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The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health POST SPORTSRELATED HEAD INJURY MEDICAL CLEARANCE AND AUTHORIZATION FORM This medical clearance
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How to fill out post sports-related head injury

01
First, assess the severity of the head injury. If there are any signs of unconsciousness, confusion, or persistent headache, seek medical attention immediately.
02
Apply a cold compress or ice pack to the affected area to reduce swelling.
03
Rest and avoid any physical activity that may worsen the symptoms.
04
Monitor for any changes in symptoms, such as dizziness, nausea, or sensitivity to light or noise.
05
Follow any prescribed treatment plan from a healthcare professional, which may include medication or physical therapy.
06
Gradually return to sports or activities only with medical clearance and under the guidance of a healthcare professional.

Who needs post sports-related head injury?

01
Anyone who has experienced a head injury while participating in sports or physical activities may need post-sports-related head injury care.
02
This includes athletes of any age, from children to adults, who have sustained a head injury during practices, games, or competitions.
03
People involved in contact sports like football, soccer, hockey, or boxing are particularly at risk of experiencing head injuries that require post-care.
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Post sports-related head injury refers to any head injury that occurs during or as a result of participation in sports.
Coaches, trainers, or medical personnel who are present at the time of the injury are required to file a post sports-related head injury report.
The post sports-related head injury report should be filled out with details of the injury, including the date, time, location, and any symptoms experienced by the individual.
The purpose of post sports-related head injury reporting is to ensure that proper medical attention is given to individuals who suffer head injuries while participating in sports.
Information such as the individual's name, age, contact information, details of the injury, and any treatment provided must be reported on the post sports-related head injury report.
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