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Concussion Home Take Home Instructions I believe that has sustained a concussion. He/she was injured (date) with the following signs and symptoms. Blurred vision Fatigued Loss of consciousness Personality

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What is a5 concussion home take?

A5 concussion home take is a form used to report instances of concussions sustained at home.

Who is required to file a5 concussion home take?

Parents or guardians of the individual who experienced the concussion are required to file a5 concussion home take.

How to fill out a5 concussion home take?

A5 concussion home take can be filled out by providing details of the individual who experienced the concussion, the date and time of the incident, symptoms observed, and any actions taken.

What is the purpose of a5 concussion home take?

The purpose of a5 concussion home take is to gather information about concussions sustained at home for documentation and further medical evaluation.

What information must be reported on a5 concussion home take?

Information such as the individual's name, age, date and time of the concussion, symptoms experienced, and any actions taken should be reported on a5 concussion home take.

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