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This document serves to document the removal of an athlete from competition or practice due to signs or symptoms of a concussion as required by Ohio State Law.
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How to fill out Ohio Swimming Inc. Concussion Report

01
Obtain the Ohio Swimming Inc. Concussion Report form from the appropriate source.
02
Fill in the athlete's name and date of birth at the top of the form.
03
Indicate the date of the incident that led to the concussion.
04
Provide a detailed description of the incident, including how the injury occurred.
05
List any symptoms the athlete experienced immediately after the incident.
06
Collect and document any medical evaluations or assessments conducted after the incident.
07
Include the names and contact information of any witnesses to the incident.
08
Have the athlete's parent or guardian sign the report where indicated.
09
Submit the completed report to the designated authority in Ohio Swimming Inc.

Who needs Ohio Swimming Inc. Concussion Report?

01
Coaches and staff involved in youth sports programs.
02
Parents of athletes participating in Ohio Swimming.
03
Medical personnel evaluating and treating athletes with head injuries.
04
Event organizers who need to ensure safety protocols are followed.
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The Ohio Swimming Inc. Concussion Report is a document used to record and report any suspected concussions that occur during swimming activities, ensuring proper evaluation and management of the affected individual.
Any coach, official, or volunteer associated with Ohio Swimming Inc. who observes or is informed of a suspected concussion must file the Concussion Report.
To fill out the Ohio Swimming Inc. Concussion Report, one must include the athlete's name, date of the incident, details of the observed symptoms, and any immediate actions taken, along with signatures from the observer and the athlete's guardian if necessary.
The purpose of the Ohio Swimming Inc. Concussion Report is to document incidents of concussion, ensure that athletes receive appropriate care, and promote safety in sports activities by tracking and managing head injuries.
The information that must be reported includes the athlete's name, age, date of the incident, time of the incident, symptoms observed, any loss of consciousness, and the actions taken following the incident.
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