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Wells Middle School
Concussion Information Sheet
A concussion is a brain injury and all brain injuries are serious. They are caused by a bump, blow, or jolt to the
head, or by a blow to another part
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How to fill out wells middle school concussion

How to fill out Wells Middle School concussion:
01
Obtain the necessary forms: Contact the school's administration or athletic department to get the appropriate concussion forms. These forms may include a parent/guardian consent form, a student athlete questionnaire, and a concussion acknowledgement form.
02
Review the forms: Take the time to carefully read through each form to understand the information being requested and any instructions provided.
03
Provide personal details: Fill out the student athlete questionnaire with accurate and up-to-date information, including the student's name, address, date of birth, emergency contact information, and any relevant medical history.
04
Obtain parental consent: If required, ensure that the parent or guardian signs the consent form, granting permission for the student to participate in physical activities and acknowledging the risks associated with concussions.
05
Complete the concussion acknowledgement form: Read and sign the concussion acknowledgement form, indicating that both the student athlete and their parent/guardian understand the signs, symptoms, and potential dangers of concussions.
06
Return the completed forms: Once all the forms are filled out correctly, return them to the appropriate person or department at Wells Middle School. This may be the athletic director, coach, or school administrative staff.
07
Keep a copy for your records: Make a copy of all the completed concussion forms for your own records, ensuring that you have documentation of your compliance with Wells Middle School's concussion protocols.
Who needs Wells Middle School concussion?
01
Students participating in sports: The concussion forms are typically required for students who participate in any sports or physical activities offered at Wells Middle School. This includes both organized school sports teams and intramural activities.
02
Parents or guardians: The forms also require the signature of the parent or guardian of the student athlete, indicating their awareness and consent for their child's involvement in activities where concussions may occur. Parent involvement is crucial to ensure the student's well-being and safety.
03
School administrators and coaches: The concussion forms are necessary for school administrators and coaches to have on record, as it helps them monitor and address any potential concussions or head injuries that may occur during physical activities. By having accurate and updated concussion paperwork, they can provide appropriate care and follow-up procedures if needed.
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What is wells middle school concussion?
Wells Middle School Concussion is a form that must be completed by any student who has suffered a concussion while participating in school-related activities.
Who is required to file wells middle school concussion?
Any student who has suffered a concussion while participating in school-related activities is required to file Wells Middle School Concussion.
How to fill out wells middle school concussion?
To fill out Wells Middle School Concussion, students must provide information about their concussion, symptoms, and any medical treatment received.
What is the purpose of wells middle school concussion?
The purpose of Wells Middle School Concussion is to ensure that students who have suffered concussions receive appropriate medical attention and support to aid in their recovery.
What information must be reported on wells middle school concussion?
Information such as the date of the concussion, symptoms experienced, medical treatment received, and any restrictions on physical activity must be reported on Wells Middle School Concussion.
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