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CONCUSSION Information Sheet This sheet has information to help protect your children or teens from concussion or other serious brain injury. Use this information at your children's or teens games
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How to fill out concussion information sheets

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How to fill out concussion information sheets

01
Obtain the concussion information sheet from the relevant organization or healthcare provider.
02
Fill out the patient's personal information, including name, date of birth, and contact information.
03
Provide details about the injury that resulted in the concussion, including the date and time of occurrence.
04
Describe the symptoms experienced by the patient, such as headache, dizziness, and confusion.
05
Include information about any medical treatment received for the concussion, such as visits to the doctor or hospital.
06
Sign and date the form to confirm the accuracy of the information provided.

Who needs concussion information sheets?

01
Athletes participating in contact sports
02
Individuals who have experienced a head injury
03
Patients with suspected or diagnosed concussions
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Concussion information sheets are documents that provide essential information about concussions, including symptoms, management, and the protocols for returning to activity after a concussion.
Coaches, athletic trainers, and sometimes parents or guardians of student-athletes are typically required to file concussion information sheets as part of their responsibilities in managing sports safety.
Concussion information sheets are usually filled out by providing relevant details such as the athlete's name, the date of the incident, symptoms observed, and any medical evaluations or follow-ups that have been conducted.
The purpose of concussion information sheets is to ensure that all stakeholders are informed about the risks of concussions and the protocols to follow in case of an injury, thereby enhancing athlete safety.
Information required includes the athlete's personal details, symptoms experienced, date of the injury, any medical consultation, and acknowledgment of the school's concussion management policies.
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