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Montclair Board of Education 22 Valley Road, Montclair, NJ 07042 Phone: 973.509.4050 www.montclair.k12.nj.us Athletic Department PARENT PERMISSION FORM SportsRelated Concussion/Head Injury Fact Sheet/

How to fill out sports-related concussion and head

How to fill out sports-related concussion and head?

1. Obtain the necessary forms: Start by obtaining the specific forms required for reporting sports-related concussion and head injuries. These forms may be provided by the organization or team you are affiliated with, or they may be available from your healthcare provider or local sports equipment store.
2. Provide personal information: Begin by filling out the personal information section of the form. This typically includes your name, date of birth, contact information, and any relevant medical history. Make sure to provide accurate and up-to-date information to ensure proper documentation.
3. Describe the incident: Next, provide a detailed description of the sports-related concussion or head injury. Include information such as the date, time, and location of the incident, as well as the specific sport or activity involved. Describe how the injury occurred and any immediate symptoms or signs you experienced.
4. Document symptoms: In this section, record any symptoms you have been experiencing as a result of the concussion or head injury. These may include headaches, dizziness, nausea, confusion, memory loss, or changes in vision. Be as specific as possible in describing the severity, frequency, and duration of each symptom.
5. Include medical treatment information: If you sought medical attention for your sports-related concussion or head injury, provide details of the treatment received. This may include the name of the healthcare provider or facility, any medications prescribed, and any recommended follow-up appointments or therapy.

Who needs sports-related concussion and head?

1. Athletes: Sports-related concussion and head injuries can occur in any athletic activity, from contact sports like football and hockey to non-contact sports like soccer and basketball. Athletes of all ages and skill levels may need to fill out these forms if they sustain a concussion or head injury during play.
2. Coaches and trainers: Coaches and trainers have a responsibility to ensure the safety and well-being of their athletes. They may need to fill out sports-related concussion and head forms to document injuries sustained by their athletes and provide the necessary information for appropriate treatment and recovery plans.
3. Healthcare professionals: Healthcare professionals, including doctors, nurses, and athletic trainers, may also need to complete these forms when treating patients with sports-related concussions and head injuries. By documenting the injury and treatment, they can track the progress of the patient's recovery and provide appropriate care.

In summary, filling out sports-related concussion and head forms entails obtaining the necessary paperwork, providing personal information, describing the incident and symptoms, and including any medical treatment information. These forms are needed by athletes, coaches and trainers, as well as healthcare professionals involved in the care and management of sports-related head injuries.

For pdfFiller’s FAQs

What is sports-related concussion and head?

Sports-related concussion and head injury is a type of traumatic brain injury that occurs while participating in sports activities.

Who is required to file sports-related concussion and head?

Coaches, athletic trainers, and healthcare providers are required to file sports-related concussion and head injury reports.

How to fill out sports-related concussion and head?

The sports-related concussion and head injury form must be completed with details of the injury, symptoms, and treatment.

What is the purpose of sports-related concussion and head?

The purpose of sports-related concussion and head injury reporting is to monitor and track the incidence of such injuries in sports activities.

What information must be reported on sports-related concussion and head?

Information such as the date of injury, symptoms, treatment received, and return-to-play status must be reported on sports-related concussion and head injury forms.

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