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20192020ImPactConcussionManagementProgramConsentForm Forthe20192020schoolyear,itismandatoryforALLstudentathletesparticipatinginthesportsbelow tocompletetheImPactConcussionbaselinetestbeforeregularseasontryoutsbegin.
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How to fill out impact concussion consent form

01
Start by reading the entire impact concussion consent form to understand the purpose and requirements of the form.
02
Fill in your personal information such as name, date of birth, address, phone number, and emergency contact information.
03
Answer the questions about your medical history, including previous concussions or head injuries.
04
Provide information about any medications you are currently taking or any medical conditions you have.
05
Read and understand the risks and potential complications associated with concussions.
06
Sign and date the consent form to indicate your understanding and agreement.
07
If required, have a parent or guardian also sign the form if you are underaged.
08
Submit the completed form to the appropriate person or organization that requires the concussion consent form.

Who needs impact concussion consent form?

01
Anyone who participates in activities or sports that have a risk of head injuries, such as contact sports like football, rugby, or ice hockey.
02
Athletes of all ages who are involved in organized sports competitions or training programs.
03
Students participating in school sports or physical education classes that may involve the risk of head injuries.
04
Individuals who have previously experienced a concussion or head injury and are seeking medical treatment or care.
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The impact concussion consent form is a document that outlines the risks associated with concussions and obtains permission for an athlete to participate in sports or physical activities. It acknowledges that the athlete and their parent or guardian understand these risks.
Athletes participating in contact sports, along with their parents or guardians, are typically required to file an impact concussion consent form.
To fill out the impact concussion consent form, complete the required personal information, review the information about concussions and their risks, and have both the athlete and a parent or guardian sign the form to provide consent.
The purpose of the impact concussion consent form is to educate athletes and their guardians about concussion risks, ensure informed consent for participation, and document that consent has been received.
The form must typically report the athlete's personal details, medical history related to concussions, acknowledgment of the risks, and signatures from both the athlete and their parent or guardian.
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