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HEADS UP: CONCUSSION IN YOUTH SPORTS A Fact Sheet for AAU Member Parents and AAU Member Athletes (Requirement to Read and Signed by parents and athletes) Return this form to AAU member team coach.
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How to fill out heads up concussion in

01
To fill out the heads up concussion form correctly, follow these steps:
02
Begin by gathering all necessary information, such as the patient's personal details (name, age, address, contact information, etc.), medical history, and previous concussion history if applicable.
03
Review the form and ensure you understand each section and its purpose.
04
Start with the patient's personal information section and fill in all relevant details accurately.
05
Provide a comprehensive medical history, including any previous concussions, symptoms experienced, previous treatments or therapies, and any current medications.
06
Document any physical symptoms experienced by the patient, such as headache, dizziness, nausea, sensitivity to light or noise, etc.
07
Include details of any cognitive or emotional symptoms, such as confusion, memory problems, irritability, anxiety, or depression.
08
If the patient has undergone any diagnostic tests or imaging related to the concussion, mention them and provide the results if available.
09
Follow any additional instructions specified in the form, such as obtaining signatures from the patient or guardian.
10
Double-check all the information entered for accuracy and completeness before submitting the form.
11
Keep a copy of the filled-out form for your records and provide a copy to the appropriate healthcare professional or organization as required.

Who needs heads up concussion in?

01
Heads up concussion forms are necessary for various individuals who may have experienced a concussion or are involved in the management of concussions. This includes:
02
- Athletes of all ages participating in sports activities where head injuries may occur.
03
- Coaches, trainers, and team physicians responsible for assessing and monitoring athletes' potential concussion incidents.
04
- Healthcare providers involved in the diagnosis, treatment, and ongoing care of patients with suspected or confirmed concussions.
05
- Schools, educational institutions, and youth organizations that organize physical activities where concussions can happen.
06
- Parents or guardians of children involved in activities with potential concussion risks.
07
- Individuals who have already experienced a concussion in the past and need to fill out follow-up or reporting forms for medical or legal purposes.
08
- Researchers or organizations collecting data related to concussions.
09
By accurately completing a heads up concussion form, individuals and professionals can contribute to effective concussion management, appropriate medical care, and the overall understanding of head injuries.
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Heads up concussion is a form used to report incidents of concussion in sports.
Coaches, trainers, and team staff are required to file heads up concussion forms.
Heads up concussion forms can be filled out with details of the incident, symptoms, and treatment provided.
The purpose of heads up concussion forms is to track and monitor incidents of concussions in sports.
Information such as date of incident, symptoms, treatment provided, and follow-up care must be reported on heads up concussion forms.
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