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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 of the body with

How to fill out concussion information sheet

How to fill out a concussion information sheet:

1. Begin by obtaining a copy of the concussion information sheet from a healthcare provider, school, or sports organization.
2. Read through the instructions on the sheet carefully to understand what information is required.
3. Start by filling out your personal information, such as your name, address, phone number, and date of birth.
4. Next, provide details about your emergency contact, including their name, relationship to you, and contact information.
5. The concussion information sheet may also ask for information about your medical history, including any past concussions, medical conditions, or medications you may be taking.
6. Be sure to accurately document any current symptoms or complaints related to the concussion, such as headaches, dizziness, memory problems, or changes in mood or behavior.
7. If applicable, provide information about the event or activity that led to the concussion, including the date, location, and any details about the cause or mechanism of injury.
8. Finally, review the filled-out sheet for any errors or missing information before signing and dating it.

Who needs a concussion information sheet:

1. Athletes participating in contact sports, such as football, soccer, basketball, and hockey, may be required to fill out a concussion information sheet as part of their sports registration process.
2. Students involved in school-related activities, including physical education classes, sports teams, or extracurricular programs, may also need to complete a concussion information sheet.
3. Individuals who have experienced a previous concussion or have a heightened risk of concussion, such as those with a history of head trauma or underlying medical conditions, may need to have a concussion information sheet on file with their healthcare provider.

For pdfFiller’s FAQs

What is concussion information sheet?

Concussion information sheet is a document that provides information about concussions, including symptoms, treatments, and prevention.

Who is required to file concussion information sheet?

Coaches, school administrators, and healthcare providers are required to file concussion information sheet.

How to fill out concussion information sheet?

Concussion information sheet can be filled out by providing detailed information about the individual's concussion history, symptoms, and treatment plan.

What is the purpose of concussion information sheet?

The purpose of concussion information sheet is to raise awareness about concussions and ensure proper management of head injuries.

What information must be reported on concussion information sheet?

The information reported on concussion information sheet includes details about the individual's concussion history, symptoms, and treatment.

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