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Anne Arundel County Public Schools Athletics Office. Pre-participation Head Injury/Concussion Report for Extracurricular Activities. Parent Guardian Name.
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How to fill out pre-participation head injuryconcussion report

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How to fill out pre-participation head injury/concussion report:

01
Begin by providing your personal information, such as your name, date of birth, and contact details.
02
Indicate your previous medical history, including any head injuries or concussions you may have experienced in the past.
03
Fill out the section regarding your current symptoms, if any. This may include headaches, dizziness, memory problems, or sensitivity to light.
04
Specify any medications you are currently taking, including dosage and frequency.
05
Answer the questions related to your sports participation, such as the type of sport you engage in and the frequency of your involvement.
06
If applicable, provide information about any protective equipment you use during sports activities, such as helmets or mouthguards.
07
Sign and date the form, indicating that all the provided information is accurate and truthful.

Who needs pre-participation head injury/concussion report:

01
Athletes: This report is typically required for athletes participating in contact sports or those at a higher risk of head injuries, such as football, soccer, boxing, and hockey.
02
Students: Many schools and colleges require a pre-participation head injury/concussion report for students participating in sports programs.
03
Professional athletes: Professions such as football players, boxers, and wrestlers often require a pre-participation head injury/concussion report before they can participate in matches or games.
04
Coaches and trainers: Coaches and trainers may need access to pre-participation head injury/concussion reports to ensure the safety and well-being of their athletes and provide appropriate care in case of an injury.
05
Medical professionals: Doctors, physicians, and medical personnel involved in sports healthcare may need pre-participation head injury/concussion reports to assess an individual's fitness for sports participation and provide necessary guidance.
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Pre-participation head injury/concussion report is a form that must be completed by individuals before participating in certain activities to report any history of head injuries or concussions.
Anyone participating in activities that require the submission of such reports.
The report can typically be filled out online or on a physical form provided by the organization or institution.
The purpose is to ensure the safety of participants by identifying any previous head injuries or concussions that may impact their ability to participate.
Information such as the individual's medical history regarding head injuries or concussions, symptoms experienced, treatment received, and clearance from a medical professional.
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