Get the free Concussion Tracking Permission Form - Duluth East Football

Dear Parent/Guardian, Duluth East High School is currently implementing an innovative program for our student athletes. This program will assist our team physicians/athletic trainers in evaluating

How to fill out concussion tracking permission form

How to Fill Out Concussion Tracking Permission Form?

1. Obtain the form: Firstly, you need to obtain the concussion tracking permission form. You can usually find it on the official website of your school, sports organization, or healthcare provider. If not available online, you can request a physical copy from the respective authority.
2. Read the instructions: Before filling out the form, read the instructions carefully. The instructions will guide you on how to complete each section accurately and what information is required.
3. Personal details: Start by providing your personal details. This may include your full name, date of birth, address, phone number, and email address. Ensure that you write your information clearly and accurately.
4. Participant's information: If the form is for a minor or someone other than yourself, you will need to fill in their information as well. This typically includes their full name, date of birth, and any relevant contact information. Make sure to provide accurate details of the participant.
5. Medical history: Fill out the medical history section which may inquire about previous concussions, head injuries, or any existing medical conditions related to the brain. Provide complete and honest information, as it is essential for proper evaluation and tracking.
6. Emergency contacts: Provide contact details of individuals who should be notified in case of an emergency. Typically, this includes the names, phone numbers, and relationships of parents, guardians, or other emergency contacts.
7. Signature and consent: Read the consent statement carefully and sign the form at the designated area to acknowledge that you understand the risks and give permission for concussion tracking or monitoring as outlined in the form. If the form is for a minor, a parent or legal guardian will need to sign on their behalf.
8. Date and submit: Finally, write the date when filling out the form and submit it as instructed. Keep a copy for your records, if necessary.

Who Needs Concussion Tracking Permission Form?

1. Student Athletes: Student athletes participating in school sports programs, whether at the middle school, high school, or college level, often need to fill out a concussion tracking permission form. This is to ensure their safety and allow for appropriate monitoring in case of a head injury.
2. Recreational Sports Participants: Individuals participating in recreational sports leagues or activities, such as community soccer, basketball, or martial arts, may also be required to complete a concussion tracking permission form. This allows organizers to track and respond appropriately to any potential head injuries that may occur during these activities.
3. Employees in High-Risk Occupations: Some occupations, especially those at a higher risk of head injuries, such as construction workers or professional athletes, may require employees to complete a concussion tracking permission form. This is to ensure their health and safety, as well as to properly address any incidents that may occur on the job.

Remember, the specific requirement for a concussion tracking permission form may vary depending on the organization, institution, or activity involved. It is always best to consult the relevant authority for accurate information on who needs to fill out the form.

For pdfFiller’s FAQs

What is concussion tracking permission form?

The concussion tracking permission form is a document that allows individuals or organizations to track and monitor the occurrence of concussions in athletes.

Who is required to file concussion tracking permission form?

Coaches, team managers, and medical personnel are typically required to file the concussion tracking permission form.

How to fill out concussion tracking permission form?

To fill out the form, individuals must provide their contact information, details about the athlete, and consent to tracking concussions.

What is the purpose of concussion tracking permission form?

The purpose of the form is to ensure that concussions are properly monitored and managed in athletic settings.

What information must be reported on concussion tracking permission form?

Information such as the athlete's name, date of birth, sport played, any previous concussions, and parent/guardian contact details may need to be reported on the form.

How can I get concussion tracking permission form?

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