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Physician Letter to School To Whom It May Concern: Student Name: ___ DOB: ___Date of Concussion Diagnosis by MD/DO: ___INJURY STATUS__ __Date of Injury:___Has been diagnosed by an MD/DO with a concussion
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How to fill out concussion screening

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How to fill out concussion screening

01
Start by gathering necessary materials such as a concussion screening form and a writing utensil.
02
Ensure that the individual being screened is in a quiet and distraction-free environment.
03
Ask the person being screened to provide accurate and honest answers to the questions on the form.
04
Carefully review each question and provide any necessary assistance if the individual has trouble understanding or answering.
05
Once the form is completed, review the responses and look for any indications of a potential concussion.
06
Consult with a medical professional if there are any concerns or if further evaluation is needed.

Who needs concussion screening?

01
Athletes participating in contact sports
02
Individuals who have experienced a head injury or trauma
03
Military personnel
04
Individuals involved in high-risk activities such as motor vehicle accidents or extreme sports
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Concussion screening is a process of evaluating an individual for signs and symptoms of a concussion, typically done after a head injury.
Concussion screening is typically required to be filed by medical professionals, such as physicians, athletic trainers, or healthcare providers.
Concussion screening forms are usually filled out by documenting the individual's symptoms, medical history, and results of physical tests.
The purpose of concussion screening is to assess and monitor individuals for potential concussions, in order to provide proper treatment and prevent further injury.
Information required on concussion screening forms usually includes details on the individual's symptoms, medical history, and results of physical tests.
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