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Center USD 397 CONCUSSION & HEAD INJURY INFORMATION RELEASE FORM Per KANSAS 20152016 This form must be signed by all student athletes and parent/guardians before the student participates in any athletic
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How to Fill out Centre USD 397 Concussion:

01
Obtain the Concussion Form: The first step in filling out Centre USD 397 Concussion is to obtain the concussion form from the designated authority. This form is usually available in the school or sports organization's office or website.
02
Provide Personal Information: Begin by providing your personal information accurately. This may include your full name, date of birth, contact details, and any other relevant details requested on the form.
03
Identify the Incident: Specify the details of the concussion incident. This may include the date and time of the injury, the location where it occurred, and any additional pertinent information regarding how it happened.
04
Describe Symptoms: In this section, carefully detail the symptoms experienced after the concussion incident. This may include headaches, dizziness, memory loss, sensitivity to light or noise, or any other symptoms associated with a concussion.
05
Medical Assessment: If you have sought medical attention following the concussion, include details about the healthcare provider visited, such as their name, contact information, and any diagnoses or treatments received.
06
Recovery and Clearance: Indicate if you have fully recovered from the concussion and have obtained medical clearance to return to activities. If not, provide additional information about ongoing symptoms or treatments being pursued.

Who Needs Centre USD 397 Concussion:

01
Student-Athletes: Centre USD 397 Concussion form is primarily required for student-athletes who participate in sports activities organized by the school or institution. This form ensures that athletes receive appropriate medical attention and are cleared to resume physical activities safely after a concussion.
02
Coaches and School Officials: Coaches and school officials involved in organizing athletic programs are responsible for collecting and maintaining concussion forms. They need this information to ensure the safety and well-being of students participating in sports activities and to comply with regulations regarding head injuries.
03
Parents or Guardians: As legal guardians of the student-athlete, parents are typically required to fill out the concussion form on behalf of their child. This allows them to provide accurate information about any previous head injuries, symptoms experienced, and medical assessment.
Note: The specific requirements and individuals who need to fill out Centre USD 397 Concussion may vary depending on the school or sports organization's policies and regulations. It is essential to follow the instructions provided by the relevant authorities to ensure compliance.
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Centre USD 397 concussion is a form used to report concussions within Centre USD 397 school district.
All staff, coaches, and volunteers within Centre USD 397 school district are required to file centre usd 397 concussion forms.
Centre USD 397 concussion forms can be filled out online or in person at the school administration office.
The purpose of Centre USD 397 concussion forms is to ensure the safety and proper treatment of students who have suffered concussions.
Centre USD 397 concussion forms require information such as date of injury, symptoms, and treatment received.
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