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WHAT IS A CONCUSSION? A concussion is a type of traumatic brain injury, or TBI, caused by a bump, blow, or jolt to the head that can change the way your brain normally works. Concussions can also
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Start by obtaining a concussion is a form from your healthcare provider.
02
Read the instructions and familiarize yourself with the form.
03
Fill in your personal information, such as your name, age, and contact information.
04
Provide details about the incident that caused the concussion, including the date, time, and location.
05
Describe your symptoms and any immediate medical treatment you received.
06
If applicable, provide information about any witnesses to the incident.
07
Answer any additional questions on the form regarding your medical history, previous concussions, or related conditions.
08
Review the completed form for accuracy and completeness.
09
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Submit the filled-out concussion is a form to your healthcare provider.

Who needs a concussion is a?

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Anyone who has suffered a concussion or suspects they may have a concussion needs a concussion is a form.

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A concussion is a type of traumatic brain injury caused by a blow to the head or a jolt to the body that causes the brain to move rapidly within the skull.
Typically, healthcare providers, coaches, and school officials are required to file a report when a concussion is suspected or diagnosed in an individual.
To fill out a concussion report, gather all relevant information including the person's name, date of the incident, symptoms observed, and any medical evaluation conducted. Then, complete the official form required by the organization or governing body.
The purpose of a concussion report is to document the occurrence, symptoms, and follow-up care related to a concussion, ensuring proper management and tracking for the health and safety of affected individuals.
Information that must be reported includes the date and time of the injury, circumstances of the incident, symptoms observed, and any medical evaluations or treatments received.
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