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Rhode Island 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
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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).

Rhode Island 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 to grant the NCAA access to their protected health information (PHI). This consent form plays a significant role in monitoring and researching sports-related injuries and illnesses, helping to enhance the overall safety and well-being of student-athletes. By granting consent, student-athletes acknowledge and authorize the disclosure of their PHI to the NCAA. The NCAA collects this information to conduct extensive research and actively monitor sports-related injuries and illnesses on a national level. This monitoring and research help identify trends, establish preventive measures, develop guidelines, and make informed decisions to promote student-athlete safety and injury prevention. Ultimately, the consent form contributes to the continuous enhancement of athletic healthcare practices and the betterment of the sports industry. The Rhode Island Student-Athlete Authorization or Consent for Disclosure of Protected Health Information to the NCAA for Monitoring and Research of Sports Injuries or Illnesses ensures utmost privacy protection and compliance with applicable state and federal regulations such as the Health Insurance Portability and Accountability Act (HIPAA) and the Family Educational Rights and Privacy Act (FER PA). This consent form may include the following key points: 1. Student-Athlete Information: The form will collect essential details about the student-athlete, such as their name, contact information, sport(s) participated in, and their NCAA eligibility status. 2. Consent Acknowledgement: The student-athlete acknowledges that they understand the purpose and significance of the consent form. They agree to allow the NCAA access to their PHI for research and monitoring purposes and that their information will be kept confidential. 3. Scope of PHI Disclosure: The consent form specifies the types of PHI that will be disclosed to the NCAA. This information might include medical records, injury reports, treatment plans, rehabilitation progress, and any other relevant health-related data. 4. Duration of Consent: The form may indicate the period during which the consent is valid. Typically, the consent remains in effect for the student-athlete's entire collegiate career or until they revoke or modify it in writing. 5. Revocation Procedure: The consent form outlines the procedure to revoke or modify the authorization at a later stage. This ensures that student-athletes have control over their PHI and can make changes if desired. It's important to note that while the above description of the Rhode Island Student-Athlete Authorization or Consent for Disclosure of Protected Health Information to the NCAA covers the core aspects, there may be variations of this form depending on specific institutions or organizations. These variations could include additional clauses, questions, or contact information specific to the respective institution or athletic association.

Rhode Island 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 to grant the NCAA access to their protected health information (PHI). This consent form plays a significant role in monitoring and researching sports-related injuries and illnesses, helping to enhance the overall safety and well-being of student-athletes. By granting consent, student-athletes acknowledge and authorize the disclosure of their PHI to the NCAA. The NCAA collects this information to conduct extensive research and actively monitor sports-related injuries and illnesses on a national level. This monitoring and research help identify trends, establish preventive measures, develop guidelines, and make informed decisions to promote student-athlete safety and injury prevention. Ultimately, the consent form contributes to the continuous enhancement of athletic healthcare practices and the betterment of the sports industry. The Rhode Island Student-Athlete Authorization or Consent for Disclosure of Protected Health Information to the NCAA for Monitoring and Research of Sports Injuries or Illnesses ensures utmost privacy protection and compliance with applicable state and federal regulations such as the Health Insurance Portability and Accountability Act (HIPAA) and the Family Educational Rights and Privacy Act (FER PA). This consent form may include the following key points: 1. Student-Athlete Information: The form will collect essential details about the student-athlete, such as their name, contact information, sport(s) participated in, and their NCAA eligibility status. 2. Consent Acknowledgement: The student-athlete acknowledges that they understand the purpose and significance of the consent form. They agree to allow the NCAA access to their PHI for research and monitoring purposes and that their information will be kept confidential. 3. Scope of PHI Disclosure: The consent form specifies the types of PHI that will be disclosed to the NCAA. This information might include medical records, injury reports, treatment plans, rehabilitation progress, and any other relevant health-related data. 4. Duration of Consent: The form may indicate the period during which the consent is valid. Typically, the consent remains in effect for the student-athlete's entire collegiate career or until they revoke or modify it in writing. 5. Revocation Procedure: The consent form outlines the procedure to revoke or modify the authorization at a later stage. This ensures that student-athletes have control over their PHI and can make changes if desired. It's important to note that while the above description of the Rhode Island Student-Athlete Authorization or Consent for Disclosure of Protected Health Information to the NCAA covers the core aspects, there may be variations of this form depending on specific institutions or organizations. These variations could include additional clauses, questions, or contact information specific to the respective institution or athletic association.

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Rhode Island 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