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DouglasSmithMS/ATC
ZanesvilleHighSchool
1701BlueAve.
Janesville,Ohio43701
7405884026(w)
7404554329(fax)Janesville High SchoolConcussion Information Form
A concussion is a brain injury and all brain
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01
Start by downloading the concussion pre-season formdoc from the official website or obtaining it from your doctor or coach.
02
Carefully read the instructions and all the questions on the formdoc to understand what information is required.
03
Provide accurate and honest answers to all the questions on the formdoc. It is important to disclose any past concussion history or related symptoms.
04
If you are unsure about any question or need additional information, consult with a healthcare professional to ensure you provide correct information.
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Review and double-check your answers before submitting the formdoc to ensure completeness and accuracy.
06
Submit the completed concussion pre-season formdoc to the appropriate authority, such as your coach, athletic trainer, or healthcare provider.
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Who needs concussion pre-season formdoc?
01
Any individual participating in sports activities, especially contact sports, should fill out the concussion pre-season formdoc. This includes athletes, both amateur and professional, as well as individuals involved in recreational sports leagues and school sports programs. The formdoc helps identify potential concussion risks and allows healthcare professionals to assess and monitor an individual's concussion history.
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What is concussion pre-season formdoc?
Concussion pre-season formdoc is a document used to assess and record information related to concussions for athletes prior to participating in a sports season.
Who is required to file concussion pre-season formdoc?
Athletes, coaches, and medical personnel are required to file concussion pre-season formdoc.
How to fill out concussion pre-season formdoc?
Concussion pre-season formdoc can be filled out by providing personal information, medical history, and completing the concussion assessment checklist.
What is the purpose of concussion pre-season formdoc?
The purpose of concussion pre-season formdoc is to ensure that athletes are properly evaluated for concussions before participating in sports to prevent further injury.
What information must be reported on concussion pre-season formdoc?
Information such as name, date of birth, medical history, history of head injuries, and any symptoms related to concussions must be reported on the concussion pre-season formdoc.
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