The Sports Medical Waiver Form serves as a critical risk management tool for athletic organizations in the United States. This document is essential when individuals participate in organized sports activities, whether at professional, amateur, or educational levels. It includes comprehensive medical history disclosure, emergency treatment authorization, and liability waivers that protect both the participant and the organization. The form must comply with federal regulations such as HIPAA and ADA, as well as state-specific requirements for medical consent and liability waivers.
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1. Participant Information: Personal and contact details of the athlete including name, address, date of birth, and contact information
2. Medical History: Comprehensive section detailing relevant medical conditions, past injuries, allergies, and medications
3. Risk Acknowledgment: Explicit acknowledgment of sport-specific risks and potential injuries that may occur during participation
4. Waiver of Liability: Legal waiver of claims against the organization, its employees, and agents for injuries sustained during participation
5. Emergency Authorization: Consent for emergency medical treatment and transportation in case of injury or illness
1. Parent/Guardian Consent: Additional consent section required when the participant is under 18 years of age
2. Insurance Information: Section for detailing participant's health insurance coverage and policy information
3. Photo/Media Release: Optional authorization for the organization to use participant's image and likeness in promotional materials
4. COVID-19 Acknowledgment: Additional acknowledgment of risks related to infectious diseases and specific protocols
1. Schedule A - Medical Examination Form: Standard form for physical examination results from qualified physician
2. Schedule B - Emergency Contact List: Detailed list of emergency contacts and their contact information
3. Schedule C - Sport-Specific Risk Disclosure: Comprehensive list of risks specific to the particular sport or activity
4. Schedule D - Concussion Information Sheet: Required information about concussion risks, symptoms, and protocols as mandated by state law
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