Get the free Concussion Screening and Post Injury Testing Consent Form Jan 162c 2015doc

BEAUMONT HEALTH SYSTEM CONCUSSION SCREENING and POST INJURY PROGRAM CONSENT NAME OF CHILD PROGRAM GOALS: Beaumont Health System (Beaumont), in collaboration with Utica Community School District, is

How to fill out concussion screening and post

How to fill out concussion screening and post:

1. Start by locating the concussion screening form provided by your healthcare provider or school athletic department.
2. Read through the instructions on the form carefully to understand what information is required and how to properly document it.
3. Begin by filling out your personal details such as your name, date of birth, and contact information.
4. Next, provide information about the incident that caused the potential concussion, including the date, time, location, and any witnesses present.
5. Describe the symptoms you have been experiencing since the incident, such as headaches, dizziness, memory problems, or sensitivity to light and noise.
6. Indicate if you have previously had a concussion or any other head injuries.
7. Answer any additional questions on the form regarding your medical history, current health conditions, and medications you are taking.
8. If applicable, provide information about your healthcare provider or the medical professional who assessed you for a concussion.
9. Make sure to sign and date the form as required.
10. After filling out the concussion screening form, follow any instructions on how to properly submit or deliver it to the appropriate party or healthcare provider.

Who needs concussion screening and post:

1. Athletes: Athletes who participate in sports, particularly contact sports like football, rugby, soccer, hockey, or basketball, may need to undergo concussion screening. This is to determine if they have suffered a concussion and to assess their readiness to return to play safely.
2. Students: Students involved in physical education classes, school sports teams, or any recreational activities that carry a risk of head injuries may require concussion screening. This ensures their safety and properly addresses any potential head injuries.
3. Individuals involved in accidents: Anyone involved in accidents that could have resulted in a head injury, such as car accidents, falls, or workplace incidents, should consider getting a concussion screening. This helps determine if a concussion has occurred and guides appropriate medical treatment.
4. Military personnel: Service members, particularly those in combat roles, are at an increased risk of sustaining head injuries. Concussion screening is crucial in assessing their neurocognitive functioning and ensuring their readiness for duty.

In conclusion, anyone who may have experienced a head injury or is involved in activities with a high risk of head injuries should consider undergoing concussion screening. This helps identify concussions and ensures appropriate medical care is provided to prevent any long-term complications.

For pdfFiller’s FAQs

What is concussion screening and post?

Concussion screening is the process of evaluating an individual for a possible concussion, while post-concussion refers to the monitoring and treatment following a concussion.

Who is required to file concussion screening and post?

Concussion screening and post must be filed by healthcare professionals, schools, and sports organizations.

How to fill out concussion screening and post?

Concussion screening and post can be filled out by documenting the individual's symptoms, test results, and any treatment plans.

What is the purpose of concussion screening and post?

The purpose of concussion screening and post is to ensure that individuals who have suffered a concussion receive proper evaluation and treatment.

What information must be reported on concussion screening and post?

Information such as the individual's symptoms, test results, treatment plans, and any follow-up appointments must be reported on concussion screening and post.

How can I send concussion screening and post to be eSigned by others?

When you're ready to share your concussion screening and post, you can swiftly email it to others and receive the eSigned document back. You may send your PDF through email, fax, text message, or USPS mail, or you can notarize it online. All of this may be done without ever leaving your account.

Can I sign the concussion screening and post electronically in Chrome?

Yes, you can. With pdfFiller, you not only get a feature-rich PDF editor and fillable form builder but a powerful e-signature solution that you can add directly to your Chrome browser. Using our extension, you can create your legally-binding eSignature by typing, drawing, or capturing a photo of your signature using your webcam. Choose whichever method you prefer and eSign your concussion screening and post in minutes.

How do I complete concussion screening and post on an iOS device?

Install the pdfFiller iOS app. Log in or create an account to access the solution's editing features. Open your concussion screening and post by uploading it from your device or online storage. After filling in all relevant fields and eSigning if required, you may save or distribute the document.