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CONCUSSION Information Sheet This sheet has information to help protect your children or teens from concussion or other serious brain injury. Use this information at your children's or teens games

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How to fill out concussion information sheet

01

To fill out a concussion information sheet, follow these steps:

02

Start by providing personal information such as name, date of birth, and contact details.

03

Indicate the date and time of the concussion injury.

04

Describe the circumstances or events that caused the concussion.

05

Mention any symptoms experienced before and after the concussion.

06

Include information about any previous concussions or head injuries.

07

Provide details of medical treatment received, if any.

08

List any medication taken or currently being taken for the concussion.

09

Note down any ongoing symptoms or difficulties faced due to the concussion.

10

Provide information about any special accommodations or restrictions needed.

11

Sign and date the concussion information sheet to confirm accuracy and consent.

Who needs concussion information sheet?

01

Concussion information sheets are typically required for individuals who have experienced a concussion.

02

This includes athletes, especially those involved in contact sports, where head injuries are more common.

03

Apart from athletes, anyone who has suffered a head injury resulting in a concussion may need to fill out a concussion information sheet.

04

This can include individuals involved in accidents, falls, or any other incidents that lead to a head injury.

05

Medical professionals, such as doctors and healthcare providers, also utilize concussion information sheets to gather relevant patient history and track progress.

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What is concussion information sheet?

The concussion information sheet is a document provided to educate athletes, parents, and coaches about the signs, symptoms, and risks of concussion.

Who is required to file concussion information sheet?

Coaches, athletic trainers, and school administrators are typically required to file the concussion information sheet.

How to fill out concussion information sheet?

The concussion information sheet can be filled out by providing relevant information about the athlete, the sport they are participating in, and any known medical history related to concussions.

What is the purpose of concussion information sheet?

The purpose of the concussion information sheet is to increase awareness about concussions, promote safety in sports, and ensure proper protocol is followed in case of a concussion.

What information must be reported on concussion information sheet?

The concussion information sheet typically requires reporting of athlete's name, contact information, medical history related to concussions, and emergency contact details.

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