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INDIANA UNIVERSITY BLOOMINGTON DIVISION OF STUDENT AFFAIRS Disability Services for Students CONCUSSION EVALUATION Student Name: DOB: (/ QUID#: /) Date Concussion Occurred: (/ /) Date of Initial Visit:

How to fill out concussion evaluation - division

How to fill out concussion evaluation - division?

1. Gather necessary documents: Start by collecting the appropriate forms and materials for the concussion evaluation - division. These may include the evaluation form, any medical history forms, and any guidelines or instructions provided by the division or organization.
2. Provide patient information: Begin the evaluation by filling out the patient's personal information. This typically includes their name, date of birth, contact information, and any relevant identification numbers.
3. Document the details of the injury: In this section, record specific details about the concussion. Include the date and time of the injury, the location where it occurred, and any relevant description of the incident.
4. Assess symptoms: Use the evaluation form to assess and document the patient's symptoms. These may include headache, dizziness, confusion, memory problems, nausea, sensitivity to light or noise, and any other symptoms commonly associated with a concussion. Indicate the severity or frequency of each symptom if applicable.
5. Record medical history: Provide information about the patient's medical history, particularly any previous instances of concussions or head injuries. Include details about any pre-existing medical conditions that may affect the evaluation or management of the concussion.
6. Conduct a physical examination: If qualified, perform a physical examination of the patient to assess their overall health and identify any possible related conditions. This may involve checking vital signs, evaluating balance and coordination, assessing reflexes, and conducting other relevant assessments.
7. Evaluate cognitive function: Administer cognitive tests, such as memory or attention tests, to assess the patient's cognitive function. Record the results of these tests on the evaluation form.
8. Complete the evaluation: Review the evaluation form to ensure that all relevant sections have been filled out accurately and thoroughly. Make any necessary corrections or additions before finalizing the form.

Who needs concussion evaluation - division?

1. Athletes: Athletes in sports leagues or divisions that require concussion evaluations as part of their safety protocol may need to undergo concussion evaluations - division. This helps ensure that athletes receive appropriate care and can safely return to play after a concussion.
2. Coaches and trainers: Coaches and trainers responsible for the well-being of athletes may need to fill out concussion evaluation forms when assessing and monitoring any head injuries that occur during practice or competitions.
3. Healthcare professionals: Medical professionals and healthcare providers who specialize in sports medicine or concussion management may use concussion evaluation - division forms to assess and diagnose concussions in their patients. This allows for proper treatment and monitoring of the injury.
4. Schools and educational institutions: Schools and educational institutions often require concussion evaluations for students who participate in sports or physical activities. This helps safeguard the well-being of students and promotes a safe return to academic and athletic activities after a concussion.
5. Sports organizations and governing bodies: Sports organizations and governing bodies may implement concussion evaluation - division as part of their policies and guidelines to ensure the safety and well-being of their participants. This includes monitoring for concussions, evaluating their severity, and determining when it is safe for athletes to return to play.

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What is concussion evaluation - division?

Concussion evaluation - division is a process used to assess and diagnose concussions in individuals.

Who is required to file concussion evaluation - division?

All individuals involved in sports or activities that carry a risk of concussion are required to file a concussion evaluation - division.

How to fill out concussion evaluation - division?

To fill out a concussion evaluation - division, individuals must provide information on symptoms, injury history, and any medical evaluations.

What is the purpose of concussion evaluation - division?

The purpose of concussion evaluation - division is to ensure the safety and well-being of individuals participating in sports or activities.

What information must be reported on concussion evaluation - division?

Information such as symptoms, injury history, and medical evaluations must be reported on concussion evaluation - division.