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WALLINGFORD SWARTHIER SCHOOL DISTRICT STRATA HAVEN HIGH SCHOOL 205 SOUTH PROVIDENCE ROAD, WALLINGFORD, PA 190866333 (610) 8923470CONCUSSION CHECKLIST This checklist is to be completed by the injured

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How to fill out concussion checklist

01

To fill out a concussion checklist, follow these steps:

02

Obtain a copy of the concussion checklist form.

03

Read the instructions provided on the form carefully to understand how to complete it.

04

Begin by entering the required personal information at the top of the form, such as your name, age, and contact details.

05

Proceed to answer each question or statement on the form by providing the necessary information.

06

Take your time to accurately assess and record your symptoms, if any, and any other relevant details.

07

If the form includes a severity scale or rating system, use it to indicate the intensity or severity of your symptoms.

08

Make sure to sign and date the completed form.

09

Submit the filled-out concussion checklist to the appropriate healthcare professional or organization as instructed.

Who needs concussion checklist?

01

Anyone suspected or diagnosed with a concussion should use a concussion checklist to monitor and track their symptoms.

02

This includes athletes participating in high-impact sports, individuals involved in accidents or falls, military personnel exposed to head injuries, and anyone who experiences a blow to the head or body resulting in potential concussion.

03

Furthermore, healthcare professionals, coaches, trainers, and school staff may also use concussion checklists to assess and manage potential concussions in their patients or students.

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What is concussion checklist?

The concussion checklist is a tool used to assess and track potential concussions in athletes.

Who is required to file concussion checklist?

Coaches, trainers, and medical staff are required to file the concussion checklist.

How to fill out concussion checklist?

The concussion checklist should be filled out by documenting any signs or symptoms of a concussion that the athlete may be experiencing.

What is the purpose of concussion checklist?

The purpose of the concussion checklist is to ensure that proper protocols are followed in the event of a suspected concussion.

What information must be reported on concussion checklist?

Information such as the date, time, and specific symptoms observed must be reported on the concussion checklist.

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