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Peninsula School District 14015 62nd Ave NW Gig Harbor, WA 98332 253.530.1000 http://psd401.netConcussion Information Sheet A concussion is a brain injury and all brain injuries are serious. They

How to fill out concussion information sheet

How to fill out a concussion information sheet:

1. Start by carefully reading and understanding the instructions provided on the sheet. Pay attention to any specific requirements or guidelines mentioned.
2. Begin by entering your personal details, including your full name, date of birth, and contact information. This information is crucial for identification and communication purposes.
3. Next, provide relevant medical information. Include any previous concussions, head injuries, or related medical conditions you may have experienced in the past. It is important to be thorough and accurate to ensure proper evaluation and treatment.
4. Fill in details about the current concussion incident. Include the date and time of the injury, how it occurred, and any symptoms you may have experienced or are currently experiencing. Be as detailed as possible, describing the specific nature and intensity of each symptom.
5. If applicable, mention any witnesses to the concussion incident. Include their names and contact information, as their statements and observations can provide valuable insight for medical professionals.
6. Indicate any immediate actions taken after the injury, such as seeking medical attention, applying first aid, or taking medication. Provide details about the treatments received and whether they have been effective.
7. Lastly, carefully review the completed form to ensure accuracy and completeness. Make sure you have answered all the required questions and provided all relevant information.

Who needs a concussion information sheet?

1. Athletes: Concussion information sheets are crucial for athletes participating in contact and high-risk sports. It helps them understand the importance of reporting concussions and provides a record of their medical history.
2. Parents and Guardians: If you have a child participating in sports or activities prone to head injuries, you may need a concussion information sheet to have a clear understanding of what steps to take in case of a concussion.
3. Coaches and Sports Officials: Coaches and sports officials should be well-informed about concussions to recognize the symptoms, provide appropriate first aid, and guide athletes through the recovery process.
4. Healthcare Professionals: Concussion information sheets are essential for healthcare professionals, including doctors, nurses, and therapists, who need accurate and detailed information to diagnose and treat concussions effectively.
5. School Administrators and Teachers: Concussion information sheets help school administrators and teachers monitor students' recovery after a concussion and provide necessary academic accommodations.
6. Employers: Some workplaces, particularly those with physically demanding or high-risk jobs, may require concussion information sheets to ensure the safety and well-being of their employees.

Remember, concussion information sheets are crucial tools for ensuring proper care and management of concussions. It is essential to follow the instructions and guidelines provided while filling out the form accurately.

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What is concussion information sheet?

It is a document that provides information about concussions, including symptoms, risks, and management.

Who is required to file concussion information sheet?

Coaches, athletic trainers, and school officials are typically required to file the concussion information sheet.

How to fill out concussion information sheet?

The concussion information sheet is typically filled out by providing information about the individual who suffered a concussion, the symptoms experienced, and any necessary medical treatment.

What is the purpose of concussion information sheet?

The purpose of the concussion information sheet is to ensure that proper protocols are followed in the event of a concussion, to monitor the individual's recovery, and to prevent further injury.

What information must be reported on concussion information sheet?

Information such as the date of the concussion, the symptoms experienced, the medical treatment received, and any follow-up care instructions must be reported on the concussion information sheet.