the NCAA. It is important for student-athletes to thoroughly read and understand the authorization form before signing, ensuring they are well-informed about the potential uses and limitations of their health information. By granting consent, student-athletes actively contribute to the advancement of sports medicine and the safety of collegiate athletics, ultimately benefiting the athletic community as a whole.Connecticut Student-Athlete Authorization or Consent for Disclosure of Protected Health Information to the National Collegiate Athletic Association (NCAA) is an essential document that allows student-athletes to grant permission for the disclosure of their protected health information (PHI) to the NCAA. This authorization enables the NCAA to conduct monitoring and research related to sports injuries or illnesses, fostering the advancement of sports medicine and promoting the well-being of student-athletes. This consent form ensures that student-athletes understand and voluntarily authorize the sharing of their health information with the NCAA for specific purposes. By providing their consent, student-athletes allow the NCAA to collect and analyze data regarding injuries and illnesses sustained during collegiate athletic events. This information aids in identifying trends, evaluating prevention strategies, and enhancing the overall safety and health of student-athletes participating in NCAA-sanctioned activities. The Connecticut Student-Athlete Authorization or Consent for Disclosure of Protected Health Information to the NCAA typically includes the following key elements: 1. Personal Information: This section collects basic details such as the student-athlete's full name, date of birth, contact information, and NCAA identification number (if applicable). 2. Consent Statement: The form clearly states the purpose of obtaining authorization, emphasizing that the disclosure of protected health information is solely for monitoring and researching sports injuries or illnesses. It stresses that the authorization is voluntary and can be revoked at any time. 3. Scope of Authorization: This section specifies the types of PHI that will be disclosed to the NCAA, such as medical records, diagnostic reports, injury details, treatment plans, and any other relevant health information. This authorization is essential to facilitate comprehensive analysis for injury prevention and research purposes. 4. Duration of Authorization: The form indicates the period during which the authorization remains valid. Usually, the authorization is granted for a specific academic year or for the duration of the student-athlete's collegiate career. 5. Rights and Revocation: This portion highlights the student-athlete's rights regarding their health information, including their right to access, request amendments, and obtain an accounting of disclosures. It also outlines the procedure for revoking the authorization if the student-athlete decides to withdraw consent. Different versions or variations of the Connecticut Student-Athlete Authorization or Consent for Disclosure of Protected Health Information to the NCAA may exist, depending on specific institutional or state requirements. These variations may include additional elements or modify the language slightly while maintaining the core purpose of allowing PHI sharing between the student-athlete and the NCAA. It is important for student-athletes to thoroughly read and understand the authorization form before signing, ensuring they are well-informed about the potential uses and limitations of their health information. By granting consent, student-athletes actively contribute to the advancement of sports medicine and the safety of collegiate athletics, ultimately benefiting the athletic community as a whole.
