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Sports Concussion (Sideline instructions from your Health Care Provider) Athlete Name: DOB: Date: Date of Injury: When To Seek Care Urgently Seek care quickly if symptoms worsen or if there are any
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Instructions on how to fill out sports concussion - sanford:

01
Obtain the sports concussion - sanford form from a healthcare provider or download it from the official Sanford Health website.
02
Begin by filling out the personal information section, including the patient's name, date of birth, gender, and contact information.
03
Provide details about the sports-related incident that caused the concussion. Include the date, time, and location of the incident, as well as a description of how it occurred.
04
Indicate any symptoms experienced by the patient following the concussion. Common symptoms may include headaches, dizziness, nausea, memory loss, or sensitivity to light or noise.
05
If the patient has sought medical attention for the concussion, provide information about the healthcare provider, such as their name, address, and phone number.
06
Include details about any previous concussions or head injuries the patient has experienced, as well as any related medical treatments.
07
If applicable, indicate if the patient has been cleared to return to sports or physical activity by a healthcare provider. Provide the date of clearance and the name of the person who provided it.
08
Sign and date the form to confirm that the information provided is accurate to the best of your knowledge.

Who needs sports concussion - sanford?

01
Athletes who have experienced a head injury or suspect that they may have a concussion.
02
Coaches and trainers who need to document and monitor concussions in their athletes.
03
Healthcare providers who require a standardized form to assess and track sports-related concussions.
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Sports concussion - sanford is a form used to report potential concussions in sports.
Coaches, team physicians, and athletic trainers are required to file sports concussion - sanford.
Sports concussion - sanford should be filled out by providing details of the player, the incident, and any symptoms observed.
The purpose of sports concussion - sanford is to track and report potential concussions in sports for proper medical attention.
Information about the player, details of the incident, any symptoms observed, and actions taken should be reported on sports concussion - sanford.
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