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This document provides important information regarding the implications of concussions for student-athletes, including the necessity for immediate removal from play and medical clearance for return
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How to fill out Chesapeake Public Schools Concussion Information Sheet

01
Obtain the Chesapeake Public Schools Concussion Information Sheet form from the school's website or office.
02
Read through the introduction section for important information regarding concussions.
03
Fill out the student's personal information, including full name, grade, and school.
04
Provide details regarding the student's medical history, particularly any previous concussions.
05
Complete sections regarding the parent or guardian's information; include names and contact details.
06
Sign and date the form to indicate understanding and consent.
07
Submit the completed form to the designated school official or athletic department.

Who needs Chesapeake Public Schools Concussion Information Sheet?

01
All students participating in sports or activities that may risk head injuries.
02
Parents or guardians of those students are required to provide necessary information.
03
Coaches and athletic staff need the information for safety and monitoring purposes.
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The Chesapeake Public Schools Concussion Information Sheet is a document that provides important information about concussions, including symptoms, protocols for responding to a concussion, and guidelines for returning to play after a concussion.
The Concussion Information Sheet must be filed by athletes, their parents or guardians, and coaches when a concussion is suspected or diagnosed during sports activities.
To fill out the Concussion Information Sheet, individuals must provide pertinent information such as the athlete's personal details, details of the incident or injury, symptoms observed, and any medical evaluation results.
The purpose of the Concussion Information Sheet is to ensure the health and safety of student-athletes by providing a clear understanding of concussions, ensuring proper procedures are followed for treatment, and facilitating communication among coaches, parents, and medical professionals.
The information that must be reported includes the athlete's name, date of the injury, details of the incident leading to the concussion, symptoms experienced, and any assessments or medical evaluations conducted.
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