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REQUEST TO RESUME ACADEMIC AND PHYSICAL ACTIVITIES: CONCUSSIONRELATED INJURIES The following student has been diagnosed with/is suspected of having a concussion. He/she must seek a diagnosis from
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How to fill out concussion procedure appendix d:
01
Start by carefully reading the instructions provided on the concussion procedure appendix d form. Make sure you understand the purpose and requirements of filling out this document.
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Gather all relevant information and documentation that may be needed to complete the form accurately. This may include medical records, incident reports, and witness statements.
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Begin by filling out the basic information at the top of the form, such as the date, your name, and any other required identification details.
04
Follow the instructions on the form to provide a detailed account of the concussion incident. This may include information on how and when the concussion occurred, any symptoms experienced, any medical treatment received, and any subsequent evaluations or assessments.
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If there are specific sections or questions on the form that are not applicable to your situation, mark them as "N/A" or leave them blank, unless otherwise instructed.
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Keep a copy of the completed form for your records, and submit the original to the appropriate authority or organization as instructed.
Who needs concussion procedure appendix d:
01
Individuals who have suffered a concussion and require medical attention or treatment.
02
Healthcare professionals, such as doctors, nurses, or athletic trainers, who are responsible for assessing and treating concussions.
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Organizations, such as schools, sports teams, or workplaces, that have implemented concussion management protocols and require documentation for record-keeping and compliance purposes.
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