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Lexington School District Two School Year 2016 2017 CONCUSSION INFORMATION ACKNOWLEDGEMENT I have received and understand information in some means regarding concussions and brain injury, which has
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How to fill out concussion permission form

How to fill out concussion permission form
01
Step 1: Obtain a concussion permission form from a healthcare provider, school, or organization.
02
Step 2: Read the form carefully and ensure you understand all the information provided.
03
Step 3: Fill in your personal details, including your name, date of birth, and contact information.
04
Step 4: Provide accurate information about any previous concussions or head injuries you have had.
05
Step 5: If required, have a parent or guardian fill out and sign the form if you are under 18 years old.
06
Step 6: Review the form once again to make sure all the required fields are completed.
07
Step 7: Date and sign the form to acknowledge that you have read and understood the information provided.
08
Step 8: Submit the completed form to the designated person, such as a coach, teacher, or healthcare provider.
09
Step 9: Keep a copy of the form for your records.
Who needs concussion permission form?
01
Anyone participating in activities or sports where there is a risk of head injury may need to fill out a concussion permission form. This can include athletes, students participating in school sports, members of organizations promoting physical activity, and individuals participating in activities such as martial arts, biking, skateboarding, or any other high-contact or high-risk sports.
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What is concussion permission form?
Concussion permission form is a document that gives consent for a individual to participate in activities that may involve a risk of head injury.
Who is required to file concussion permission form?
Participants, parents or guardians of minors participating in activities that may involve a risk of head injury are required to file concussion permission form.
How to fill out concussion permission form?
Concussion permission form can be filled out by providing personal information, medical history related to head injuries, and signature showing consent.
What is the purpose of concussion permission form?
The purpose of concussion permission form is to ensure that participants acknowledge the risks of head injuries and give consent to participate in activities.
What information must be reported on concussion permission form?
Information about personal details, medical history of head injuries, emergency contact information, and signature for consent must be reported on concussion permission form.
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