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St. Margaret s Episcopal School Concussion Information Form 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
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How to fill out concussion information form

01
The first step in filling out a concussion information form is to carefully read through the entire form. Make sure you understand the purpose and details of the form before proceeding.
02
Next, gather all relevant information and documentation that may be required to complete the form. This can include medical records, previous concussion history, contact information for healthcare providers, and any supporting documents related to the injury.
03
Begin by providing your personal information accurately and completely. This typically includes your full name, date of birth, address, phone number, and emergency contact information. Be sure to double-check the accuracy of this information before moving on.
04
The form will likely prompt you to provide details about the concussion itself. This can include the date of the injury, the circumstances surrounding it, and any symptoms or side effects experienced. It may also ask for information regarding the location where the injury occurred and the type of activity or sport involved.
05
In some cases, the form may require information about any medical treatment or evaluation received after the concussion. This can include the names and contact information of healthcare professionals involved, any diagnostic tests performed, and any treatment plans or recommendations given.
06
The form may also ask about any previous concussions or head injuries you have experienced. Provide as much detail as possible, including dates, symptoms, and treatment received.
07
If applicable, the form may ask for information regarding current medications, allergies, or any pre-existing medical conditions that may be relevant to the concussion or its treatment.
08
Finally, carefully review all the information you have provided on the form and make any necessary corrections or additions. If the form requires a signature, make sure to sign and date it accordingly.
Who needs a concussion information form?
Any individual who has experienced a concussion, whether as a result of a sports-related injury, a fall, or any other head trauma, may be required to fill out a concussion information form. This form is often used by healthcare professionals, athletic trainers, school officials, or employers to gather important information about the injury and ensure proper care and documentation. It may also be required for participation in certain sports or activities, particularly those with a higher risk of head injuries.
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