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North Kit sap Soccer Club
Concussion Information Sheet
A concussion is a brain injury and all brain injuries are serious. They are caused by a bump, blow, or jolt
to the head, or by a blow to another
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How to fill out concussion information sheet
How to fill out concussion information sheet
01
To fill out a concussion information sheet, follow these steps:
02
Start by providing your basic information, such as your name, date of birth, and contact information.
03
Next, answer any demographic questions, such as your gender, race, and ethnicity.
04
Proceed to fill out the medical history section, including information about any previous concussions or head injuries you have experienced.
05
Provide details about any symptoms you are currently experiencing related to the concussion, such as headaches, dizziness, or memory problems.
06
If you have sought medical help for the concussion, provide the name and contact information of the healthcare professional or facility.
07
Lastly, review the information you have provided, make sure everything is accurate and complete, and sign the form if required.
Who needs concussion information sheet?
01
The concussion information sheet is typically needed by individuals who have experienced a concussion or head injury. It may be required by healthcare professionals, sports organizations, schools, or workplaces to gather information about the injury and its impact. This form helps in understanding the symptoms and history of the concussion, aiding in appropriate treatment and management.
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What is concussion information sheet?
Concussion information sheet is a document that provides information about concussions, including symptoms, treatment, and prevention.
Who is required to file concussion information sheet?
Schools, sports organizations, and healthcare providers are required to file concussion information sheet.
How to fill out concussion information sheet?
Concussion information sheet can be filled out by providing relevant information about concussions, including details of the individual's injury and recovery process.
What is the purpose of concussion information sheet?
The purpose of concussion information sheet is to raise awareness about concussions and ensure proper management of head injuries.
What information must be reported on concussion information sheet?
Information such as the individual's name, date of injury, symptoms, treatment received, and clearance to return to play must be reported on concussion information sheet.
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