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Concussion Information Sheet Adapted from the CDC and the 3rd International Conference on Concussion in Sport Document created 6/15/2009 A concussion is a brain injury and all brain injuries are serious.

How to fill out concussion information sheet

How to fill out a concussion information sheet:

1. Start by carefully reading the instructions provided on the sheet. Make sure you understand all the questions and information required.
2. Begin by providing your personal details, such as your name, date of birth, and contact information. This will help healthcare professionals accurately identify you in case of a concussion.
3. Answer all the questions on the sheet honestly and to the best of your knowledge. It is crucial to provide accurate information for proper diagnosis and treatment.
4. Pay attention to any specific sections or instructions regarding previous concussions, symptoms, or medical history. If you have experienced a concussion in the past, provide details about the incident and any ongoing symptoms.
5. If you are filling out the form on behalf of someone else, such as a child or a dependent, ensure that you accurately represent their information and provide your own contact details for further communication if needed.
6. Take your time while filling out the form to avoid any errors or omissions. It is essential to provide comprehensive and accurate information to healthcare professionals for the best possible care.
7. Double-check your responses before submitting the completed form. This will help avoid any mistakes or missing information that could impact the effectiveness of the concussion assessment.
8. Finally, sign and date the form to confirm that the information provided is true and accurate.

Who needs a concussion information sheet?

1. Athletes: Whether participating in contact sports, recreational activities, or even non-contact sports with a potential risk of head injury, athletes should fill out a concussion information sheet. It helps healthcare professionals understand their medical history and assess any potential concussions.
2. Parents or Guardians: If you have children participating in sports, it is essential to fill out a concussion information sheet on their behalf. This allows healthcare professionals to gather relevant information in case of a head injury or concussion.
3. Coaches and Trainers: Coaches and trainers should also be familiar with the contents of a concussion information sheet. It helps them identify potential concussions and take appropriate action to ensure the safety and well-being of their athletes.
4. Healthcare Professionals: Concussion information sheets are valuable resources for healthcare professionals working in sports medicine, emergency departments, or any specialized clinics. These sheets provide crucial information for accurate diagnosis, treatment, and follow-up care.

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What is concussion information sheet?

The concussion information sheet is a document that provides information about concussion symptoms, treatment, and recovery.

Who is required to file concussion information sheet?

Coaches, parents, and medical professionals are typically required to file concussion information sheets.

How to fill out concussion information sheet?

Concussion information sheets can usually be filled out by providing relevant information about the athlete, their medical history, and any known concussions.

What is the purpose of concussion information sheet?

The purpose of the concussion information sheet is to ensure that all parties involved in sports activities are aware of the risks and proper protocols for dealing with concussions.

What information must be reported on concussion information sheet?

The information that must be reported on a concussion information sheet typically includes athlete demographics, medical history, and any prior concussions.