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Delaware 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
Control #:
US-01719BG
Format:
Word; 
Rich Text
Instant download

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).

Delaware 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 crucial document that allows student-athletes in Delaware to grant consent for the disclosure of their protected health information (PHI) to the NCAA. This authorization specifically enables the NCAA to collect and analyze health data related to sports injuries and illnesses for research and monitoring purposes. The Delaware 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 helps facilitate the collaboration between academic institutions and the NCAA to ensure the health and well-being of student-athletes participating in collegiate sports activities. The document ensures that necessary data related to injuries or illnesses sustained by student-athletes is shared with the NCAA, so that appropriate preventive measures, monitoring, and research can be undertaken to improve player safety and promote overall athlete welfare. The form typically includes various relevant details such as: 1. Student-Athlete Information: This section requires the student-athlete's personal details, including their name, address, date of birth, and contact information. It may also include the student's sport or sports of participation. 2. Consent and Authorization: Here, the student-athlete provides explicit consent and authorization to their educational institution to release pertinent PHI to the NCAA. It clarifies that this information will only be used for the purposes of monitoring and research related to sports injuries or illnesses. 3. PHI Release Specifications: This section outlines the specific types of PHI that will be disclosed to the NCAA. It may include medical records, injury reports, diagnostic test results, treatment plans, and any other relevant medical information related to sports injuries or illnesses. 4. Duration of Authorization: The document specifies the timeframe during which the consent and authorization are valid. This allows the student-athlete to determine the period for which their health information will be shared with the NCAA. 5. Revocation Clause: This section discusses the student-athlete's right to revoke their consent at any time. It provides instructions on how to initiate the revocation process, ensuring that the student's PHI is no longer disclosed to the NCAA after the revocation becomes effective. Different variations of Delaware 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 may exist, depending on specific policies and requirements of educational institutions, the NCAA, or for different sports programs within the state. However, the fundamental purpose remains to safeguard student-athletes' health and contribute to improved safety and well-being within the collegiate sports environment.

Delaware 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 crucial document that allows student-athletes in Delaware to grant consent for the disclosure of their protected health information (PHI) to the NCAA. This authorization specifically enables the NCAA to collect and analyze health data related to sports injuries and illnesses for research and monitoring purposes. The Delaware 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 helps facilitate the collaboration between academic institutions and the NCAA to ensure the health and well-being of student-athletes participating in collegiate sports activities. The document ensures that necessary data related to injuries or illnesses sustained by student-athletes is shared with the NCAA, so that appropriate preventive measures, monitoring, and research can be undertaken to improve player safety and promote overall athlete welfare. The form typically includes various relevant details such as: 1. Student-Athlete Information: This section requires the student-athlete's personal details, including their name, address, date of birth, and contact information. It may also include the student's sport or sports of participation. 2. Consent and Authorization: Here, the student-athlete provides explicit consent and authorization to their educational institution to release pertinent PHI to the NCAA. It clarifies that this information will only be used for the purposes of monitoring and research related to sports injuries or illnesses. 3. PHI Release Specifications: This section outlines the specific types of PHI that will be disclosed to the NCAA. It may include medical records, injury reports, diagnostic test results, treatment plans, and any other relevant medical information related to sports injuries or illnesses. 4. Duration of Authorization: The document specifies the timeframe during which the consent and authorization are valid. This allows the student-athlete to determine the period for which their health information will be shared with the NCAA. 5. Revocation Clause: This section discusses the student-athlete's right to revoke their consent at any time. It provides instructions on how to initiate the revocation process, ensuring that the student's PHI is no longer disclosed to the NCAA after the revocation becomes effective. Different variations of Delaware 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 may exist, depending on specific policies and requirements of educational institutions, the NCAA, or for different sports programs within the state. However, the fundamental purpose remains to safeguard student-athletes' health and contribute to improved safety and well-being within the collegiate sports environment.

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Delaware 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