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STUDENT ATHLETE AUTHORIZATION / CONSENT FOR RELEASE
OF PROTECTED HEALTH INFORMATION
I, the signee, understand that my health information is protected by the Health Insurance
Portability and Accountability
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What is student athlete authorization consent?
Student athlete authorization consent is a document that allows student athletes to grant permission for the release of their academic and medical information to coaches, trainers, and other relevant parties.
Who is required to file student athlete authorization consent?
All student athletes participating in organized sports programs are required to file student athlete authorization consent.
How to fill out student athlete authorization consent?
To fill out student athlete authorization consent, the student athlete needs to provide their personal information, academic details, medical history, and sign the consent form.
What is the purpose of student athlete authorization consent?
The purpose of student athlete authorization consent is to ensure that coaches, trainers, and other authorized individuals have access to necessary information about the student athlete's health and academic standing to provide appropriate care and support.
What information must be reported on student athlete authorization consent?
Student athlete authorization consent typically requires reporting of personal details, emergency contacts, current medications, previous injuries or medical conditions, and consent for the use of medical treatments if necessary.
How can I send student athlete authorization consent to be eSigned by others?
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