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SHAWNEE MISSION SCHOOL DISTRICT CONCUSSION & HEAD INJURY INFORMATION RELEASE FORM 2013-2014 This form must be signed by all student athletes and parent/guardians before the student participates in
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How to fill out a concussion form - Shawnee:

01
Begin by carefully reading the instructions provided on the form. Make sure you understand all the sections and questions.
02
Provide accurate personal information in the designated fields. This may include your name, date of birth, address, and contact information.
03
If applicable, indicate the date and location of the incident or injury that resulted in a possible concussion.
04
Describe the symptoms you are experiencing or have experienced related to the concussion. This may include headaches, dizziness, memory loss, or any other relevant symptoms.
05
Answer any additional questions about the incident or injury. This may include information about the cause of the concussion, any medical treatments received, or any previous history of concussions.
06
If there are any sections that you are uncertain about or require clarification, seek assistance from a healthcare professional or the form administrator. It is important to provide accurate information.
07
Review the completed form to ensure all the necessary information has been filled out accurately and completely. Make any necessary corrections or additions if needed.
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Add your signature and the date to indicate that the information provided is true and accurate to the best of your knowledge.

Who needs a concussion form - Shawnee?

01
Athletes: Athletes participating in sports activities, particularly contact sports, may be required to fill out a concussion form to provide information about any head injuries or incidents they have experienced.
02
Schools: Schools may require students to fill out concussion forms, especially for those involved in physical education classes, sports teams, or extracurricular activities.
03
Coaches or Trainers: Coaches and trainers may require athletes to fill out concussion forms to ensure the safety and well-being of their players. These forms help them assess the potential risks and provide appropriate medical attention if necessary.
04
Medical Professionals: Medical professionals, such as doctors or nurses, may ask patients to complete concussion forms during their evaluation or treatment process. These forms help them understand the patient's medical history and provide appropriate care.
05
Parents or Guardians: Parents or guardians of minors involved in sports or other activities may need to fill out concussion forms on behalf of their children. This ensures that the necessary information is provided to the relevant authorities or healthcare professionals.
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The concussion form - shawnee is a document used to report instances of concussion or head injuries in Shawnee.
Anyone involved in sports or activities in Shawnee, including coaches, athletes, and officials, may be required to file the concussion form.
The concussion form - shawnee typically requires basic information about the individual, details of the injury, and any follow-up care that has been provided.
The purpose of the concussion form - shawnee is to ensure that proper protocol is followed in the case of head injuries and to track the incidence of concussions in Shawnee.
The concussion form - shawnee may require information such as the date and time of the injury, symptoms experienced, and any medical treatment received.
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