Get the free Concussion Release Form - Ensworth School

AINSWORTH CONCUSSION & HEAD INJURY INFORMATION RELEASE FORM 2014-2015 This form must be read and signed by all students and a parent/guardian before the student participates in any fitness class,

How to fill out concussion release form

How to fill out a concussion release form:

1. Start by reading the instructions: Before filling out the concussion release form, carefully read through any accompanying instructions or guidelines. This will ensure that you understand the purpose of the form and the information required.
2. Provide personal information: Begin by providing your personal information in the designated sections of the form. This typically includes your full name, contact details, date of birth, and address. Make sure to write legibly and double-check for any errors.
3. Answer medical history questions: The concussion release form will likely ask you to provide information about your medical history, including any previous concussions or head injuries. Answer these questions honestly and to the best of your knowledge.
4. Sign the form: Usually, the concussion release form requires your signature to indicate that you have read and understood the content of the form. Sign your name in the designated area and ensure that your signature is clear and legible.
5. Obtain additional signatures if needed: Depending on the purpose of the concussion release form, you may need to seek additional signatures. For example, if the form is for a minor, a parent or guardian may need to sign as well. Follow any instructions regarding additional signatures.

Who needs a concussion release form:

1. Athletes: Individuals participating in organized sports, both at the amateur and professional levels, often require a concussion release form. This helps protect both the athlete and the organization from potential liability in case of a concussion or head injury.
2. Schools and educational institutions: Schools and educational institutions may require students participating in sports or physical education programs to fill out concussion release forms. This ensures that the necessary precautions are taken if a student sustains a head injury during these activities.
3. Employers: Depending on the nature of a job, employers may request employees to complete concussion release forms. This is particularly relevant for professions that involve physical activities, such as construction or contact sports, where there is a higher risk of head injuries.
4. Medical professionals: Medical professionals, including doctors and healthcare providers, may also require patients to fill out concussion release forms. This helps them assess an individual's medical history and take appropriate precautions in case of any head trauma.

In conclusion, anyone involved in activities where there is a risk of head injury, such as athletes, students, employees, and patients, may need to fill out a concussion release form. The form typically includes personal information, medical history questions, and a signature to indicate understanding and agreement.

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