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Alemán High School 201415 Academic Year CONCUSSION INFORMATION SHEET and SIGN-OFF A concussion is a brain injury and all brain injuries are serious. They are caused by a bump, blow, or jolt to the

How to fill out concussion information sheet and

How to fill out a concussion information sheet:

1. Start by writing your personal information at the top of the sheet, including your full name, date of birth, address, and contact information.
2. Next, provide details about any previous concussions or head injuries you may have had. Include the dates of these injuries and any symptoms you experienced.
3. Indicate whether you have been diagnosed with any medical conditions or take any medications that could impact your concussion symptoms. This information is important for medical professionals to understand how to best treat your injury.
4. Describe the circumstances of the current concussion. Note the date and time of the injury, as well as the specific activity or event that caused it.
5. Record any symptoms you are experiencing as a result of the concussion. This may include headaches, dizziness, memory problems, sensitivity to light or noise, or changes in mood or behavior.
6. Provide a detailed account of the symptoms you have experienced since the concussion occurred. Include the date each symptom began and specify any changes or improvements over time.
7. Consider including information about any treatment you have received for the concussion. This could involve visiting a healthcare professional, following a specific recovery plan, or taking prescribed medications.
8. Sign and date the concussion information sheet to confirm that the provided information is accurate to the best of your knowledge.

Who needs a concussion information sheet:

1. Athletes: Concussion information sheets are typically required for athletes participating in sports activities, especially contact sports like football, soccer, and rugby. These sheets help track a player's history of concussions and can aid in diagnosing and managing future head injuries.
2. Healthcare professionals: Doctors, nurses, and other healthcare professionals who work directly with concussion patients often use information sheets to gather crucial details about a patient's injury and symptoms. This assists in providing appropriate treatment and monitoring progress during recovery.
3. Educational institutions: Schools and universities often collect concussion information sheets for students involved in sports programs. This helps ensure that proper protocols are followed in managing concussions and helps protect the health and well-being of student athletes.
4. Parents and guardians: If a child participates in sports, parents or guardians may be required to fill out concussion information sheets as part of the registration or enrollment process. This allows coaches and medical staff to be aware of the child's concussion history and symptoms.

By diligently filling out concussion information sheets and ensuring they are up to date, individuals and organizations can better prevent, diagnose, and manage concussions, ultimately promoting safer sports and activities.

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What is concussion information sheet?

Concussion information sheet is a document that provides important information about concussions, including symptoms, treatment, and recovery.

Who is required to file concussion information sheet?

Coaches, parents, and healthcare providers are required to file concussion information sheets.

How to fill out concussion information sheet?

Concussion information sheets can be filled out by providing the necessary information about the individual who has experienced a concussion.

What is the purpose of concussion information sheet?

The purpose of concussion information sheet is to ensure that individuals are informed about concussions and receive appropriate care.

What information must be reported on concussion information sheet?

Information such as symptoms, date of concussion, treatment received, and follow-up care must be reported on concussion information sheet.