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StudentAthlete Concussion Statement Acknowledgement
The NCAA Executive Committee has developed a consistent, association wide approach to Concussion Management. It is the responsibility of all
student
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How to fill out concussion statement acknowledgement

To fill out a concussion statement acknowledgement, follow these steps:
01
Obtain the concussion statement acknowledgement form. This can be provided by a healthcare professional, school, sports organization, or employer.
02
Read the form carefully. Make sure you understand the purpose of the concussion statement acknowledgement and the information it requires.
03
Provide your personal information. Fill in your full name, date of birth, address, and contact information as requested on the form.
04
Read and understand the concussion information. The form may include details about the signs and symptoms of a concussion, the importance of reporting symptoms promptly, and the risks associated with continuing to participate in activities if a concussion is suspected.
05
Sign and date the acknowledgement section. By signing the form, you are confirming that you have read and understood the information provided regarding concussions.
06
Submit the completed form. Return the signed concussion statement acknowledgement to the respective organization or individual who provided it. They may retain a copy for their records.
Who needs concussion statement acknowledgement?
Any individual who participates in activities where there is a risk of sustaining a concussion may be required to fill out a concussion statement acknowledgement. This can include athletes, students participating in sports or physical education classes, employees in certain occupations, and individuals involved in recreational activities. The purpose of this acknowledgement is to ensure that participants are aware of the risks associated with concussions and the necessary steps to take if a concussion is suspected.
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What is concussion statement acknowledgement?
Concussion statement acknowledgement is a form or document that confirms an individual's understanding and acknowledgement of the risks and implications of concussions.
Who is required to file concussion statement acknowledgement?
Athletes, coaches, team officials, and parents or guardians of minor athletes are typically required to file concussion statement acknowledgements.
How to fill out concussion statement acknowledgement?
Concussion statement acknowledgements are usually filled out by providing personal information, signing to acknowledge understanding of concussion risks, and agreeing to comply with concussion protocols.
What is the purpose of concussion statement acknowledgement?
The purpose of concussion statement acknowledgement is to ensure that individuals are aware of the risks of concussions in sports and agree to take necessary precautions.
What information must be reported on concussion statement acknowledgement?
Information such as personal details, acknowledgement of concussion risks, signature, and agreement to comply with concussion protocols.
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