Get the free CONCUSSION FACT SHEET FOR ATHLETES - Portland.gov
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Saint James School
Concussion Policy
Concussion
A concussion is a type of traumatic brain injury or TBI caused by a bump, blow, or jolt to the
head or by a hit to the body that causes the head and
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How to fill out concussion fact sheet for
How to fill out concussion fact sheet for
01
To fill out a concussion fact sheet, follow these steps:
02
Start by providing personal information such as your name, age, and contact details.
03
Indicate the date and time of the concussion incident.
04
Describe the circumstances or events leading up to the concussion.
05
Provide details about any symptoms experienced, such as dizziness, headache, or memory loss.
06
Note any medical treatment received or medication taken.
07
Include information about any previous concussions or head injuries.
08
If applicable, mention any sports or activities involved in the concussion.
09
Finally, sign and date the fact sheet to certify the accuracy of the information provided.
Who needs concussion fact sheet for?
01
Concussion fact sheets are needed for various individuals who have experienced or witnessed a concussion. This includes:
02
- Athletes participating in contact sports like football, soccer, or rugby.
03
- Individuals involved in high-risk activities such as skateboarding, skiing, or biking.
04
- Physically active individuals participating in recreational sports or fitness activities.
05
- School or college students engaged in physical education classes or sports teams.
06
- Coaches, trainers, and medical staff responsible for the health and safety of athletes.
07
- Healthcare professionals working with patients who have suffered concussions.
08
- Parents or guardians of children and adolescents participating in sports or physical activities.
09
- Workplace safety officers or supervisors in industries where head injuries can occur.
10
- Anyone interested in raising awareness about concussions and their impact on health.
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What is concussion fact sheet for?
Concussion fact sheet is for providing information about concussions and their management.
Who is required to file concussion fact sheet for?
Schools, sports organizations, and healthcare providers are required to file concussion fact sheet.
How to fill out concussion fact sheet for?
Concussion fact sheet can be filled out by providing information on the occurrence of concussion, symptoms, treatment, and follow-up care.
What is the purpose of concussion fact sheet for?
The purpose of concussion fact sheet is to ensure proper reporting and management of concussions to protect the health and safety of individuals.
What information must be reported on concussion fact sheet for?
Information such as date of concussion, symptoms, treatment received, and recommended follow-up care must be reported on concussion fact sheet.
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