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THE X LEVEL BASKETBALL PROGRAM CONCUSSION AND HEAD INJURY REPORT FORM Name of Injured Person:___ Date/Time of Injury:___ Injured Person is: ___Player___Coach___Spectator___OtherInvolved Person: ___
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Recognize the signs and symptoms of a concussion, such as headache, confusion, dizziness, and nausea.
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Seek immediate medical attention if you suspect a concussion.
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Follow the guidance of healthcare professionals in filling out the concussion - injuries form, which may involve providing details about the incident, symptoms experienced, and medical history.

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Athletes involved in contact sports
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Individuals who have experienced head injuries
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Anyone who suspects they may have a concussion
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A concussion is a type of brain injury that is caused by a blow to the head or body that results in the brain moving rapidly inside the skull.
Healthcare professionals, coaches, and athletic trainers are required to file concussion injuries reports.
Concussion injuries reports can be filled out by providing detailed information about the injury, including the cause, symptoms, and any treatment received.
The purpose of concussion injuries reports is to track and monitor the occurrence of concussions in order to improve prevention and treatment strategies.
Information such as the date of injury, location, symptoms, treatment received, and follow-up care must be reported on concussion injuries reports.
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