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Acknowledgment/Signature Concussion Statement In compliance with Oklahoma Statue Section 24155 of Title 70, this acknowledgment form is to confirm that you have read and understand the CONCUSSION
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How to fill out concussion and head injuries

01
Observe the individual for signs of concussion such as confusion, dizziness, headache, or loss of consciousness.
02
Seek medical attention immediately if a concussion is suspected.
03
Follow the healthcare provider's instructions for monitoring and recovery.
04
Rest and avoid physical activity until cleared by a healthcare professional.
05
Gradually return to normal activities only when symptoms have resolved.

Who needs concussion and head injuries?

01
Anyone who has experienced a head injury or trauma should be evaluated for concussion and head injuries.
02
Athletes participating in contact sports are particularly at risk and should be monitored for head injuries.
03
Individuals who have been in car accidents, falls, or other incidents that could result in head trauma should also be evaluated.
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A concussion is a type of traumatic brain injury caused by a bump, blow, or jolt to the head, resulting in temporary disruption of brain function. Head injuries encompass a broader range of injuries to the skull or brain, which may include concussions, contusions, and fractures.
Individuals involved in sporting activities, schools, and organizations that manage sports events are typically required to file reports on concussion and head injuries. This may include athletes, coaches, and medical personnel.
To fill out a concussion and head injury report, individuals should provide detailed information about the incident, including the date and time of the injury, symptoms observed, treatment administered, and any follow-up care required.
The purpose of filing concussion and head injury reports is to ensure proper medical evaluation and management of injured individuals, promote safety in sports, and maintain a record for compliance with health regulations and policies.
The report should include the injured person's personal information, the circumstances of the injury, symptoms experienced, medical evaluations performed, treatment provided, and follow-up actions.
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