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InsuranceYesPT ID # Notate:NOTIFY THE RECEPTIONIST IMMEDIATELY IF YOU FEEL YOU HAVE A POTENTIALLY LIFE THREATENING SYMPTOM OR INJURY Section 1. General Information NOTE: STUDENTS PLEASE ONLY INCLUDE
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01
Seek medical attention: If you suspect a concussion or traumatic brain injury, it is important to seek immediate medical attention. Contact a healthcare professional or go to the nearest hospital.
02
Rest and avoid physical activities: To allow the brain to heal, it is crucial to rest and avoid any physical activities that can further jolt or injure the brain. This includes refraining from sports, exercise, or any strenuous activities.
03
Follow the doctor's instructions: Your healthcare professional will provide specific instructions based on the severity of the concussion or traumatic brain injury. It is important to follow their advice regarding medication, rest periods, and any necessary lifestyle modifications.
04
Monitor symptoms: Keep track of any changes or new symptoms that arise after the injury. Symptoms may include headaches, dizziness, nausea, confusion, memory problems, sensitivity to light or noise, mood changes, or sleep disturbances. If any concerning symptoms develop, consult with a healthcare professional.
05
Gradually return to normal activities: As the symptoms improve and with the guidance of a healthcare professional, gradually introduce normal activities back into your routine. Take it slowly and listen to your body's signals, making sure not to push yourself too hard or return to high-risk activities too soon.
06
Prevent future concussions: It is important to take necessary precautions to prevent future concussions. This may include wearing protective headgear during certain activities, using proper safety equipment, and being aware of your surroundings to avoid potential hazards.

Who needs concussion traumatic brain injury?

01
Anyone who has experienced a concussion or traumatic brain injury may need medical attention and follow-up care. It is important to seek medical help to properly assess and manage the injury. This applies to individuals of all ages, from children to adults. Concussions can occur due to various reasons, including sports-related injuries, falls, vehicle accidents, or physical assaults.
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Concussion traumatic brain injury is a type of brain injury that is caused by a sudden blow or jolt to the head.
Anyone who experiences a concussion traumatic brain injury is required to report it.
To fill out a concussion traumatic brain injury report, you will need to provide details about the injury, how it occurred, and any symptoms experienced.
The purpose of reporting concussion traumatic brain injuries is to ensure that individuals receive proper medical treatment and support.
Information such as the date of the injury, symptoms experienced, and any medical treatment received must be reported on a concussion traumatic brain injury form.
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