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Concussion Referral Note ___ has been assessed as having suffered either a suspected or confirmed concussion on ___ (date) A SCAT5 Evaluation form is / is not attached The patient has been referred:

How to fill out concussion referral note

How to fill out concussion referral note

1. Begin by gathering all necessary information about the patient, including their personal information, medical history, and any relevant previous or current medical conditions.
2. Assess the patient's symptoms and conduct a thorough physical examination to determine the severity of the concussion and any associated injuries.
3. Based on the assessment, decide whether a referral to a specialist is required. If so, consider the specific type of specialist that would be best suited to address the patient's needs.
4. Prepare the concussion referral note, ensuring that it includes the patient's information, a detailed description of the symptoms and examination findings, and the reason for the referral.
5. Include any specific instructions or recommendations for the specialist in the referral note, such as additional tests or procedures that may be necessary.
6. Once the referral note is complete, review it for accuracy and clarity. Make sure all necessary details are included and that it is easily understandable by the specialist.
7. Provide the patient with a copy of the referral note and explain the importance of seeking specialized care for their concussion.
8. Keep a copy of the referral note in the patient's medical records and ensure it is shared with the specialist and any other healthcare providers involved in the patient's treatment.

Who needs concussion referral note?

1. Athletes who have experienced a concussion and require further specialized medical attention.
2. Patients who have persistent or severe symptoms following a concussion, which may indicate a more serious underlying condition.
3. Individuals with complicating factors, such as a history of multiple concussions or pre-existing neurological disorders, who need additional evaluation and management.
4. Children or adolescents who have suffered a concussion, as their developing brains require careful monitoring and appropriate treatment.
5. Anyone who has experienced a concussion and is experiencing worsening symptoms or new-onset symptoms that may require further assessment and intervention.

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What is concussion referral note?

A concussion referral note is a document used by healthcare providers to facilitate the evaluation and management of an individual suspected of having a concussion, ensuring proper follow-up and care.

Who is required to file concussion referral note?

Typically, healthcare providers such as physicians, nurse practitioners, or any medical professional who assesses or treats a patient for concussion are required to file a concussion referral note.

How to fill out concussion referral note?

To fill out a concussion referral note, the healthcare provider should include patient information, details of the concussion assessment, recommendations for further evaluation or treatment, and any other relevant medical history or observations.

What is the purpose of concussion referral note?

The purpose of a concussion referral note is to document the assessment of the concussion, to communicate necessary information to other healthcare providers, and to help guide the recovery process for the individual.

What information must be reported on concussion referral note?

Information that must be reported includes the patient's personal details, date of the injury, a description of symptoms, results of neurological examinations, recommendations for follow-up care, and any relevant medical history.