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Lexington School District Two School Year 2019 2020 CONCUSSION INFORMATION ACKNOWLEDGEMENT I have received and understand information in some means regarding concussions and brain injury, which has

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How to fill out concussion and head injury

01

Start by gathering all necessary information, such as the personal details of the individual who experienced the concussion or head injury.

02

Provide a detailed description of the incident that caused the injury, including the date, time, location, and any witnesses present.

03

Document any symptoms or signs of the concussion or head injury, such as headaches, dizziness, confusion, memory loss, or difficulty concentrating.

04

Note any medical treatment received, including visits to healthcare professionals, medications prescribed, and any tests or scans performed.

05

Include any information about previous head injuries or concussions that the individual may have had.

06

Fill out any required forms or questionnaires provided by medical professionals or insurance companies.

07

Make sure to provide accurate and thorough information to ensure proper diagnosis and treatment.

08

Keep a copy of the completed concussion and head injury form for your records.

09

Submit the filled-out form to the appropriate healthcare provider or insurance company, as instructed.

Who needs concussion and head injury?

01

Anyone who has experienced a concussion or head injury needs proper documentation and reporting.

02

This includes individuals of all ages, from children to adults.

03

Whether the injury occurred during sports activities, accidents, or other incidents, it is important to address and document any potential head trauma.

04

Proper diagnosis and treatment are crucial for managing the short-term and long-term effects of concussions and head injuries.

05

Medical professionals, coaches, parents, teachers, and employers may also need to be aware of concussions and head injuries to provide appropriate support and accommodations.

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What is concussion and head injury?

Concussion and head injury is a type of brain injury that occurs when a person receives a blow or jolt to the head that disrupts normal brain function.

Who is required to file concussion and head injury?

Healthcare professionals, coaches, and anyone else who suspects or diagnoses a concussion or head injury is required to file a report.

How to fill out concussion and head injury?

The report should include information on the individual who suffered the injury, the circumstances surrounding the injury, and any symptoms or outcomes of the injury.

What is the purpose of concussion and head injury?

The purpose of reporting concussion and head injury is to ensure that proper medical treatment is provided and to track the incidence of these injuries for prevention and research purposes.

What information must be reported on concussion and head injury?

Information such as the individual's name, age, date of injury, symptoms, and any medical interventions that were administered must be reported.

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