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Submit by Email EXECUTIVE FUNCTION AND CONCUSSION BASELINE RESEARCH TESTING STUDENTS NAME PARENTS NAME TEACHERS NAME AGE GRADE Male Female CONTACT INFORMATION HOME PHONE WORK PHONE CELL PHONE EMAIL
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Start by gathering all necessary information related to executive function and concussion. This may include medical records, assessments, and any relevant documentation.
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Familiarize yourself with the specific forms or paperwork that need to be filled out. These could include evaluation forms, treatment plans, or concussion protocol documents.
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Carefully review each section of the forms and understand what information is being asked for. This may include personal details, medical history, symptoms, and current functioning.
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Who needs executive function and concussion?

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Individuals with executive function deficits: This includes individuals who struggle with tasks such as planning, organization, time management, problem-solving, decision-making, and self-regulation. Those with conditions like ADHD, autism spectrum disorder, or acquired brain injuries often experience difficulties with executive function.
02
Athletes and individuals involved in sports: Concussions are a common occurrence in sports, and athletes of all levels need to be aware of the signs and symptoms of a concussion. Proper understanding and management of concussions can help prevent further injury and ensure quicker recovery.
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Healthcare professionals and educators: Professionals in these fields work closely with individuals who may require support with executive function or have experienced a concussion. Understanding their needs and appropriate interventions can greatly enhance their ability to provide effective care and support.
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Executive function refers to a set of mental skills that help you get things done. Concussion is a mild traumatic brain injury that affects brain function.
Healthcare professionals, schools, sports organizations, or individuals who suspect someone has suffered a concussion.
Fill out a report detailing the symptoms, cause, and effects of the concussion on the individual.
The purpose is to track and monitor the effects of the concussion on an individual's cognitive abilities and behavior.
Information on the individual's symptoms, cause of concussion, impact on daily activities, and any treatments received.
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