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Concussion Fact Sheet for Parents & Student Athletes Augusta County Public Schools May 2018 Dear Parents, Guardians, and Student Athletes; On July 1, 2011, Virginia's Concussion Law StudentAthlete

How to fill out concussion fact sheet for

How to fill out concussion fact sheet for

1. When filling out a concussion fact sheet, follow these steps:
2. Begin by writing your personal information, including your name, date of birth, and contact information.
3. Next, provide details about your medical history, including any previous concussions or head injuries.
4. Describe the specific incident that caused the concussion, including the date, time, and location.
5. Include information about any symptoms you experienced, such as headaches, dizziness, or memory loss.
6. Indicate whether you sought medical attention for the concussion and provide details about the healthcare professional you consulted.
7. Include any additional information relevant to your concussion, such as sports activities or physical exertion prior to the incident.
8. Sign and date the fact sheet to verify its accuracy and completeness.

Who needs concussion fact sheet for?

1. A concussion fact sheet is needed for anyone who has experienced a concussion or suspects they may have one.
2. This includes athletes who participate in contact sports, individuals involved in accidents or falls, and anyone who has suffered a blow to the head.
3. Parents of children who have experienced a concussion also benefit from filling out a concussion fact sheet to provide accurate information to healthcare professionals.
4. Medical professionals and researchers may also use concussion fact sheets for data collection and analysis purposes.

For pdfFiller’s FAQs

What is concussion fact sheet for?

The concussion fact sheet is used to track and report information related to concussions in sports.

Who is required to file concussion fact sheet for?

Coaches, trainers, and other staff involved in sports programs are required to file the concussion fact sheet.

How to fill out concussion fact sheet for?

The concussion fact sheet can be filled out by providing details of any concussions that occur during sports activities, including symptoms, treatment, and follow-up care.

What is the purpose of concussion fact sheet for?

The purpose of the concussion fact sheet is to ensure that proper protocol is followed in the event of a concussion, and to track and monitor athlete's recovery.

What information must be reported on concussion fact sheet for?

Information such as athlete's name, date of injury, symptoms, treatment received, and clearance to return to play must be reported on the concussion fact sheet.

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