Collin Texas Sports Medicine General Pre-Participation Form, Assumption of Risk, Consent to Receive Medical Care, and HIPAA Release

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Multi-State
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Collin
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US-01717BG
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Description

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.

Collin Texas Sports Medicine offers a comprehensive set of forms for athletes to ensure their safety and well-being during sports activities. One of these important documents is the Collin Texas Sports Medicine General Pre-Participation Form. This form plays a crucial role in assessing the athlete's fitness level and identifying any potential health risks before engaging in sports. The Collin Texas Sports Medicine General Pre-Participation Form includes various sections targeting specific information relevant for medical professionals, coaches, and parents. It typically starts with personal details such as the athlete's name, address, date of birth, and contact information. The form then focuses on gathering medical information related to the athlete's health history, including any previous injuries, surgeries, allergies, and chronic diseases. This section assists in evaluating the athlete's overall health and identifying areas that may require additional attention or precautions during participation in sports activities. To ensure the athlete's safety during sports activities, the form includes a section called the Assumption of Risk. This section acts as a legal acknowledgment that participation in sports involves inherent risks, and the athlete understands and accepts these risks. By signing this section, the athlete acknowledges that they have been informed of the potential injuries associated with their chosen sport and assumes responsibility for participating despite these risks. Additionally, the Consent to Receive Medical Care section of the form authorizes medical professionals from Collin Texas Sports Medicine to provide necessary medical assistance to the athlete when required. This section includes a release from liability for the medical facility and staff, ensuring that appropriate care will be provided while participating in sports activities. Moreover, as mandated by the Health Insurance Portability and Accountability Act (HIPAA), the Collin Texas Sports Medicine General Pre-Participation Form also includes a HIPAA Release section. This section allows the athlete's medical information to be shared with relevant parties, such as coaches, trainers, and emergency medical personnel, to ensure proper care and support in case of medical emergencies. While the primary form is the Collin Texas Sports Medicine General Pre-Participation Form, different versions or variations may exist based on factors such as age group, specific sport, or organizational requirements. These variations are tailored to address the unique needs and risks associated with different sports or age groups. In conclusion, the Collin Texas Sports Medicine General Pre-Participation Form, Assumption of Risk, Consent to Receive Medical Care, and HIPAA Release are essential documents that help ensure the safety and well-being of athletes. By providing comprehensive medical information, acknowledging inherent risks, granting consent for medical care, and allowing appropriate disclosure of medical information, these forms play a crucial role in facilitating organized sports participation while prioritizing the athlete's health and safety.

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FAQ

A preparticipation eye examination may be helpful in identifying persons who are at risk for eye injury in high-risk activities such as basketball, water sports, baseball, and racquet sports, although many others could also be included.

Specific conditions that would exclude or limit athletic participation include hypertrophic cardiomyopathy, long QT interval syndrome, concussion, significant knee injury, sickle cell disease and uncontrolled seizures.

In athletes with a history of concussion, physicians should determine the number of concussions they have had; their duration, frequency, and recovery time; and risk factors. A complete neurologic examination should be performed.

Seek immediate medical attention or call 911 if you experience or witness any of the following symptoms: Look drowsy or cannot be woken up. Headaches that severely worsen. Seizures. Slurred speech. Increasing confusion. Difficulty recognizing people or places. Loss of consciousness. Weakness or numbness.

Clearance can be divided into three categories: Unrestricted clearance. Clearance after completion of further evaluation or rehabilitation. No clearance for certain types of sports or for all sports.

Conditions that Contraindicate Sports Participation Active myocarditis or pericarditisHypertrophic cardiomyopathyLong QT interval syndromeHistory of recent concussion and symptoms of postconcussion syndrome (no contact or collision sports)7 more rows ?

Rarely, the doctor may find that an athlete can't play their sport. That doesn't mean you can't play any sports, though. For example, if you have had a lot of concussions, you might not be able to play football but you could play another sport, like tennis.

Specific conditions that would exclude or limit athletic participation include hypertrophic cardiomyopathy, long QT interval syndrome, concussion, significant knee injury, sickle cell disease and uncontrolled seizures.

Neurologic Emergencies Neurologic Emergencies. Altered Level of Consciousness. Skin. Skin Infection. Exposure. Accidental Hypothermia.

Return to play after a concussion follows a stepwise process as outlined by the Canadian Academy of Sports Medicine6: (1) no activity, complete rest until asymptomatic with normal neurologic examination results; (2) light aerobic exercise, such as walking or stationary cycling, and no resistance training; (3) sport-

More info

Them how to minimize such risks while participating in games, practices and training. The Appropriate Medical Care for the Secondary School-Aged Athlete Task Force.STUDENT-ATHLETE HEALTH AND WELLNESS. 43. 1. Disqualification from organized competitive sports for the purpose of ensuring the health and safety of young athletes. Recognizing certain medical risks. Distributed to head athletic trainers. However, this publication may not be reproduced or dis- tributed for a fee without the specific, written authorization of the Office of Communications,. Laboratory professionals of the United States make a vital contribution to the quality of health care. You are part of a family that includes approximately. Students participating in the Flexible Curriculum during their clinical years must complete the pre-clerkship curriculum before entering the third year.

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Collin Texas Sports Medicine General Pre-Participation Form, Assumption of Risk, Consent to Receive Medical Care, and HIPAA Release