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CONCUSSION INFORMATION AND SIGNATURE FORM FOR STUDENTATHLETES & PARENTS/LEGAL GUARDIANS (Adapted from CDC Heads Up Concussion in Youth Sports)Read and keep this page. Sign and return the signature
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To fill out a concussion - jmcss form, follow these steps:
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Obtain the concussion - jmcss form from the relevant authority or organization.
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Read the instructions carefully to understand the information required.
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Start by providing your personal details such as name, contact information, and date of birth.
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Fill out the sections related to the incident, including the date, time, and location of the concussion, as well as any witnesses present.
06
Describe the symptoms experienced and the immediate actions taken after the concussion.
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If medical attention was sought, include details of the healthcare professional or facility visited.
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Provide information about any previous concussions or head injuries you may have had.
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Include any additional relevant information or details related to the concussion.
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Review the form thoroughly for accuracy and completeness.
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Sign and date the form as required.
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Submit the completed concussion - jmcss form as instructed by the authority or organization.
Who needs concussion - jmcss?
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Anyone who experiences a concussion while participating in activities under jmcss jurisdiction may need to fill out the concussion - jmcss form. This can include students, athletes, employees, or individuals involved in activities or events organized, controlled, or supervised by jmcss. The form helps in documenting the incident and gathering relevant information for medical or legal purposes.
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What is concussion - jmcss?
Concussion - jmcss is a form used to report instances of head injuries or concussions in students.
Who is required to file concussion - jmcss?
Coaches, athletic trainers, and school staff are required to file concussion - jmcss when a student sustains a head injury or concussion.
How to fill out concussion - jmcss?
Concussion - jmcss can be filled out online or in person by providing details of the incident, symptoms, and follow-up care.
What is the purpose of concussion - jmcss?
The purpose of concussion - jmcss is to ensure that proper protocols are followed in cases of head injuries to protect the health and safety of students.
What information must be reported on concussion - jmcss?
Information such as the date of the incident, symptoms exhibited, medical evaluation, and clearance for return to play must be reported on concussion - jmcss.
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