Get the free IHSA Concussion Information Form

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 to another part of the body with

How to fill out ihsa concussion information form

How to fill out ihsa concussion information form:

1. Obtain the form: The ihsa concussion information form can be downloaded from the Illinois High School Association (IHSA) website or obtained from your school's athletic department.
2. Personal information: Begin by providing your personal details, including your full name, date of birth, and contact information.
3. Medical history: Indicate any previous concussion history or related medical conditions that may be relevant.
4. Onset of symptoms: Describe the date and circumstances of the concussion or suspected concussion, including whether it occurred during an athletic activity or any specific incident.
5. Symptom assessment: Assess and document the specific symptoms experienced, such as headaches, nausea, dizziness, memory loss, or changes in mood or behavior.
6. Medical evaluation: If you sought medical attention for the concussion, provide details of the healthcare professional or facility visited.
7. Return-to-play process: If applicable, explain the steps taken for the Return-to-Play Protocol, including medical clearance and gradual reintroduction to physical activity.
8. Consent and signature: Ensure that both the athlete and a parent or guardian sign and date the form, indicating their understanding and agreement.
9. Submit the form: Return the completed form to your school's athletic department or the designated authority.

Who needs ihsa concussion information form:

1. Student-athletes: Any student participating in IHSA-sanctioned sports or activities is required to complete and submit the ihsa concussion information form.
2. Parents or guardians: It is essential for parents or legal guardians to review and sign the form, as they ultimately hold responsibility for the athlete's well-being and medical decisions.
3. Coaches and school officials: Coaches and other school officials play a crucial role in monitoring and ensuring compliance with concussion protocols. Therefore, they may also need to access and review the submitted forms.

For pdfFiller’s FAQs

What is ihsa concussion information form?

The IHSA concussion information form is a document used to report concussions suffered by student-athletes participating in IHSA-sanctioned sports.

Who is required to file ihsa concussion information form?

Coaches, athletic trainers, and medical personnel are required to file the IHSA concussion information form for student-athletes who have suffered concussions.

How to fill out ihsa concussion information form?

The IHSA concussion information form can be filled out by providing details about the student-athlete, the date and nature of the concussion, and any relevant medical treatment.

What is the purpose of ihsa concussion information form?

The purpose of the IHSA concussion information form is to track and monitor concussions suffered by student-athletes in order to ensure their safety and well-being.

What information must be reported on ihsa concussion information form?

The IHSA concussion information form must include details such as the name of the student-athlete, the date of the concussion, the symptoms experienced, and any medical treatment received.

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