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AUTHORIZATION FOR DISCLOSURE OF PROTECTED HEALTH INFORMATION TO SCHOOL COACHES AND/OR ADMINISTRATORS AND TO FAMILY MEMBERS I, the undersigned, authorize the athletic trainers, doctors, physician assistants,
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How to fill out student-athlete authorization and consent
How to fill out student-athlete authorization and consent
01
Obtain the student-athlete authorization and consent form from the school or athletic program.
02
Read the form carefully and ensure you understand all the sections and requirements.
03
Fill in personal information, such as name, address, date of birth, and contact details.
04
Provide details about the respective sport or athletic activity, including team name, coach's name, and contact information.
05
Review and acknowledge any risks or potential injuries associated with participating in the sport.
06
If applicable, provide medical information and emergency contact details.
07
Sign the form, indicating your consent to participate and understanding of the risks involved.
08
Have a guardian or parent also sign the form if required.
09
Submit the completed form to the school or athletic program as instructed.
10
Keep a copy of the completed form for your records.
Who needs student-athlete authorization and consent?
01
Any student-athlete who wishes to participate in a school or organized athletic program needs to fill out the student-athlete authorization and consent form. This form is typically required by schools, colleges, or athletic organizations to ensure that athletes and their parents or guardians understand and accept the risks associated with participating in sports, and to provide necessary medical and contact information in case of emergencies.
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What is student-athlete authorization and consent?
Student-athlete authorization and consent is a form that grants permission for student-athletes to participate in sports activities and allows the release of pertinent medical information.
Who is required to file student-athlete authorization and consent?
All student-athletes participating in sports activities are required to file student-athlete authorization and consent.
How to fill out student-athlete authorization and consent?
To fill out student-athlete authorization and consent, student-athletes need to provide personal information, medical history, emergency contacts, and consent to receive medical treatment.
What is the purpose of student-athlete authorization and consent?
The purpose of student-athlete authorization and consent is to ensure that student-athletes are medically cleared to participate in sports activities and allow access to medical information in case of emergencies.
What information must be reported on student-athlete authorization and consent?
Student-athlete authorization and consent forms typically require information such as personal details, insurance information, medical history, emergency contacts, and consent for medical treatment.
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