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AHA, Concussion Protocol Coach Acknowledgement Form Season: ___Affiliate: ___Arizona Amateur Hockey Association___Coach Name (Print): ___Program: ___ Team(s): ___ 1. I understand that the AZ Amateur

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How to fill out concussion forms - arizona

01

Obtain the concussion forms from the Arizona Department of Health Services or your healthcare provider.

02

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

03

Provide details of the concussion incident, including when and where it occurred.

04

Include information on symptoms experienced, any medical treatment received, and current status of recovery.

05

Sign and date the form as the patient or guardian.

Who needs concussion forms - arizona?

01

Concussion forms in Arizona are typically required for individuals who have experienced a head injury or suspected concussion. This may include athletes, military personnel, accident victims, or anyone who has suffered a blow to the head and is seeking medical evaluation or treatment.

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What is concussion forms - arizona?

Concussion forms in Arizona are documents that must be filled out when a student athlete is suspected of having a concussion.

Who is required to file concussion forms - arizona?

Coaches, athletic trainers, and medical personnel are required to file concussion forms in Arizona.

How to fill out concussion forms - arizona?

Concussion forms in Arizona require filling out information about the athlete, the suspected concussion incident, and any follow-up care.

What is the purpose of concussion forms - arizona?

The purpose of concussion forms in Arizona is to ensure that proper protocol is followed when a student athlete is suspected of having a concussion.

What information must be reported on concussion forms - arizona?

Concussion forms in Arizona require reporting details about the athlete, the incident leading to the suspected concussion, and any symptoms or follow-up care provided.

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