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Name of Athlete: Lake shore Force This form must be signed by the parent/guardian and athlete prior to par:CIA:on. Please return this form TO YOUR COACH. Parent & Athlete Concussion Informa5on Sheet
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How to fill out concussion form - Lakeshore:

01
Obtain the form: The concussion form can be obtained from Lakeshore, either by visiting their office or by downloading it from their official website.
02
Read the instructions: Before filling out the form, carefully read the instructions provided. These instructions will guide you on how to complete the form accurately.
03
Provide personal information: Begin by filling out personal information such as your full name, date of birth, address, and contact details. This will ensure that the form is properly identified and linked to the correct individual.
04
Answer medical history questions: The concussion form will likely include questions about any previous head injuries or concussions you have experienced. Answer these questions honestly and provide as much detail as possible.
05
Provide information about the concussion incident: Describe the circumstances surrounding the concussion incident, including the date, location, and any symptoms or signs experienced.
06
Include information of any medical consultation: If you sought medical attention for the concussion, indicate the details of the healthcare professional or facility you visited. This may include the name, contact information, and date of the consultation.
07
Add details of any ongoing treatment or medication: If you are currently receiving any treatment or taking medication related to the concussion, provide the necessary information. This may include the type of treatment, dosage, and duration.
08
Sign and date: Once you have completed filling out the form, sign and date it as required. By doing so, you acknowledge that the information provided is accurate to the best of your knowledge.

Who needs concussion form - Lakeshore:

01
Athletes: Concussion forms, such as the one provided by Lakeshore, are commonly required for athletes participating in sports activities. This ensures that both the athlete and their organization are aware of any previous head injuries and can take appropriate precautions.
02
Parents or guardians: If you are a parent or legal guardian of a minor who participates in sports or recreational activities, you may need to fill out a concussion form on their behalf. This is to ensure that their medical history and any relevant information about previous head injuries are known to the appropriate parties.
03
Coaches and trainers: Coaches and trainers often require athletes to fill out concussion forms as part of their organization's safety protocols. This helps them assess the risk of potential injury and take necessary actions to protect the athletes under their care.
04
Healthcare professionals: Healthcare professionals may also require concussion forms to better understand a patient's medical history and plan appropriate treatment. This enables them to provide the best possible care while minimizing further risks associated with concussions.
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The concussion form - lakeshore is a document used to report and document incidents of concussions that occur at Lakeshore facilities or events.
Anyone who witnesses or is involved in an incident resulting in a concussion at Lakeshore facilities or events is required to file a concussion form.
The concussion form - lakeshore can be filled out online or in person by providing details of the incident, symptoms experienced, and any follow-up care received.
The purpose of the concussion form - lakeshore is to ensure that all incidents of concussions are properly documented and appropriate measures are taken to ensure the safety and well-being of individuals affected.
The concussion form - lakeshore must include details of the incident, symptoms experienced, any medical treatment received, and follow-up care recommendations.
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