Get the free Parent and Athlete Concussion Information and Consent Form

This document provides information regarding concussions, their symptoms, the importance of medical evaluation, and consent for student-athletes and their parents or guardians.

How to fill out parent and athlete concussion

How to fill out Parent and Athlete Concussion Information and Consent Form

1. Obtain the Parent and Athlete Concussion Information and Consent Form from your sports organization.
2. Carefully read through the introduction and purpose of the form to understand its importance.
3. Fill in the athlete's personal information, including their name, date of birth, and contact details.
4. Provide the parent or guardian's name and contact information.
5. Read the concussion information section thoroughly, which explains the signs and symptoms of concussions.
6. Acknowledge that you have read the concussion information by signing the designated area.
7. Review the consent section and sign to give permission for the athlete to participate in sports.
8. Make sure to date your signature, ensuring all information is up-to-date.
9. Submit the completed form to your coach or the appropriate school/sports authority.

Who needs Parent and Athlete Concussion Information and Consent Form?

1. Parents or guardians of student-athletes participating in sports.
2. Athletes themselves, especially minors, to provide their acknowledgment and consent.
3. Coaches and athletic directors to ensure compliance with safety regulations.

People Also Ask about

What is the CIAC concussion policy?

10-62 requires that a coach MUST immediately remove a student-athlete from participating in any intramural or interscholastic athletic activity who (A) is observed to exhibit signs, symptoms or behaviors consistent with a concussion following a suspected to the head or body, or (B) is diagnosed with a concussion,

What is the patient information on a concussion?

The symptoms of a concussion can be subtle and may not occur right away. Symptoms can last for days, weeks or even longer. Common symptoms after a mild traumatic brain injury are headache, confusion and loss of memory, known as amnesia. The amnesia usually involves forgetting the event that caused the concussion.

What are the guidelines for a child with a concussion?

A child who has sustained a concussion should not return to sports or other activities with risk of head impact until cleared by an appropriate healthcare provider. The child should be free of concussion symptoms and participating in school fully.

What are the guidelines for a concussion?

You should not diagnose concussion without consulting a healthcare professional. Even if someone does not need to go to hospital, it's important that you call NHS 24 on 111 for advice. Concussion can cause complications which can be severe.

What are the parental guidance for a concussion?

A child who has sustained a concussion should not return to sports or other activities with risk of head impact until cleared by an appropriate healthcare provider. The child should be free of concussion symptoms and participating in school fully.

What is the protocol for a concussion for parents?

Seek medical attention right away. A healthcare provider experienced in evaluating for concussion can determine how serious the concussion is and when it is safe for your child or teen to return to normal activities, including physical activity and school (concentration and learning activities).

What are the restrictions with a concussion?

Rest your brain Limit activities such as reading, watching television, and playing video games for the first 48 hours. It may help to take time off school or work. Limit bright lights, loud noises, and crowds for the first 48 hours. They can make your symptoms worse.

What is a concussion information sheet?

INFORMATION SHEET. This sheet has information to help protect your children or teens from concussion or other serious brain injury. Use this information at your children's or teens' games and practices to learn how to spot a concussion and what to do if a concussion occurs.

For pdfFiller’s FAQs

What is Parent and Athlete Concussion Information and Consent Form?

The Parent and Athlete Concussion Information and Consent Form is a document designed to educate parents and athletes about the risks associated with concussions, provide information on recognizing concussion symptoms, and obtain consent from the parent or guardian for the athlete to participate in sports.

Who is required to file Parent and Athlete Concussion Information and Consent Form?

The form is required to be filed by all athletes who participate in contact sports, along with their parents or guardians, to ensure awareness of concussion risks and to facilitate informed consent.

How to fill out Parent and Athlete Concussion Information and Consent Form?

To fill out the form, parents and athletes should read the provided information on concussions, acknowledge their understanding by signing the form, and include necessary details such as the athlete's name, date, and the signature of the parent or guardian.

What is the purpose of Parent and Athlete Concussion Information and Consent Form?

The purpose of the form is to inform athletes and their parents about the dangers of concussions, establish consent for participation in sports, and ensure that participants understand the protocol for reporting concussive symptoms.

What information must be reported on Parent and Athlete Concussion Information and Consent Form?

The form must report information including the athlete's name, the sport they are participating in, date of birth, acknowledgment of receiving concussion education, signature of the parent or guardian, and a statement of consent for participation.