This is a multi-purpose form that informs the student-athlete of the inherent risk associated with participating in any athletic activities within the intercollegiate athletic department at an NCAA member institution. The subsequent sections allow the sports medicine staff to evaluate and treat any injury that might occur during an intercollegiate activity as well as allowing the sports medicine department to disclose information about those injuries to the individuals listed on the form and only those people. This form also includes an NCAA HIPAA form that allows the NCAA member institution to keep medical file on a secure server at the NCAA Headquarters as well as allows the NCAA to perform random drug testing to any student-athlete.
Vermont Sports Medicine offers a comprehensive General Pre-Participation Form, Assumption of Risk, Consent to Receive Medical Care, and HIPAA Release for athletes and individuals who seek their sports medicine services. The Vermont Sports Medicine General Pre-Participation Form is a detailed document that gathers essential information about the individual's medical history, contact details, insurance information, and emergency contact information. This form helps the healthcare professionals at Vermont Sports Medicine to evaluate the individual's overall health and fitness level before participating in any sports activities. The Assumption of Risk form serves as a legal agreement in which the individual acknowledges and accepts the potential risks involved in participating in sports activities. By signing this form, athletes understand that certain sports inherently carry risks of injury, and they voluntarily assume these risks. The Consent to Receive Medical Care form provides Vermont Sports Medicine with permission to administer medical treatments and procedures deemed necessary for the individual's well-being. This form ensures that the athlete understands and consents to medical interventions, such as physical therapy, diagnostic tests, or orthopedic procedures, if required during their time at Vermont Sports Medicine. Regarding privacy and confidentiality of medical information, Vermont Sports Medicine includes a HIPAA Release in their documents. By signing this form, individuals authorize the healthcare professionals at Vermont Sports Medicine to disclose or share their medical information with necessary parties, including insurance providers, referring physicians, or other healthcare professionals involved in their treatment. It is important to note that while the content and purpose of these forms remain consistent, there might be different versions or variations catering to specific sports activities or treatment plans. In such cases, Vermont Sports Medicine may have tailored versions of these forms for different sports such as football, basketball, soccer, or even specific forms for sports injuries, rehabilitation, or surgical procedures. These variations ensure that the specific needs and risks associated with each sport or treatment are addressed adequately.
