Get the free Concussion Notification Form - SAY Soccer

Concussion Notification Form Athlete name Date of injury Parent/Guardian Area District Coach name Phone number Injury occurred during: (please circle one) Practice Game Scrimmage Tournament Other

How to fill out concussion notification form

How to fill out a concussion notification form:

1. Start by obtaining the concussion notification form from the appropriate source. This could be a school, sports organization, or healthcare provider.
2. Review the form thoroughly to understand what information is required. This may include personal details, such as name, date of birth, and contact information.
3. Make sure to read any instructions or guidelines provided on the form. This will help you accurately complete the required sections.
4. Begin by filling out the basic information section. This typically includes your name, address, phone number, and emergency contact information.
5. Proceed to the medical information section. Here you may need to provide details about any previous concussions, relevant medical conditions, or ongoing treatments.
6. In some cases, you may be required to provide additional information about any medication you are currently taking or allergies you have.
7. If the form includes a section for symptoms or signs of a concussion, ensure that you carefully list any relevant information. This might involve detailing recent head injuries, dizziness, headaches, memory loss, or changes in behavior.
8. If there is a section for a signature, make sure to sign the form indicating that all the information you have provided is accurate and complete.
9. Lastly, follow any further instructions provided on the form in terms of where to submit or return the completed form.

Who needs a concussion notification form:

1. Athletes: Concussion notification forms are particularly important for athletes participating in contact sports, where the risk of head injuries is higher. Players in sports such as football, soccer, hockey, and basketball should typically complete these forms before participating in their respective activities.
2. Students: Many schools require concussion notification forms to be filled out by students who participate in physical education classes, sports teams, or other extracurricular activities. This helps schools track and respond to potential head injuries.
3. Coaches and team managers: Those responsible for organizing and overseeing sports teams or activities often need concussion notification forms for record-keeping and to ensure the safety and well-being of the participants. These forms help coaches monitor and respond appropriately to any potential head injuries that may occur during practice or competition.

For pdfFiller’s FAQs

What is concussion notification form?

Concussion notification form is a document used to report incidents of head injuries or concussions in a timely manner.

Who is required to file concussion notification form?

Medical professionals, coaches, and school officials are required to file concussion notification form.

How to fill out concussion notification form?

Concussion notification form can be filled out by providing details of the incident, symptoms observed, and recommended actions.

What is the purpose of concussion notification form?

The purpose of concussion notification form is to ensure that proper protocol is followed for the management and treatment of head injuries.

What information must be reported on concussion notification form?

Information such as date of incident, name of individual, symptoms observed, and recommended actions must be reported on concussion notification form.

How can I send concussion notification form to be eSigned by others?

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