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Pitts grove Township School District/A.P. Chalice High School
SportsRelated Concussion and Head Injury Fact Sheet and Sudden Cardiac Arrest
Parent/Guardian Acknowledgement Form
A concussion is a brain
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How to fill out concussions fact sheet- parent

How to fill out concussions fact sheet- parent
01
Read the instructions provided on the concussions fact sheet carefully.
02
Gather all the necessary information such as personal details, medical history, and details about the concussion.
03
Ensure you have the necessary documents and forms required to fill out the fact sheet.
04
Start by entering your child's personal information, including full name, date of birth, and contact details.
05
Provide accurate details about the concussion, including the date of occurrence and any symptoms experienced.
06
Fill out the medical history section, including any previous concussions or relevant medical conditions.
07
Provide information about the healthcare professional or specialist involved in diagnosing or treating the concussion.
08
If applicable, provide details about any medications prescribed or recommended for the concussion.
09
Answer any additional questions or sections mentioned in the fact sheet.
10
Review the completed fact sheet for accuracy and completeness.
11
Sign and date the fact sheet to confirm that the information provided is true and accurate.
12
Submit the fact sheet as per the instructions provided, whether it is by mail, email, or in-person.
Who needs concussions fact sheet- parent?
01
Parents who have children that have suffered a concussion.
02
Parents who want to provide necessary information about their child's concussion to medical professionals or school authorities.
03
Parents who are required by their child's school or sports organization to submit a concussions fact sheet.
04
Parents who want to keep a record of their child's concussion and related medical information for future reference.
05
Parents who are seeking appropriate medical care and treatment for their child's concussion.
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What is concussions fact sheet- parent?
The concussions fact sheet- parent is a document that provides crucial information to parents regarding concussions, including symptoms, risks, and proper management.
Who is required to file concussions fact sheet- parent?
All parents or legal guardians of student-athletes are required to file the concussions fact sheet- parent.
How to fill out concussions fact sheet- parent?
Parents can fill out the concussions fact sheet by providing accurate information about their child's medical history, current health status, and any previous concussions.
What is the purpose of concussions fact sheet- parent?
The purpose of the concussions fact sheet- parent is to ensure that parents are informed about concussions and are able to recognize the signs and symptoms to adequately care for their child if they sustain a concussion.
What information must be reported on concussions fact sheet- parent?
The concussions fact sheet- parent must include the student-athlete's name, date of birth, medical history, emergency contact information, and consent for medical treatment in case of injury.
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