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VOLUSIAFLAGLER C O N C U S S I O N TASK FORCE Concussion Information Sheet Parent / Caregiver: Your student athlete was removed from sports activity today after sustaining an injury to his/her head.
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How to fill out concussion information sheet

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How to fill out a concussion information sheet:

01
Start by gathering necessary personal information such as your name, date of birth, and contact details. This will help in identifying the person filling out the form.
02
Provide a brief medical history, including any pre-existing conditions or previous concussions that you may have encountered. This information will assist healthcare professionals in evaluating your situation accurately.
03
Be sure to mention any symptoms you are experiencing related to the concussion. Common symptoms include headaches, dizziness, memory problems, and sensitivity to light or noise. Accurately describing your symptoms will aid in proper diagnosis and treatment.
04
Indicate the circumstances that led to the concussion. Whether it occurred due to a sports injury, a fall, or other accidents, it is important to note this information for proper evaluation.
05
If you have sought medical attention, provide details about the healthcare professional you consulted, including their name, contact information, and any recommended treatments or medications they have prescribed.
06
Include any additional information that you think is relevant to your concussion and its impact on your daily life. Examples may include changes in mood, sleep disturbances, or difficulties in concentration.

Who needs a concussion information sheet?

01
Athletes: Concussions are commonly associated with sports-related injuries. Athletes who participate in contact sports such as football or hockey should be aware of the risks and have a concussion information sheet readily available.
02
Schools and educational institutions: Students are susceptible to concussions, especially when engaging in sports or other physical activities. Schools can provide concussion information sheets to parents or guardians to ensure proper understanding and response in case of a concussion.
03
Employers and workplaces: Work-related concussions can occur in various industries, such as construction or manufacturing. Employers can benefit from providing concussion information sheets to employees to promote awareness and safety.
04
Health organizations: Healthcare providers, hospitals, and clinics can provide concussion information sheets to patients and their families. This enables them to gather accurate information for diagnosis and treatment purposes.
05
Community organizations: Sports clubs, recreational centers, and other community groups that engage in physical activities can distribute concussion information sheets to ensure the safety and well-being of their participants.
Overall, anyone who may be at risk of experiencing a concussion or involved in concussion management should have access to and understand how to fill out a concussion information sheet.
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Concussion information sheet is a document that provides important information about concussions, their symptoms, treatment, and prevention.
Coaches, parents/guardians, and athletes are required to file concussion information sheet.
Concussion information sheet can be filled out by providing personal information, medical history, and acknowledging understanding of concussion risks.
The purpose of concussion information sheet is to increase awareness about concussions, promote early detection, and ensure proper treatment.
Information such as athlete's name, age, medical history, any previous concussions, and emergency contact details must be reported on concussion information sheet.
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