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Essex High School Concussion Action Plan Management of SportsRelated Concussions Essex High School (EHS) has developed this protocol to address the issue of the identification and management of concussions
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How to fill out Essex High School concussion form:

01
Obtain the concussion form: Start by obtaining the Essex High School concussion form. This form is usually provided by the school's athletic department or the school nurse.
02
Read the instructions: Before filling out the form, carefully read the instructions provided. This will ensure that you understand each section and what information is required.
03
Personal information: Begin by providing your personal information, which may include your name, date of birth, grade level, and contact information.
04
Medical history: Fill out the medical history section of the form. This may include questions about previous concussions, any current or past medical conditions, and any medications you are currently taking.
05
Symptoms checklist: Next, there will be a checklist or space to describe any concussion symptoms you may be experiencing. Common symptoms include headaches, dizziness, memory problems, and sensitivity to light or noise.
06
Injuries and incidents: If you sustained a head injury or were involved in a specific incident that may have caused the concussion, provide a detailed account of the event. Include the date, time, location, and any relevant details.
07
Medical evaluation: If you have seen a healthcare professional for your concussion, provide their contact information and any diagnosis or treatment recommendations they have given.
08
Parent/guardian signature: If you are a minor, have your parent or guardian review and sign the form. This indicates their consent and understanding of the concussion and your participation in activities.

Who needs Essex High School concussion form?

01
Student athletes: The Essex High School concussion form is typically required for student athletes participating in any sport at the school. This form helps ensure the safety and well-being of the students participating in physical activities.
02
Coaches and staff: Coaches and staff members involved in the sports programs at Essex High School may also need to be familiar with the concussion form. This helps them properly identify and respond to any potential concussions occurring during practices or games.
03
School administrators: School administrators, including the athletic director and school nurse, need the concussion form to maintain accurate records of concussion incidents at the school and to ensure appropriate medical attention and care for affected students.
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Essex High School concussion protocol is a set of guidelines designed to ensure the proper diagnosis and treatment of concussions in student-athletes.
Coaches, athletic trainers, and medical personnel are required to file Essex High School concussion reports.
Essex High School concussion reports can be filled out online or on paper forms provided by the school's athletic department.
The purpose of Essex High School concussion protocol is to protect the health and safety of student-athletes who may have suffered a concussion.
Information such as the date of the concussion, symptoms experienced, and any medical treatment received must be reported on Essex High School concussion forms.
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