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BOARD OF EDUCATION Cherry Hill, New Jersey POLICY 5141.8 SPORTS RELATED CONCUSSION AND HEAD INJURY Legislation (P.L. 2010, Chapter 94) (N.J.S.A. 18A:4041.3) enacted on December 7th, 2010 requires
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How to fill out sports related concussion and

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How to Fill Out Sports Related Concussion Forms:

01
Start by carefully reading the instructions provided with the form. It is important to understand the purpose and requirements of the form before filling it out.
02
Begin by providing your personal information, such as your name, address, date of birth, and contact details. This will help in the identification process and ensure accurate record-keeping.
03
Next, provide details about the sports-related incident that resulted in a concussion. Include the date, time, and location of the event. Describe the nature and circumstances of the injury as accurately as possible.
04
If applicable, provide information about any immediate medical treatment received after the concussion, such as visiting the school's athletic trainer, team physician, or going to the emergency room. Include dates, names of medical professionals involved, and any initial diagnoses.
05
Describe any symptoms experienced as a result of the concussion. Common symptoms include headache, dizziness, nausea, memory problems, sensitivity to light or noise, and difficulty concentrating. Be as specific as possible in describing each symptom.
06
Indicate whether you have previously suffered from any concussions or head injuries. It is essential to disclose previous injuries to help healthcare professionals assess the severity and potential long-term effects of the current concussion.
07
Provide information about any additional medical conditions or medications that may be relevant to the concussion. This can include existing neurological disorders, allergies, or the use of medications that could influence the concussion's management.
08
If the form includes sections for parents or guardians, ensure they are filled out accurately and completely. This is particularly crucial for younger athletes who may not be able to provide all necessary information themselves.

Who Needs Sports Related Concussion Forms:

01
Athletes: Sports related concussion forms are primarily needed by athletes who have suffered a potential or diagnosed concussion. These can include amateur or professional athletes participating in various sports such as football, soccer, basketball, or any other activity with a risk of head injuries.
02
Schools and Sports Organizations: Educational institutions and sports organizations require these forms to maintain accurate records, track the number of incidents, and ensure appropriate medical attention is provided to injured athletes. This information helps in implementing and improving safety protocols.
03
Healthcare Providers: Doctors, athletic trainers, and medical professionals involved in the evaluation and treatment of sports-related concussions rely on these forms to gather essential information about the incident and the athlete's medical history. This data guides their decision-making process regarding further evaluations, treatment plans, and potential clearance for return to play.
Remember, accurate and thorough completion of sports related concussion forms is essential for effective evaluation and management of concussions.
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Sports related concussion is a type of brain injury that occurs during sports or physical activity.
Coaches, parents, and healthcare providers are required to file sports related concussion forms.
Sports related concussion forms can be filled out online or on paper, providing details of the injury and recovery process.
The purpose of sports related concussion forms is to track and monitor instances of concussions in sports to ensure proper treatment and prevention.
Information such as date of injury, symptoms, treatment, and recovery progress must be reported on sports related concussion forms.
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