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Ohio Department of Health Concussion Information Sheet For Youth Sports Organizations Dear Parent/Guardian and Athletes, This information sheet is provided to assist you and your child in recognizing
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01
Start by collecting all necessary information on the player and the concussion incident.
02
Complete the player's personal information section, including name, date of birth, address, and contact information.
03
Provide details about the concussion incident, such as the date, time, location, and specific actions or events leading up to the concussion.
04
Document any symptoms experienced by the player, including headache, dizziness, confusion, memory loss, nausea, or balance problems.
05
List any medical evaluations or treatment received for the concussion, including the names of healthcare professionals involved.
06
Include information about previous concussions or head injuries the player has experienced.
07
Since this concussion form is for a youth sports organization, it may require additional information regarding the player's participation in the organization, team, and sport.
08
Make sure to review and sign the form to certify that the information provided is accurate and complete.

Who needs youth sports organization concussion?

01
Youth sports organizations, including teams, clubs, leagues, schools, or any organization that involves youth participation in sports, need a concussion form.
02
Any youth athlete who sustains a concussion while participating in sports also requires the completion of this form.
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Youth sports organization concussion is a form that must be completed and filed by organizations involved in youth sports to report any incidents of concussions among participants.
Any organization that is involved in youth sports and has participants who may be at risk of concussions is required to file youth sports organization concussion.
Youth sports organization concussion forms can typically be filled out online or on paper, with details of the incident, symptoms, and follow-up treatment included.
The purpose of youth sports organization concussion is to track and report any incidents of concussions in youth sports, and to ensure proper care and follow-up treatment for affected participants.
Details of the incident, symptoms experienced, any medical treatment received, and follow-up care must be reported on youth sports organization concussion.
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