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Fort Sam Houston ISD Athletic Department 4005 WinDNS Rd., San Antonio, TX 78234 Phone: (210) 3688700 Fax: (210) 3688741FSHISD ATHLETIC DEPARTMENT GUIDELINES FOR CONCUSSION MANAGEMENT Protocol, FSH
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How to fill out concussion information sheet
How to fill out concussion information sheet
01
Start by obtaining a copy of the concussion information sheet from the relevant authority or organization.
02
Read the instructions and familiarize yourself with the purpose of the form and the information it requires.
03
Begin by entering your personal details, such as your name, date of birth, and contact information.
04
Provide details about the incident or injury that led to the concussion. Include information about the date, time, location, and any witnesses present.
05
Describe the symptoms experienced after the concussion, such as headaches, dizziness, confusion, memory loss, or sensitivity to light or noise.
06
Outline any medical treatment received for the concussion, including medications, therapies, or hospitalizations.
07
Provide information about any previous concussions or head injuries you may have had.
08
Include details about previous medical conditions or medications that may be relevant to the concussion.
09
If applicable, include information about current sporting or athletic activities and any restrictions or precautions recommended by medical professionals.
10
Review the completed form for accuracy and completeness before submitting it to the appropriate authority or organization.
11
Keep a copy of the filled-out concussion information sheet for your records.
Who needs concussion information sheet?
01
Anyone who has experienced a concussion or suspects they may have a concussion should fill out a concussion information sheet.
02
This form is commonly used by athletes, coaches, trainers, healthcare providers, and educational institutions to document and track information related to concussions.
03
It helps in assessing the severity of the concussion, monitoring symptoms, identifying potential risk factors, and developing appropriate management plans.
04
It ensures proper communication and coordination between various stakeholders involved in the care and support of individuals with concussions.
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