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CONSENT FOR COGNITIVE TESTING and RELEASE OF INFORMATION I give my permission for (name of child) (children date of birth) to have a PRE/postconcussion Impact (Immediate Postconcussion Assessment
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How to fill out to have a prepostconcussion:

01
Start by gathering all necessary information and documentation related to your medical history, including any previous concussions or head injuries.
02
Consult with your healthcare provider or specialist who can provide guidance on the specific requirements and process for obtaining a prepostconcussion.
03
Follow any instructions provided by your healthcare provider regarding the completion of forms or questionnaires. This may include providing detailed information about your symptoms, medical history, and any associated risk factors.
04
Be prepared to undergo additional assessments or tests as part of the prepostconcussion evaluation. These may include cognitive function tests, balance tests, or imaging studies.
05
Make sure to answer all questions honestly and accurately, as the information provided will be used to assess your condition and determine the appropriate care plan.
06
Submit the completed prepostconcussion form and any supporting documents to your healthcare provider or the designated medical facility as instructed.

Who needs to have a prepostconcussion:

01
Athletes: Individuals participating in contact sports, such as football, rugby, or ice hockey, should consider having a prepostconcussion as part of their routine medical evaluations. This can help identify any underlying conditions, provide baseline measurements for comparison in case of future concussions, and guide appropriate return-to-play decisions.
02
Individuals at high risk: Those who have a history of multiple concussions, previous head injuries, or certain medical conditions that increase the susceptibility to concussions, such as epilepsy or bleeding disorders, may benefit from having a prepostconcussion.
03
Military personnel: Service members, especially those in combat roles or engaged in high-risk activities, are often required to have prepostconcussion evaluations as part of their routine medical assessments to ensure readiness and detect any potential issues.
04
Individuals in high-risk occupations: Certain professions, such as construction workers, firefighters, or law enforcement officers, may involve an increased risk of head injuries. Having a prepostconcussion can help establish a baseline for comparison if a concussion occurs while on duty.
05
Individuals with previous concussions: If you have had a previous concussion, it is recommended to have a prepostconcussion evaluation to assess any lingering effects, monitor recovery progress, and inform future treatment decisions.
Note: It is important to consult with a healthcare provider or specialist who can provide personalized recommendations based on your individual circumstances and medical history.
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A prepostconcussion is a medical evaluation conducted prior to and after a concussion occurs.
Athletes who have suffered a concussion are required to undergo a prepostconcussion evaluation.
To have a prepostconcussion, the athlete must visit a qualified medical professional who will conduct the evaluation.
The purpose of a prepostconcussion is to assess the athlete's condition before and after a concussion to track recovery and guide treatment.
The prepostconcussion report must include details of the athlete's symptoms, medical history, and any test results.
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