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UH SAA Sports Concussion Management Plan (Adopted by Board of Trustees 8/26/2010) APPENDIX A: Statement Acknowledging Receipt of Education and Responsibility to report signs or symptoms of concussion
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How to fill out UHSAA Sports Concussion Management:

01
Begin by gathering all the necessary information and forms required for the UHSAA Sports Concussion Management. This may include consent forms, medical history, and contact information.
02
Carefully read through the instructions provided with the UHSAA Sports Concussion Management form. Ensure that you understand the requirements and any specific details mentioned.
03
Start by filling out the personal information section of the form. This typically includes the athlete's name, date of birth, address, and emergency contact information. Make sure to provide accurate and updated details.
04
Move on to the medical history section of the form. Here, you will need to provide information about any past concussions, medical conditions, or relevant medications the athlete is currently taking. Be thorough and honest while filling out this section.
05
If there are any additional sections or questions related to the athlete's health or concussion history, fill them out accordingly. These may include details regarding previous head injuries, concussion symptoms experienced, or any ongoing treatment.
06
Review the completed UHSAA Sports Concussion Management form for any errors or missing information. Double-check that all sections have been addressed and that the form is legible. Make any necessary corrections before submitting it.

Who needs UHSAA Sports Concussion Management:

01
Athletes participating in UHSAA-affiliated sports programs are required to undergo UHSAA Sports Concussion Management. This includes both school-sponsored and club sports.
02
Coaches, athletic trainers, and medical personnel involved in UHSAA sports programs should also be familiar with and trained in the implementation of UHSAA Sports Concussion Management.
03
Parents or guardians of athletes are also stakeholders and should have an understanding of UHSAA Sports Concussion Management to support their child's health and well-being during sports activities.
04
School administrators and officials responsible for organizing and overseeing UHSAA sports competitions and events should prioritize the implementation and enforcement of UHSAA Sports Concussion Management protocols.
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UHSAA sports concussion management is a protocol designed to help identify and manage concussions in student-athletes participating in Utah High School Activities Association (UHSAA) sports.
Coaches, athletic trainers, and other school personnel responsible for the safety of student-athletes are required to file UHSAA sports concussion management.
UHSAA sports concussion management can be filled out by providing information on the student-athlete, details of the concussion incident, evaluation and treatment plan, and clearance for return to play.
The purpose of UHSAA sports concussion management is to ensure the safety and well-being of student-athletes who have suffered a concussion, and to help them safely return to play.
Information such as the student-athlete's name, date of birth, sport and team, details of the concussion incident, evaluation by a medical professional, treatment plan, and clearance for return to play must be reported on UHSAA sports concussion management.
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