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KANSAS RECOMMENDED CONCUSSION & HEAD INJURY INFORMATION RELEASE FORM 20172018 This form must be signed by all student athletes and parent/guardians before the student participates in any athletic

How to fill out combined-physical-and-concussion-formpdf - d6nuj45qr4kz7 cloudfront

How to fill out combined-physical-and-concussion-formpdf

1. Open the combined-physical-and-concussion-formpdf document on your computer.
2. Read through the instructions provided at the beginning of the form to familiarize yourself with the requirements and guidelines.
3. Begin filling out the form by entering your personal information, such as your name, date of birth, and contact information.
4. Follow the prompts to provide details about any previous medical conditions or history that may be relevant for the evaluation.
5. Pay attention to the concussion-related questions and provide accurate information regarding any previous head injuries or concussion symptoms.
6. If applicable, fill out the physical examination section, including details about your height, weight, blood pressure, and any specific tests or evaluations performed by a healthcare professional.
7. Take your time to review the completed form, ensuring that all information you have provided is accurate and complete.
8. Save the filled-out combined-physical-and-concussion-formpdf document on your computer, or print it out if a physical copy is required.
9. Submit the form to the designated recipient as instructed, either by sending it electronically or delivering it in person.

Who needs combined-physical-and-concussion-formpdf?

1. The combined-physical-and-concussion-formpdf is typically needed by individuals who are participating in sports activities or undergoing medical evaluations that require information about both their physical health and any previous history of head injuries or concussions. This form is commonly used by athletes, students, military personnel, and individuals participating in certain job roles that involve potential risks of head injuries.

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What is combined-physical-and-concussion-formpdf?

Combined-physical-and-concussion-formpdf is a form that includes both physical examination and concussion information.

Who is required to file combined-physical-and-concussion-formpdf?

All athletes participating in contact sports are required to file combined-physical-and-concussion-formpdf.

How to fill out combined-physical-and-concussion-formpdf?

Combined-physical-and-concussion-formpdf must be filled out by a licensed healthcare provider after conducting a physical examination and assessing for concussions.

What is the purpose of combined-physical-and-concussion-formpdf?

The purpose of combined-physical-and-concussion-formpdf is to ensure the safety and well-being of athletes by screening for any physical or concussion-related issues.

What information must be reported on combined-physical-and-concussion-formpdf?

Information on physical exam findings, concussion history, symptoms, and any previous concussions must be reported on combined-physical-and-concussion-formpdf.