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SAN MATEO UNION HIGH SCHOOL DISTRICT Concussion Information Sheet (This form requires parent and student signatures on back side) A concussion is a brain injury and all brain injuries are serious.

How to fill out concussion information sheet this

How to fill out the concussion information sheet:

1. Start by carefully reading the instructions provided on the concussion information sheet. Make sure you understand all the details and requirements before proceeding.
2. Begin by filling out your personal information section on the sheet. This typically includes your name, date of birth, contact information, and any relevant medical history.
3. Next, you may be required to provide information about the incident that caused the concussion. This can include the date, time, location, and brief description of the event. Be as accurate and specific as possible.
4. You may also need to provide details about any symptoms you experienced after the concussion. Common symptoms include headaches, dizziness, memory problems, nausea, and sensitivity to light or noise. Note down the severity and duration of each symptom, if applicable.
5. Some concussion information sheets may ask about the medical treatment you received or if you sought medical attention for your injury. If you visited a doctor, note down the healthcare professional's name, clinic/hospital information, and any prescribed medications or treatments.
6. The concussion information sheet may also require you to provide information about any previous concussions or head injuries you may have had. Mention the approximate date, circumstances, and severity of each previous incident.
7. Finally, carefully review the filled-out information sheet for any errors or missing details. Make sure everything is clear, accurate, and complete before signing and submitting it.

Who needs concussion information sheet this:

1. Athletes: Concussions are common in sports, particularly contact sports like football, soccer, hockey, and basketball. Athletes need to fill out a concussion information sheet to provide relevant details about their injury and ensure proper evaluation and treatment.
2. Students: Many schools and educational institutions require students to fill out a concussion information sheet before participating in sports activities. This helps the school assess any potential risks and provide appropriate medical attention if a concussion occurs during athletic events.
3. Parents or guardians: If a child or minor is involved in sports or physical activities, their parents or guardians may be required to fill out a concussion information sheet. This ensures that the necessary precautions are taken and any potential head injuries are properly addressed.
4. Healthcare professionals: Concussion information sheets are valuable tools for healthcare professionals who assess and treat concussions. These forms provide comprehensive details about the injury and help guide the medical management process.
5. Coaches and trainers: Coaches and trainers in sports teams or athletic organizations often have access to concussion information sheets. They need this information to understand the injury and plan appropriate training activities for athletes who have experienced a concussion.

In conclusion, anyone who has suffered a concussion or is involved in managing or treating concussions may need to fill out a concussion information sheet. This includes athletes, students, parents or guardians, healthcare professionals, and coaches/trainers.

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What is concussion information sheet this?

The concussion information sheet provides information about concussions and the protocol for dealing with them.

Who is required to file concussion information sheet this?

Coaches, team officials, schools, and organizations involved in youth sports are required to file the concussion information sheet.

How to fill out concussion information sheet this?

The concussion information sheet can be filled out by providing relevant information about the individual, the sports team, and acknowledging understanding of concussion protocols.

What is the purpose of concussion information sheet this?

The purpose of the concussion information sheet is to ensure that individuals involved in youth sports are knowledgeable about concussions and how to properly address them.

What information must be reported on concussion information sheet this?

Information such as player names, contact information, previous head injuries, and acknowledgment of concussion protocols must be reported on the concussion information sheet.