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RUGBY AUSTRALIA CONCUSSION REFERRAL & RETURN FORM This Concussion Referral & Return Form MUST be completed as specified by Rugby Australia Concussion Procedure.NOTE: THIS IS A LEGAL DOCUMENT AND UPON

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How to fill out australian rugby concussion referral

01

To fill out an Australian Rugby Concussion Referral form, follow these steps:

02

Start by obtaining the referral form from the designated authority or organization.

03

Fill in the patient's personal information such as name, date of birth, address, and contact details.

04

Provide relevant medical history, including any previous concussions or head injuries.

05

Describe the incident or event that led to the suspicion of a concussion in as much detail as possible.

06

Note down the symptoms observed or reported by the patient, including headache, dizziness, confusion, memory loss, etc.

07

Indicate if the patient lost consciousness during the incident.

08

Specify any immediate actions taken such as removal from play or medical assessment.

09

Provide the details of the person or medical professional referring the patient.

10

Sign and date the referral form.

11

Submit the completed form to the appropriate authority or organization as instructed.

Who needs australian rugby concussion referral?

01

The Australian Rugby Concussion Referral is typically required for individuals who have sustained a head injury while participating in a rugby-related activity. This includes players, coaches, referees, or any other individuals involved in the sport who may suspect a concussion. It is important to follow the protocols and guidelines set by Australian Rugby to ensure the safety and well-being of everyone involved.

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What is australian rugby concussion referral?

Australian rugby concussion referral is a formal process for reporting instances of concussion in rugby players.

Who is required to file australian rugby concussion referral?

Coaches, team medical staff, or designated team officials are required to file australian rugby concussion referral.

How to fill out australian rugby concussion referral?

Australian rugby concussion referral can be filled out by providing detailed information about the concussion incident, including symptoms, date of occurrence, and player details.

What is the purpose of australian rugby concussion referral?

The purpose of australian rugby concussion referral is to ensure proper medical attention and monitoring for players who have suffered a concussion.

What information must be reported on australian rugby concussion referral?

Information such as player name, team, symptoms, date of concussion, and any treatment provided must be reported on australian rugby concussion referral.

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