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Stanford Concussion and Brain Performance Internship Application
Important:
1) All Materials must be included in one envelope/package, and postmarked by May 1st,
2016.
2) All applicants must be 16
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How to fill out stanford concussion and brain

How to Fill Out Stanford Concussion and Brain:
01
Gather the necessary information: Before filling out the Stanford Concussion and Brain form, gather all the relevant information such as the patient's personal details, medical history, and any known concussion symptoms or incidents.
02
Complete the patient information section: Start by providing the patient's full name, date of birth, contact information, and insurance details, if applicable. This section ensures that the form is properly identified and linked to the correct individual.
03
Describe the concussion incident: In this section, provide details about the concussion incident, including the date, time, and location of the injury. Describe how the concussion occurred, such as during a sports activity or due to a fall.
04
Document symptoms and their severity: List all the symptoms experienced by the patient following the concussion incident. This can include headaches, dizziness, memory loss, nausea, sensitivity to light or noise, changes in mood, or any other relevant symptoms. Indicate the severity of each symptom using a scale, such as mild, moderate, or severe.
05
Provide medical history: In this section, provide any relevant medical history that may contribute to the understanding of the concussion and brain injury. Mention any previous concussions or head injuries, pre-existing medical conditions, medication use, or other relevant information.
06
Include information about healthcare providers: If the patient has sought medical attention for the concussion or brain injury, mention the names and contact details of the healthcare professionals involved. This helps in coordinating care and obtaining additional medical records if needed.
Who Needs Stanford Concussion and Brain?
The Stanford Concussion and Brain form is typically required for individuals who have suffered a concussion or a brain injury. This may include athletes who have experienced head trauma during sports activities, individuals involved in accidents or falls resulting in head injuries, or those who exhibit symptoms consistent with a concussion or brain injury.
This form is essential for accurately documenting and understanding the nature of the concussion or brain injury, providing healthcare professionals with valuable information that can guide diagnosis, treatment, and ongoing care. Additionally, this information may be utilized for research purposes aimed at improving concussion management and prevention strategies.
It is important for individuals who have experienced a concussion or brain injury to fill out the Stanford Concussion and Brain form thoroughly and honestly, as this information plays a crucial role in ensuring appropriate medical care and facilitating a successful recovery process.
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What is stanford concussion and brain?
Stanford concussion and brain refers to a reporting system used by Stanford University to track and monitor concussions and brain injuries among its students and athletes.
Who is required to file stanford concussion and brain?
Anyone affiliated with Stanford University who has suffered a concussion or brain injury, or has knowledge of someone who has, is required to file a report through the stanford concussion and brain system.
How to fill out stanford concussion and brain?
To fill out the stanford concussion and brain report, individuals must provide details about the injury, including when and how it occurred, symptoms experienced, and any treatment received. The report can be submitted online through the designated portal.
What is the purpose of stanford concussion and brain?
The main purpose of stanford concussion and brain is to track and monitor concussions and brain injuries within the Stanford University community, to ensure proper medical attention and support is provided to those affected.
What information must be reported on stanford concussion and brain?
The stanford concussion and brain report must include details such as the date and location of the injury, symptoms experienced, any medical treatment received, and contact information of the individual filing the report.
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