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HAMILTON COUNTY DEPARTMENT OF EDUCATION CONCUSSION Information and Signature Form For Student-Athletes & Parents/Legal Guardians (Adapted from CDC Heads Up Concussion in Youth Sports) Public Chapter
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Open the document by double-clicking on the file name.
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Read the instructions at the top of the document carefully to understand what information is required.
03
Start by filling out the personal details section, including the student athlete's name, age, school, and contact information.
04
Next, provide information about any previous concussions the student athlete may have had, including the date and severity of each injury.
05
Proceed to fill out the medical history section, providing details about any pre-existing medical conditions or medications the student athlete may be taking.
06
If the student athlete has had any previous MRI or CT scans related to their head or brain, include the relevant information in the designated section.
07
There may be a section asking for parental consent or acknowledgment. Fill out this section and provide any necessary signatures.
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Review the entire document to ensure all fields are completed accurately and all required information is provided.
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Save the document, either by clicking on the "Save" button or using the shortcut Ctrl + S.

Who needs cusershawkinskdesktopconcussion info student athletes-parentsdocx:

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Parents or legal guardians of student athletes who have experienced a concussion or are at risk of experiencing one.
02
Coaches, trainers, or medical professionals who work with student athletes and need to understand their concussion history and medical information.
03
School administrators or teachers who may need to access this document for record-keeping or compliance purposes.
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It is a document containing information about concussions for student athletes and parents.
Student athletes and their parents are required to fill out the document.
The document can be filled out by providing relevant information about concussions and following the instructions provided.
The purpose of the document is to educate student athletes and parents about concussions and their impact on sports participation.
Information such as previous concussions, symptoms, and contact details may need to be reported on the document.
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