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CONCUSSION AWARENESS EDUCATIONAL MATERIAL ACKNOWLEDGEMENT By my name and signature below, I acknowledge in accordance with Public Acts 342 and 343 of 2012 that I have received and reviewed the Concussion
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To fill out a concussion awareness form, follow these steps:
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Read the form carefully to understand the information it requires.
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Start by providing personal information, such as your name, address, and contact details.
04
Answer questions related to your medical history, including any previous concussions or head injuries.
05
Provide information about your current symptoms, such as headache, dizziness, memory loss, or sensitivity to light or noise.
06
If applicable, mention any medication you are currently taking or have taken recently.
07
Answer questions related to your sports/physical activities, including the type of sport you participate in, the duration, and any recent injuries.
08
Sign and date the form to confirm that the information provided is accurate and complete.
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Review the completed form to ensure there are no errors or missing information before submitting it.

Who needs concussion awareness form?

01
Concussion awareness forms are typically required for individuals participating in sports or physical activities that involve a risk of head injuries.
02
This includes athletes, both amateur and professional, participating in contact sports such as football, soccer, hockey, and boxing.
03
Additionally, individuals involved in activities with a high risk of falls or collisions, such as skateboarding, skiing, and biking, may also need to fill out concussion awareness forms.
04
Coaches, trainers, and sports organizations may also require participants to fill out these forms to ensure proper awareness and management of concussions.
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It is a form used to educate individuals about the signs and symptoms of concussion.
It is typically required to be filed by coaches, parents, and athletes participating in sports activities.
The form can be filled out by providing personal information and acknowledging receipt of concussion information.
The purpose is to ensure that individuals are aware of the risks and symptoms of concussion and how to respond appropriately.
Information such as name, contact information, and acknowledgement of receipt of concussion information.
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