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BC SSA Suspected Concussion Form Skater Name: DOB: Date/time of suspected concussion: The above named skater was evaluated for a suspected concussion due to: Mechanism of injury Skaters request Skater
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How to fill out bcssa suspected concussion form

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How to fill out the BCSSA suspected concussion form:

01
Obtain the BCSSA suspected concussion form from your school or organization.
02
Fill out your personal information, including your name, date of birth, and contact information.
03
Provide details about the incident that led to the suspected concussion. Include the date, time, and location of the incident, as well as a description of what happened.
04
Describe the signs and symptoms you are experiencing as a result of the incident. This may include headaches, dizziness, confusion, or memory problems.
05
Indicate whether you have sought medical attention for the suspected concussion. If you have, provide details about the healthcare professional you consulted and any tests or treatments you received.
06
If applicable, note any previous concussions or head injuries you have experienced and provide details about each incident.
07
Sign and date the form to certify that the information provided is accurate to the best of your knowledge.

Who needs the BCSSA suspected concussion form:

01
Athletes participating in BCSSA-sanctioned sports events or competitions.
02
Coaches, trainers, and other personnel involved in BCSSA-sanctioned sports events or competitions.
03
School administrators and teachers responsible for the safety and well-being of student athletes participating in BCSSA activities.
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The BC Safety Standards Act (BCSSA) suspected concussion form is a document used to report potential concussions that occur during sporting activities.
Coaches, trainers, or anyone supervising sporting activities where a concussion may have occurred are required to fill out the BCSSA suspected concussion form.
The form can be filled out by providing details of the incident, including the date, time, location, and symptoms observed. It must be signed by the person reporting the incident.
The purpose of the BCSSA suspected concussion form is to ensure that all potential concussions are properly reported and managed to protect the health and safety of athletes.
Information such as the date and time of the incident, description of the activity, signs and symptoms of concussion observed, and contact details of the person reporting the incident must be included.
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