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CONCUSSION INFORMATION AND SIGNATURE FORM FOR STUDENTATHLETES & PARENTS/LEGAL GUARDIANS (Adapted from CDC Heads Up Concussion in Youth Sports) Public Chapter 148, effective January 1, 2014, requires

How to fill out concussion - tssaa

How to Fill out Concussion - TSSAA:

1. Obtain the Concussion - TSSAA form. Look for it on the official TSSAA website or request it from your school's athletic department.
2. Fill in the Student Information section correctly. Provide your full name, contact information, and date of birth.
3. Consult with a healthcare professional. If you suspect a concussion or have been diagnosed with one, it is crucial to visit a healthcare professional before filling out the form.
4. Answer the questions regarding the incident. The form typically asks for information about the date of the injury, the sport or activity it occurred in, and details about the specific incident.
5. List any symptoms experienced. This section usually requires you to indicate whether you have experienced symptoms such as headache, dizziness, memory problems, or others related to the concussion.
6. Indicate any medical evaluations received. If you have visited a healthcare professional for a concussion evaluation, provide the relevant details and contact information in this section.
7. Enter the start and end dates of your participation hold. If you have been advised to refrain from participating in athletic activities due to a concussion, enter the recommended start and end dates as provided by your healthcare professional.
8. Obtain required signatures. Students, parents or guardians, and appropriate medical professionals involved in the evaluation or treatment may need to sign the form.
9. Submit the completed form. Ensure that you have filled out all the required fields accurately and submit the form to the appropriate authority, such as your school's athletic department.

Who needs Concussion - TSSAA:

1. Student athletes. Concussion - TSSAA forms are primarily intended for student athletes participating in Tennessee Secondary School Athletic Association (TSSAA) sanctioned sports or activities.
2. Coaches and athletic staff. Coaches and other athletic staff members are responsible for ensuring that students who have suffered a concussion complete the necessary paperwork and understand the protocols in place for returning to play safely.
3. Parents or guardians. Parents or guardians of student athletes need to be aware of the risks and procedures related to concussions and should stay informed about the symptoms and management of concussions by completing the Concussion - TSSAA form.

For pdfFiller’s FAQs

What is concussion - tssaa?

Concussion - TSSAA refers to the guidelines and protocols established by the Tennessee Secondary School Athletic Association for managing concussions in student-athletes.

Who is required to file concussion - tssaa?

Coaches, athletic trainers, and medical personnel who work with student-athletes in TSSAA-sanctioned sports are required to file concussion reports.

How to fill out concussion - tssaa?

Concussion reports can be filled out online through the TSSAA's official website or submitted in person to the designated TSSAA officials.

What is the purpose of concussion - tssaa?

The purpose of the concussion - TSSAA guidelines is to ensure the safety and well-being of student-athletes by properly diagnosing and managing concussions.

What information must be reported on concussion - tssaa?

Concussion reports must include the student-athlete's name, sport, date of injury, symptoms, and any medical treatment received.

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