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Get the free Concussion Accommodation Tracking Sheet for TeacherStaff Medical Forms - dasd k12 pa

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Form2DUBOISAREASCHOOLDISTRICT CONCUSSIONACCOMMODATIONTRACKINGSHEETFORTEACHERS/SCHOOLSTAFF StudentName DOB Grade Date KG SchoolStudentAttends SchoolFaxNumber Select School NameofSchoolContact(nurse)
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How to fill out concussion accommodation tracking sheet

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How to Fill Out Concussion Accommodation Tracking Sheet:

01
Start by writing the date at the top of the sheet. This will help track the progression of accommodations over time.
02
Next, list the specific accommodations that have been recommended or required for the individual with a concussion. These may include things like extended time for assignments, reduced screen time, or modified physical activity.
03
For each accommodation, provide a brief description or explanation of how it will be implemented. This can involve specifying the duration, frequency, or any necessary equipment or support.
04
Record any modifications or adjustments made to the accommodations along the way. For instance, if the duration of a certain accommodation needs to be extended or if a new accommodation is added, make note of these changes on the tracking sheet.
05
Regularly update the sheet to reflect progress or changes in the individual's condition. This will help ensure that the accommodations remain appropriate and effective.

Who Needs Concussion Accommodation Tracking Sheet:

01
Student athletes who have suffered a concussion and need to track their accommodations throughout their recovery period.
02
Individuals who have sustained a concussion in the workplace and require documented accommodations for their return to work.
03
People who have experienced a concussion and are participating in a rehabilitation program that involves monitoring and adjusting their accommodations.
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The concussion accommodation tracking sheet is a document used to track and monitor accommodations provided to individuals who have suffered a concussion.
Schools, workplaces, or any organization responsible for providing accommodations to individuals with concussions are required to file the concussion accommodation tracking sheet.
The concussion accommodation tracking sheet should be filled out by documenting the accommodations provided, progress made, and any changes in the individual's condition.
The purpose of the concussion accommodation tracking sheet is to ensure that appropriate accommodations are provided, monitor the individual's progress, and make adjustments as needed.
The information reported on the concussion accommodation tracking sheet should include the individual's name, date of concussion, accommodations provided, progress made, and any changes in condition.
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