Get the free KSHSAA Recommended Concussion & Head Injury Information Release Form

This document provides guidelines and recommendations for compliance with the Kansas School Sports Head Injury Prevention Act and procedures related to concussions in high school sports.

How to fill out kshsaa recommended concussion head

How to fill out KSHSAA Recommended Concussion & Head Injury Information Release Form

1. Obtain the KSHSAA Recommended Concussion & Head Injury Information Release Form from your school's athletic department or website.
2. Fill in the athlete's personal information including name, date of birth, and contact information.
3. Provide details about the athlete's medical history related to head injuries or concussions, if any.
4. Include the date of the injury or incident that requires this form to be filled out.
5. Have the athlete and their parent or guardian sign the form to give consent for sharing concussion-related information.
6. Submit the completed form to the appropriate school official, such as the athletic director or coach.

Who needs KSHSAA Recommended Concussion & Head Injury Information Release Form?

1. Any student-athlete participating in sports activities who has experienced a concussion or head injury.
2. Parents or guardians of the student-athletes to provide consent and medical history.
3. Coaches and school officials who need to keep track of the athlete's health and safety regarding head injuries.

People Also Ask about

What is the Kshsaa concussion protocol?

The KSHSAA recommends that an athlete not return to practice or competition the same day the athlete suffers or is suspected of suffering a concussion.

What is the 7 step concussion protocol?

The 7-step RTP protocol consists of the following steps: (1) complete cognitive rest, (2) full return to school, (3) light exercise, (4) running progression, (5) noncontact training drills and weight training, (6) full-contact practice or training, and (7) return to game play.

What are the new concussion guidelines?

Possible symptoms of a concussion include headaches, confusion, nausea, fatigue, balance problems, being unusually emotional and changes in sleep. The latest guidelines on treating sports-related concussions recommend returning to some physical activity within a few days of the event.

What is the AIS concussion clearance form?

The AIS Concussion Referral & Return Form provides important information to a healthcare practitioner following the suspected concussion of an athlete. The form outlines clear return to sport protocols, and the requirements for clearance for return to contact activities.

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What is KSHSAA Recommended Concussion & Head Injury Information Release Form?

The KSHSAA Recommended Concussion & Head Injury Information Release Form is a document designed to record and provide consent for the sharing of information regarding a student's concussion history and treatment, ensuring proper care and compliance with safety regulations.

Who is required to file KSHSAA Recommended Concussion & Head Injury Information Release Form?

Athletes participating in school sports and their parents or guardians are required to file the KSHSAA Recommended Concussion & Head Injury Information Release Form before the athlete can engage in practice or competition.

How to fill out KSHSAA Recommended Concussion & Head Injury Information Release Form?

To fill out the form, ensure all required fields are completed, including athlete's personal information, details about any previous concussions, and signatures from both the athlete and a parent or guardian, indicating consent for medical information sharing.

What is the purpose of KSHSAA Recommended Concussion & Head Injury Information Release Form?

The purpose of the form is to facilitate communication between healthcare providers, schools, and parents regarding a student's concussion status, ensuring the athlete's safety and proper management of head injuries.

What information must be reported on KSHSAA Recommended Concussion & Head Injury Information Release Form?

The form requires information such as the athlete's name, date of birth, pertinent medical history related to head injuries, and consent for the exchange of this information among medical and educational personnel.