Get the free wa football concussion referral & clearance form

WA FOOTBALLCONCUSSION REFERRAL & CLEARANCE FORM SECTION 1: DETAILS OF THE INJURED PLAYER Team Official to complete (Manager, First Aid, Sports Trainer, Coach) at the time/on the day of the injury,

How to fill out wa football concussion referral

How to fill out wa football concussion referral

1. Start by obtaining the WA Football Concussion Referral form from your club or the WA Football website.
2. Fill in the player's personal details, including name, date of birth, and contact information.
3. Provide details about the incident that resulted in the concussion, including date, time, and circumstances.
4. Include any symptoms observed immediately after the concussion.
5. Attach any relevant medical documentation or assessments from a healthcare professional.
6. Sign the form to confirm that the information provided is accurate and complete.
7. Submit the completed referral form to the appropriate sports authority or medical personnel designated by WA Football.

Who needs wa football concussion referral?

1. Any player who has suffered a concussion during a WA Football game or training session.
2. Coaches and team managers who need to report a concussion incident.
3. Players who are showing symptoms consistent with a concussion and require medical attention.

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What is wa football concussion referral?

WA football concussion referral is a formal process established to report and manage instances of concussion in football, ensuring that athletes receive proper medical evaluation and care following head injuries.

Who is required to file wa football concussion referral?

Coaches, team medical staff, and officials are required to file WA football concussion referrals when a player exhibits symptoms of concussion during practice or games.

How to fill out wa football concussion referral?

To fill out a WA football concussion referral, one must complete the designated form provided by the governing body, including details of the player’s symptoms, the circumstances of the injury, and any medical evaluation results.

What is the purpose of wa football concussion referral?

The purpose of WA football concussion referral is to ensure the safety of players by facilitating prompt medical assessment and promoting proper concussion management protocols.

What information must be reported on wa football concussion referral?

The referral must include the player's name, date of birth, date of injury, observed symptoms, details of the incident, and information about any medical evaluations performed.