NM Albuquerque Public Schools Concussion Evaluation 2017-2025 free printable template

Print Form Athlete Name: Grade: Age: Date: Concussion Evaluation Form Sport: Reporter: Patient Parent Spouse Other A. Injury Characteristics Date/Time of Injury 1. Injury Description 1a. Is there

How to fill out NM Albuquerque Public Schools Concussion Evaluation

1. To fill out a printable concussion evaluation form, start by reviewing the form and familiarizing yourself with the sections and questions it contains.
2. Next, gather all necessary information, such as the date of the incident, the name and contact information of the person being evaluated, and any relevant medical history.
3. Begin filling out the form by providing the required personal information in the designated sections, such as name, age, and contact details.
4. Proceed to answer the specific questions related to the concussion, such as the symptoms experienced, the circumstances leading to the injury, and any immediate actions taken.
5. It is important to answer all questions accurately and honestly, as this will help healthcare professionals provide the most appropriate care.
6. If there are any sections or questions that you are unsure about or do not understand, seek clarification from a healthcare professional or medical expert.
7. Additionally, remember to sign and date the form to indicate that the information provided is true and accurate to the best of your knowledge.
8. As for who needs a printable concussion evaluation form, anyone who has suffered a head injury or suspects they may have a concussion should use this form to assess and document their symptoms. This can include athletes, individuals involved in accidents, and anyone who experiences a blow to the head. It is crucial to seek medical attention and complete a concussion evaluation form to ensure proper diagnosis and appropriate treatment.

People Also Ask about

What is the best concussion assessment tool?

The SCAT5 is a standardized tool for evaluating for a suspected concussion and can be used on individuals aged 13 years and older. It supersedes the original SCAT (2005), the SCAT2 (2009), and the SCAT3 (2013). For children aged 12 and under, please use the Child SCAT5.

Is there a concussion checklist app?

The CRR app helps coaches and parents recognize the signs and symptoms of a concussion. In fewer than 5 minutes, parents or coaches can complete a checklist that helps them determine whether to seek medical attention.

What are the steps in evaluating a concussion?

Look for: Changes in day-to-day functioning. Eye pain and/or eye fatigue. Headache. Changes in sleep patterns. Neck pain or stiffness. Imbalance, dropping things, bumping into things. Impaired depth perception (having difficulty seeing the distance between two items) Difficulty remembering things.

What are the 3 main components of concussion evaluations?

Brain functions that are evaluated in concussion tests include: Alertness. Memory. Attention and concentration.

What are the 3 R's of concussion management?

Teens have the best chance of recovering from a concussion and avoiding complications when students, parents, and schools follow the three R's: recognize, report, and recover.

How do you self evaluate a concussion?

Look for: Changes in day-to-day functioning. Eye pain and/or eye fatigue. Headache. Changes in sleep patterns. Neck pain or stiffness. Imbalance, dropping things, bumping into things. Impaired depth perception (having difficulty seeing the distance between two items) Difficulty remembering things.

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What is NM Albuquerque Public Schools Concussion Evaluation?

The NM Albuquerque Public Schools Concussion Evaluation is a standardized assessment tool used to evaluate students who may have suffered a concussion during sports or physical activities. It helps determine the severity of the concussion and guides decisions regarding a student's return to play.

Who is required to file NM Albuquerque Public Schools Concussion Evaluation?

Coaches, athletic trainers, and other school officials who oversee student athletes are required to file the NM Albuquerque Public Schools Concussion Evaluation when a concussion is suspected.

How to fill out NM Albuquerque Public Schools Concussion Evaluation?

To fill out the NM Albuquerque Public Schools Concussion Evaluation, individuals must complete the form with information about the athlete's symptoms, history of head injuries, and results of a physical examination. It may also require input from parents or guardians.

What is the purpose of NM Albuquerque Public Schools Concussion Evaluation?

The purpose of the NM Albuquerque Public Schools Concussion Evaluation is to ensure the safety of student athletes by identifying concussions early and assessing their impact, thus facilitating proper management and recovery.

What information must be reported on NM Albuquerque Public Schools Concussion Evaluation?

The information that must be reported includes the athlete's name, date of birth, details of the incident that caused the suspected concussion, observed symptoms, medical history, and any previous concussions. Additional recommendations for treatment and follow-up care may also be included.