Get the free Microsoft Word - Concussion Notification Form rev 8.31.11. CD & CD-ROM
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Possible Concussion Notification
For US Youth Soccer Events
Today,
, 2
, at the ___[insert
name of event], ___ [insert player’s name] received a possible
concussion during practice or competition. US Youth Soccer and Staff want to make you aware
of this possibility and signs and symptoms that may arise which may require further evaluation
and/or treatment.
It is common for a concussed child or young adult to have one or many concussion symptoms
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