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FLORIDA ATLANTIC UNIVERSITY CONCUSSION MANAGEMENT PLAN 20152016 Purpose: To allow safe return to play for any student athlete who has experienced concussion signs or symptoms. To follow the NCAA's

How to fill out florida atlantic university concussion

How to fill out Florida Atlantic University concussion form:

1. Obtain the form: The first step is to acquire the concussion form from the appropriate source. This can typically be done by visiting the university's website or contacting the relevant department.
2. Provide personal information: Fill in your personal details such as your full name, student ID number, contact information, and any other required identification information.
3. Indicate the date and time of the concussion occurrence: Specify the exact date and time when the concussion took place. This will help the university in evaluating the severity and timeline of the injury.
4. Detail the circumstances of the concussion: Provide a thorough description of how the concussion happened. Include information such as whether it occurred during a specific activity or event, the nature of the impact, and any other relevant details that may help in assessing the situation.
5. Document symptoms: List any symptoms experienced as a result of the concussion. These may include headache, dizziness, memory problems, nausea, sensitivity to light or noise, or any other physical or cognitive challenges.
6. Medical evaluation: If you sought medical attention for the concussion, indicate the healthcare provider's name, contact information, and any recommendations or instructions they provided.
7. Academic impact: Describe how the concussion has affected your ability to participate in academic activities. This can include difficulties with attending classes, completing assignments, studying, or any other educational challenges.
8. Supporting documentation: Attach any relevant medical records or documentation that can support your concussion claim, such as doctor's notes, test results, or imaging reports.
9. Submit the form: Once you have completed all the necessary sections, ensure that you have signed and dated the form. Submit it to the designated department or office within the university, following any specific instructions provided.

Who needs Florida Atlantic University concussion form?

1. Student athletes: Any student participating in athletics programs offered by Florida Atlantic University may need to fill out the concussion form. This is to ensure that the university is aware of any head injuries and can provide the necessary support and care.
2. Students involved in activities with potential head injury risks: Individuals who engage in activities that carry a risk of head injuries, such as contact sports or physical education classes, may also require the concussion form. It helps the university in monitoring and addressing any injuries that may occur.
3. Individuals who experience a concussion: Anyone who sustains a concussion, whether on or off-campus, should fill out the concussion form. This ensures that the injury is appropriately documented, allowing the university to offer necessary accommodations and support during the recovery process.

For pdfFiller’s FAQs

What is florida atlantic university concussion?

Florida Atlantic University concussion protocol is a set of guidelines and procedures to be followed in case of a suspected concussion among student-athletes.

Who is required to file florida atlantic university concussion?

Florida Atlantic University requires coaches, athletic trainers, and medical staff to file a concussion report when a student-athlete is suspected of having a concussion.

How to fill out florida atlantic university concussion?

To fill out the Florida Atlantic University concussion report, the person designated must document the details of the incident, symptoms observed, and any medical treatment provided.

What is the purpose of florida atlantic university concussion?

The purpose of the Florida Atlantic University concussion protocol is to ensure the safety and well-being of student-athletes by promptly addressing and managing concussions.

What information must be reported on florida atlantic university concussion?

The concussion report for Florida Atlantic University must include details of the incident, symptoms experienced by the student-athlete, medical evaluation, and any recommended treatment.

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