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Salt Area Public Schools Chippewa County Health Department/Salt Health Adolescent Care CenterImPACT Concussion Assessment Consent Form Permission to Release/Exchange Information The Salt Area Public
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How to fill out impact concussion assessment consent

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How to fill out impact concussion assessment consent

01
Obtain the Impact Concussion Assessment Consent form.
02
Read and understand the information provided on the form.
03
Fill in the necessary personal information, such as name, date of birth, and contact details.
04
Provide any relevant medical history or prior concussion incidents.
05
Review and acknowledge the risks and benefits associated with the assessment.
06
Sign and date the consent form.
07
If applicable, have a parent or guardian also sign the form for minors.
08
Return the completed consent form to the authorized recipient or medical professional.

Who needs impact concussion assessment consent?

01
Anyone who is undergoing or planning to undergo an impact concussion assessment needs to provide consent by filling out the Impact Concussion Assessment Consent form.
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Impact concussion assessment consent is a form that must be completed by parents or legal guardians of student-athletes in order to give consent for their child to receive a concussion assessment if suspected of having a concussion during a sporting event.
Parents or legal guardians of student-athletes are required to file impact concussion assessment consent.
Impact concussion assessment consent can be filled out by providing the necessary information about the student-athlete and signing the form to give consent.
The purpose of impact concussion assessment consent is to ensure that student-athletes can receive proper medical attention and assessment if they are suspected of having a concussion.
Information such as the student-athlete's name, contact information, medical history, and consent for concussion assessment must be reported on impact concussion assessment consent.
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