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The completed Concussion Acknowledgement Form must be on file with the Campus Athletic Coordinator.
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How to fill out the completed concussion acknowledgement
How to fill out the completed concussion acknowledgement:
01
Start by carefully reviewing the concussion acknowledgement form provided by your organization or healthcare provider. This form may include information about the risks and symptoms of concussion, as well as guidelines for returning to physical activities after a concussion.
02
Fill in your personal information accurately, including your full name, date of birth, address, and contact details. This information is essential for identifying you and ensuring proper documentation.
03
Read the instructions and statements on the form thoroughly. These statements typically outline your understanding of the risks associated with concussions and your agreement to follow the recommended protocols for prevention, detection, and management of concussions.
04
If you have any questions or concerns about the form or its contents, don't hesitate to seek clarification from a healthcare professional or your organization's designated person for concussion management.
05
Sign and date the acknowledgement form to indicate your consent and agreement. Make sure your signature is legible and matches the name provided in the personal information section.
06
Return the completed concussion acknowledgement form to the appropriate party as instructed. This could be your coach, athletic trainer, school nurse, or another designated person responsible for managing concussion records.
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What is the completed concussion acknowledgement?
The completed concussion acknowledgement is a form confirming that an individual has received information about concussions and agrees to abide by the rules and regulations regarding concussions.
Who is required to file the completed concussion acknowledgement?
Student-athletes, coaches, and parents or guardians of student-athletes are required to file the completed concussion acknowledgement.
How to fill out the completed concussion acknowledgement?
The completed concussion acknowledgement can be filled out by providing personal information, signing to acknowledge understanding of concussion information, and agreeing to follow concussion protocols.
What is the purpose of the completed concussion acknowledgement?
The purpose of the completed concussion acknowledgement is to ensure that individuals involved in athletic activities understand the risks of concussions and how to properly respond to them.
What information must be reported on the completed concussion acknowledgement?
The completed concussion acknowledgement must include personal information, a signature indicating understanding of concussions, and agreement to follow concussion protocols.
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