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Physician (MD/DO) Recommended School Accommodations Following Concussion Patient Name: ___Date:___ I, ___, give permission for my physician to share the following information with my children school

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How to fill out head injury and concussion

01

Seek immediate medical attention if you suspect a head injury or concussion.

02

Rest and avoid activities that could worsen symptoms.

03

Follow the healthcare provider's instructions for recovery and return to activity.

04

Monitor for any changes in symptoms and report them to the healthcare provider.

Who needs head injury and concussion?

01

Anyone who has experienced a head injury or concussion needs to be evaluated by a healthcare provider.

02

Athletes, especially those involved in contact sports, are at a higher risk for head injuries and concussions.

03

Individuals who have been in accidents or falls that involve hitting their head should also seek medical attention.

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What is head injury and concussion?

Head injury is any trauma to the scalp, skull, or brain. Concussion is a mild traumatic brain injury usually caused by a blow to the head.

Who is required to file head injury and concussion?

Healthcare providers, coaches, and school officials are required to file head injury and concussion reports.

How to fill out head injury and concussion?

Head injury and concussion reports can be filled out online or on paper forms provided by the appropriate regulating body.

What is the purpose of head injury and concussion?

The purpose of reporting head injury and concussion is to track incidents, provide proper care, and prevent future injuries.

What information must be reported on head injury and concussion?

Information such as the date of injury, symptoms, treatment received, and follow-up care must be reported on head injury and concussion forms.

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