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STUDENTATHLETES AND CONCUSSION: A Concussion Information Sheet for Parents/Guardians ___(student athlete name) has sustained a concussion on ___(date), evaluated by ___, Certified Athletic Trainer
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How to fill out a concussion information sheet
How to fill out a concussion information sheet
01
Start by providing personal information such as name, date of birth, and contact details.
02
Indicate any previous history of concussions or head injuries.
03
Mention any symptoms or signs of concussion experienced, along with the date of injury.
04
Provide details of any medical treatment received for the concussion.
05
Sign and date the form to confirm the accuracy of the information provided.
Who needs a concussion information sheet?
01
Athletes participating in contact sports
02
Individuals involved in activities with a high risk of head injury
03
Children and adolescents participating in organized sports
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What is a concussion information sheet?
A concussion information sheet is a document that provides information about concussions, including symptoms, treatment, and prevention.
Who is required to file a concussion information sheet?
Coaches, trainers, and healthcare providers are required to file a concussion information sheet.
How to fill out a concussion information sheet?
To fill out a concussion information sheet, you need to provide accurate information about the individual's injury, symptoms, and treatment.
What is the purpose of a concussion information sheet?
The purpose of a concussion information sheet is to ensure that individuals with concussions receive proper treatment and support.
What information must be reported on a concussion information sheet?
Information such as the individual's name, date of injury, symptoms, treatment plan, and follow-up care must be reported on a concussion information sheet.
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