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SUPPORT DOCUMENT FOR CONCUSSION RELATED BRAIN INJURIES NOVEMBER 2014 Support Document For Concussion Related Brain Injuries Table of Contents Page Table of Contents .... 2 Concussions: What you need
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How to fill out support document for concussion

How to fill out support document for concussion:
01
Gather all necessary information: Start by collecting all relevant details about the concussion, such as the date it occurred, any symptoms experienced, and any medical treatments received.
02
Provide personal information: Fill out your personal details, including your name, date of birth, contact information, and any relevant medical history.
03
Describe the incident: Outline the circumstances in which the concussion occurred. Include details about any impact to the head or body, the force of the impact, and the activities or sports involved.
04
Document symptoms: Provide a comprehensive list of symptoms experienced after the concussion. This may include headaches, dizziness, confusion, memory loss, sensitivity to light or noise, and any other physical or cognitive challenges.
05
Describe medical treatments: Note any medical treatments received for the concussion, such as visiting a healthcare professional, undergoing diagnostic tests (e.g., CT scans or MRI), or receiving medication or therapies.
06
Include witness statements: If there were any witnesses to the incident or individuals who observed your symptoms, include their contact information and ask them to provide a statement describing what they saw or experienced.
07
Attach supporting documents: Gather any relevant medical records, test results, or doctor's notes that support the diagnosis and treatment of the concussion. These documents can provide further evidence to support your claim.
Who needs a support document for concussion:
01
Athletes: Anyone involved in sports activities, especially contact sports like football, soccer, rugby, or boxing, may need a support document for concussion. This can aid in tracking injuries and ensuring appropriate medical care.
02
Students: If a concussion occurs at school or during extracurricular activities, such as during physical education classes or sports events, a student may require a support document to inform school staff about the injury and help implement necessary accommodations.
03
Employees: Individuals who suffer concussions at the workplace, whether due to accidents or physical strain, may need a support document for concussion to inform their employer about the injury and to request any needed workplace modifications or accommodations.
04
Accident victims: Whether involved in a car accident, slip and fall incident, or any other traumatic event resulting in a concussion, accident victims may require a support document to provide evidence of their injury for insurance claims or legal purposes.
05
Military personnel: Those serving in the military are at risk of experiencing concussions due to combat, training exercises, or other job-related activities. A support document for concussion is crucial for documenting and addressing these injuries within the military healthcare system.
Remember, it is essential to consult with a healthcare professional or legal expert for advice tailored to your specific situation when filling out a support document for concussion.
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What is support document for concussion?
The support document for concussion is a form that must be filled out when a student athlete sustains a concussion.
Who is required to file support document for concussion?
The support document for concussion must be filed by the school's athletic trainer or team physician.
How to fill out support document for concussion?
The support document for concussion should be filled out with detailed information about the student athlete's injury, symptoms, and recovery progress.
What is the purpose of support document for concussion?
The purpose of the support document for concussion is to track the student athlete's progress in recovering from a concussion and ensure they are cleared to return to play.
What information must be reported on support document for concussion?
The support document for concussion must include details about the injury, symptoms, treatment plan, and clearance to return to play.
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