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BERLIN HIGH SCHOOL 222 Memorial Drive Berlin, WI 54923 Physical or Alternate Year ATH Pledge/Insurance Waiver Impact Concussion Test Parent & Athlete Concussion Agreement Extracurricular Handbook
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To fill out the athletics concussion and impact form, follow these steps:
02
Begin by providing your personal information, such as your name, date of birth, and contact details.
03
Indicate your sports activity or team affiliation.
04
Answer the questionnaire regarding any previous concussions or head injuries you may have had.
05
Provide details about the current concussion or impact incident, including the date, location, and circumstances.
06
Describe the symptoms you are experiencing, such as headache, dizziness, memory loss, or confusion.
07
Provide information about any medical evaluations or treatments you have received for the concussion.
08
Sign and date the form to confirm accuracy and consent to sharing the information with relevant parties.
09
Submit the filled-out form to the appropriate athletics or medical personnel.

Who needs athletics concussion ampamp impact?

01
Athletics concussion and impact form is needed by individuals who have experienced a concussion or impact during sports activities.
02
This form is typically required by athletic organizations, teams, schools, or medical professionals involved in managing and documenting sports-related injuries.
03
It is necessary to ensure the proper assessment, treatment, and appropriate follow-up precautions are taken for the individual's well-being and safe return to sports participation.
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Athletics concussion ampamp impact refers to a report detailing instances of concussions and their impact on athletes participating in sports.
Coaches, medical staff, and school officials are required to file athletics concussion ampamp impact reports.
Athletics concussion ampamp impact forms can be filled out online or submitted manually with details of the concussion incident.
The purpose of athletics concussion ampamp impact reports is to track and monitor concussion incidents in athletes for safety and prevention measures.
Information such as athlete's name, date of injury, symptoms, medical diagnosis, and return-to-play protocol must be reported on athletics concussion ampamp impact forms.
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