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FORM 6 PLEASE RETURN ORIGINAL TO THE ATHLETIC TRAINING DEPARTMENT 20122013 LINCOLN MEMORIAL UNIVERSITY ATHLETIC TRAINING DEPARTMENT NCAA AUTHORIZATION×CONSENT FOR DISCLOSURE OF PROTECTED HEALTH INFORMATION
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How to fill out NCAA Authorization/Consent for Disclosure:

01
Start by downloading the NCAA Authorization/Consent for Disclosure form from the NCAA website or any other reliable source. Make sure you have the latest version of the form.
02
Begin by filling out your personal information accurately and completely. This includes your full name, contact information, and any other details required such as your NCAA ID number or student-athlete identification information.
03
Read the instructions and the purpose of the form carefully. Understand that by signing this form, you are giving consent for the NCAA to release your information to certain parties.
04
Identify the specific information you are authorizing the NCAA to disclose. This could include academic records, medical records, financial information, or any other relevant documentation. Check the boxes next to the types of information you are giving consent to disclose.
05
Consider any limitations or restrictions you may want to place on the disclosure of your information. For example, you may want to specify that your medical records should only be shared with authorized medical personnel or that financial information should only be shared with designated financial aid officers.
06
If you have any concerns or questions about the form or the disclosure process, reach out to your institution's compliance office or the NCAA for assistance. They will be able to guide you through the process and answer any specific queries you may have.

Who needs NCAA Authorization/Consent for Disclosure?

01
Student-athletes: All registered NCAA student-athletes are required to fill out the NCAA Authorization/Consent for Disclosure form. This ensures that the NCAA has your consent to disclose certain information as necessary for compliance, eligibility, and other purposes.
02
Coaches and Athletic Administrators: It may also be necessary for coaches and athletic administrators to complete this form, particularly if they require access to specific student-athlete information for recruiting, compliance, or other legitimate purposes.
03
College/University Officials: In some cases, college or university officials, such as academic advisors, financial aid officers, or medical professionals, may need access to student-athlete information. They may be required to obtain proper authorization from student-athletes through the NCAA Authorization/Consent for Disclosure form.
Remember that it is essential to consult the NCAA's official resources and your institution's compliance office for specific guidelines and requirements related to the NCAA Authorization/Consent for Disclosure form.
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NCAA authorization/consent for disclosure is a form that allows student-athletes to authorize the release of their educational records to the NCAA.
Student-athletes participating in NCAA sports are required to file NCAA authorization/consent for disclosure.
Student-athletes can fill out the NCAA authorization/consent for disclosure form by providing their personal information and signing the form to authorize the release of their educational records.
The purpose of NCAA authorization/consent for disclosure is to allow the NCAA to access student-athletes' educational records for compliance and eligibility purposes.
The NCAA authorization/consent for disclosure form typically requires student-athletes to provide their name, school, and signature authorizing the release of their educational records.
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