Get the free Statement on Concussion Baseline Testing in Canada

BC Netball Concussion Protocol June 2020Key sources: Parachute. (2017). Canadian Guideline on Concussion in Sport. Toronto: Parachute, Ontario Neurotrauma Foundation, Consensus Statement on Concussion

How to fill out statement on concussion baseline

How to fill out statement on concussion baseline

1. Obtain a baseline test. This is usually done by a trained healthcare professional and involves taking various measurements and assessments of cognitive and physical abilities.
2. Read and understand the instructions provided with the statement form. Make sure you are familiar with what information needs to be filled out and how it should be recorded.
3. Gather all the necessary information before filling out the form. This may include the individual's personal details, medical history, and any previous concussion-related incidents.
4. Begin by providing the individual's personal information, such as name, date of birth, and contact details.
5. Fill in the relevant medical history section, including any previous concussions or head injuries, as well as any existing medical conditions or medications being taken.
6. Follow the instructions for the cognitive and physical assessments section. This may involve answering questions about symptoms, performing certain tasks, or rating different aspects of cognitive function.
7. Be as accurate and truthful as possible when filling out the form. Provide specific details and examples where necessary.
8. Review the completed form for any errors or missing information. Make sure all sections are filled out completely and legibly.
9. Once you are satisfied with the accuracy of the information provided, sign and date the statement form.
10. Submit the completed statement on concussion baseline to the appropriate healthcare professional, organization, or institution as instructed.

Who needs statement on concussion baseline?

1. Statement on concussion baseline is needed by individuals who participate in high-risk activities or sports where head injuries are common.
2. Athletes, both professional and amateur, may require a statement on concussion baseline to establish their cognitive and physical abilities before participating in sports.
3. Individuals with a history of concussions or head injuries may need to fill out a statement on concussion baseline to monitor their recovery progress and assess any potential long-term effects.
4. Coaches, trainers, and healthcare professionals involved in sports or activities where head injuries are a risk may also need access to statement on concussion baseline for their athletes or clients.
5. Schools, sports organizations, and institutions that prioritize head injury prevention and safety may require individuals to fill out statements on concussion baseline as part of their risk management protocols.

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What is statement on concussion baseline?

A statement on concussion baseline is a document that assesses an individual's cognitive and physical abilities before they participate in activities that could risk a concussion, establishing a baseline for future comparisons.

Who is required to file statement on concussion baseline?

Athletes participating in contact sports, coaches, and athletic organizations are generally required to file a statement on concussion baseline.

How to fill out statement on concussion baseline?

The statement should be filled out by providing personal information, medical history regarding concussions, results from baseline assessments, and any relevant information regarding the athlete's physical and cognitive function.

What is the purpose of statement on concussion baseline?

The purpose is to establish a reference point for an athlete's normal cognitive and physical functioning, which can help in diagnosing a concussion if one occurs and in managing recovery.

What information must be reported on statement on concussion baseline?

Required information typically includes the athlete's name, date of birth, medical history related to concussions, baseline test results, and signatures from the athlete and a parent or guardian.