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APPENDIX Huron Superior Catholic District School Board Medical Concussion Assessment Form The Medical Assessment Form is provided to a student who demonstrates or reports concussion signs and or symptoms.
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How to fill out sample medical concussion assessment

01
Gather all necessary information such as patient's name, age, and date of assessment.
02
Begin by assessing the patient's level of consciousness and orientation.
03
Conduct a thorough physical examination, paying special attention to symptoms of concussion such as headache, dizziness, and memory problems.
04
Use standardized tools such as the SCAT5 or the Impact Test to assess cognitive function and balance.
05
Document all findings accurately and clearly in the assessment form.
06
Review the assessment with the patient and their family, explaining the results and any recommended treatment or follow-up care.

Who needs sample medical concussion assessment?

01
Athletes who have suffered a head injury and need clearance to return to play.
02
Patients who have experienced a concussion and need to track their symptoms and progress.
03
Medical professionals who need to properly assess and diagnose concussions in patients.
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Sample medical concussion assessment is a tool used by medical professionals to evaluate and diagnose concussions.
Coaches, team doctors, and healthcare providers are required to file sample medical concussion assessments for athletes who may have suffered a concussion.
Sample medical concussion assessments are typically filled out by providing detailed information about the athlete's symptoms, medical history, and details of the incident causing the potential concussion.
The purpose of sample medical concussion assessment is to accurately assess and diagnose concussions in athletes in order to provide appropriate treatment and ensure their safety.
Sample medical concussion assessments typically require information such as the athlete's symptoms, medical history, details of the incident causing the potential concussion, and any previous concussions.
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