HIPAA Policy Statement and Authorization of Release of Medical Information
What is HIPAA?
The Health Insurance Portability and Accountability Act (HIPAA) is a federal law containing regulations that are designed to protect the confidentiality of medical records and protected health information. HIPAA applies to a student-athletes medical records, as well as medical information communicated both orally and in writing. The Defiance College Athletic Training Staff is committed to protecting the privacy of student-athletes and will comply with the HIPAA regulations. We will not release or share your medical information unless it concerns your health or injury care without your written consent.
What information we keep
Information kept in a student-athlete’s medical records includes, but is not limited to, demographic information, medical history, pre-participation physical exam forms, insurance information, injury reports, and information sent from other health care providers that assist in the medical care of the individual.
What we may disclose
Unless we have written consent, we will not disclose any nonpublic personal information about student-athletes to anyone, except as permitted by law.
With your written consent or to the extent permitted by law, we may share information concerning your medical care with other members of the athletic training staff, team physicians and other health care providers. This will allow the Sports Medicine team to provide optimal care to all student-athletes.
In addition with your consent, we may share relevant medical information to coaches, parents, sports information director, or other parties.
Authorization of Release of Medical Information
By signing the attached form you agree to allow the Defiance College Athletic Training Staff to release information about your health or injury care to authorized personnel including, but not limited to the people mentioned above unless otherwise specified. All requests for the medical staff to withhold information from certain parties must be submitted in writing.
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