Get the free ODH Concussion Form - Carroll High School - carrollhs

Ohio Department of Health Concussion Information Sheet For Interscholastic Athletics Dear Parent/Guardian and Athletes, This information sheet is provided to assist you and your child in recognizing

How to fill out odh concussion form

How to fill out the ODH concussion form:

1. Start by carefully reading and understanding the instructions provided on the form. Make sure you have all the necessary information and documents required to complete the form accurately.
2. Write your personal details in the designated spaces, such as your name, date of birth, address, and contact information. It's important to provide accurate information to ensure proper communication and follow-up if needed.
3. Next, provide information about the incident that led to the potential concussion. This may include details about the date, time, and location of the incident, as well as any witnesses present. Be as specific as possible in describing the nature of the event.
4. Describe your symptoms and observations following the incident. Include information about any physical, cognitive, or emotional changes you experienced. It's essential to be honest and thorough while documenting these details.
5. If you sought medical attention, indicate the healthcare provider's name, contact information, and the date of your visit. Include any additional information or recommendations provided by the healthcare professional regarding your injury or concussion management.
6. Sign and date the form once you have completed all the necessary sections. By signing, you confirm that the information provided is accurate to the best of your knowledge.

Who needs the ODH concussion form:

1. Athletes: Any individual participating in sports activities, both recreational and competitive, may be required to fill out the ODH concussion form. This ensures that proper documentation is in place in case of any potential concussions or head injuries that may occur during sports participation.
2. Coaches and trainers: Those responsible for the supervision and safety of athletes, such as coaches and trainers, may need to fill out the ODH concussion form. This allows them to report and document any suspected concussions that might happen to the athletes under their care.
3. Healthcare professionals: Medical professionals, including doctors and healthcare providers, may also need the ODH concussion form to report and document concussions and head injuries sustained by their patients. This ensures effective tracking and follow-up for proper medical management.

Overall, the ODH concussion form serves as a crucial tool for accurately reporting and documenting concussions. It helps facilitate appropriate assessment, treatment, and monitoring of individuals who have potentially suffered from a brain injury.

For pdfFiller’s FAQs

What is odh concussion form?

The ODH concussion form is a document used to report suspected concussions in student athletes.

Who is required to file odh concussion form?

Coaches, athletic trainers, and medical professionals are required to file the ODH concussion form.

How to fill out odh concussion form?

The ODH concussion form can be filled out electronically or by hand, and must include information about the student athlete, the suspected concussion, and any medical evaluations.

What is the purpose of odh concussion form?

The purpose of the ODH concussion form is to track and monitor suspected concussions in student athletes, and ensure that proper medical care is provided.

What information must be reported on odh concussion form?

The ODH concussion form must include information about the student athlete, such as name, date of birth, gender, sport played, and details of the suspected concussion.

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