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ORVILLE UNION HIGH SCHOOL DISTRICT
Concussion Information Sheet
A concussion is a brain injury and all brain injuries are serious. They are caused by a
bump, blow, or jolt to the head, or by a blow
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How to fill out concussion information signature form
How to fill out a concussion information signature form:
01
Begin by reviewing the instructions and any accompanying information that may be provided with the form. Make sure you understand the purpose and requirements of the form.
02
Provide your personal information accurately and completely. This may include your name, date of birth, address, and contact information.
03
If applicable, indicate your relationship to the individual for whom the form is being filled out (e.g., parent/guardian, coach, medical professional).
04
Carefully read through the concussion information provided on the form, ensuring you understand the potential risks, symptoms, and steps to be taken in case of a concussion.
05
If required, provide any relevant medical history or information about previous concussions or head injuries.
06
Sign and date the form in the designated areas. This signifies that you have read and understood the information provided and are giving consent, if necessary.
07
If there is an option to provide emergency contact information, make sure to include the necessary details.
08
Return the completed form to the appropriate party, following any instructions provided (e.g., mailing, submitting online, handing it in person).
Who needs a concussion information signature form?
01
Athletes: Many sports associations and organizations require athletes, especially minors, to have a concussion information signature form on file. This ensures that athletes and their parents/guardians are aware of the potential risks and symptoms of concussions.
02
Schools and educational institutions: In order to provide a safe environment for students participating in physical activities, schools may require concussion information forms for students involved in sports or extracurricular activities.
03
Medical facilities: Doctors, hospitals, and other healthcare providers may require patients or their parents/guardians to fill out concussion information signature forms before participating in activities that pose a risk for head injuries.
04
Coaches and trainers: Professionals working in the field of sports and physical training may require athletes or trainees to fill out concussion information signature forms to ensure they are well-informed and prepared to recognize and respond to potential concussions.
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What is concussion information signature form?
The concussion information signature form is a document that indicates acknowledgment and understanding of the information regarding concussions.
Who is required to file concussion information signature form?
Athletes, parents, coaches, and school officials are required to file the concussion information signature form.
How to fill out concussion information signature form?
The concussion information signature form can be filled out by providing personal information, acknowledging understanding of concussion risks, and signing the form.
What is the purpose of concussion information signature form?
The purpose of the concussion information signature form is to ensure that individuals involved in sports activities understand the risks and symptoms of concussions.
What information must be reported on concussion information signature form?
The concussion information signature form may require personal details, acknowledgment of concussion risks, and signature indicating understanding of the information provided.
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