Get the free Concussion Eval and Release to Play2014 April

Covenant Christian High School Est. 1999 CONCUSSION EVALUATION AND RELEASE TO PLAY FORM FOR LICENSED HEALTH CARE PROVIDERS (SECTION ONE: Completed by School Personnel) Student Name: Date: Sports Team:

How to fill out concussion eval and release

How to fill out concussion eval and release:

1. Obtain the necessary forms: Begin by acquiring the concussion evaluation and release forms. You can typically find these forms on the website of the organization or healthcare provider conducting the evaluation.
2. Gather all relevant information: Before filling out the forms, gather all the necessary information that may be required. This may include personal details such as name, address, phone number, date of birth, etc. Additionally, you might need to provide medical history, details about the injury, and any previous concussion-related incidents.
3. Start with the concussion evaluation form: Begin by completing the concussion evaluation form. This form assesses various aspects related to the concussion, such as symptoms experienced, the circumstances surrounding the injury, and any previous treatment received.
4. Provide accurate and detailed information: It is crucial to provide accurate and detailed information when filling out the forms. Be specific about symptoms experienced, the severity of the injury, and any related medical history. This will ensure that the evaluation is as comprehensive as possible.
5. Follow instructions: Pay close attention to any instructions provided on the form. Some sections may require specific formats or additional documentation to be attached. Adhering to these instructions will help prevent any delays or complications in the evaluation process.

Who needs concussion eval and release:

1. Athletes: In sports, concussions are a common occurrence, especially in contact sports such as football, hockey, or soccer. Athletes participating in these sports should undergo a concussion evaluation and release before returning to play to ensure their safety and assess any potential risks.
2. Accident victims: Individuals involved in accidents, such as car accidents or falls, where head trauma is likely, may need a concussion evaluation and release. This evaluation can help identify any potential concussion-related injuries and guide the appropriate treatment or rehabilitation.
3. Military personnel: Military personnel, particularly those deployed in combat zones, are at a higher risk of experiencing traumatic brain injuries, including concussions. A concussion evaluation and release is essential for assessing the extent of the injury and determining the appropriate course of action for these individuals.
4. Individuals with recurring concussions: People who have previously experienced concussions and are experiencing symptoms again should undergo a concussion evaluation and release. This evaluation can help determine the severity of the current concussion and provide guidance on necessary treatment or further precautions.
5. Children and adolescents: Children and adolescents involved in sports or activities that pose a risk of head injuries should also undergo a concussion evaluation and release. Their developing brains are particularly vulnerable to the effects of concussions, and proper evaluation is crucial to ensure proper recovery and minimize long-term consequences.

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