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Concussion: Sideline Assessment Damion A. Martins, MD Director, Orthopedics & Sports Medicine Program Director, Sports Medicine Fellowship Atlantic Health System Director of Internal Medicine New

How to fill out concussion - weillcornellbrainandspine

How to Fill Out a Concussion Report?

1. Obtain the necessary forms from your healthcare provider or workplace.
2. Start by providing basic information about the person who experienced the concussion, including their name, age, and contact information.
3. Specify the date and time when the concussion occurred and the location where it happened.
4. Describe the circumstances surrounding the injury, such as the activity being performed or any external factors involved.
5. Note any visible symptoms or signs of the concussion, such as loss of consciousness, headache, dizziness, or memory loss.
6. Include details about any medical assessments or examinations conducted after the concussion, such as a physical examination, neurologic examination, or imaging studies.
7. Document any treatment received for the concussion, whether it included rest, medication, therapy, or specialized care.
8. Include information about any follow-up appointments or further medical interventions recommended by the healthcare provider.
9. Sign and date the concussion report, ensuring all the information provided is accurate and truthful.

Who Needs a Concussion Report?

1. Athletes: Individuals involved in contact sports or activities with a high risk of head injuries, such as football or boxing, should fill out a concussion report to ensure proper diagnosis and treatment.
2. Children and Adolescents: As concussion symptoms can be more challenging to recognize in younger individuals, having a concussion report can help parents, teachers, and healthcare providers monitor their condition and provide the necessary care.
3. Workplaces: Employers may require employees to fill out a concussion report if a head injury occurs on the job, ensuring proper record-keeping and appropriate follow-up care.
4. Medical Professionals: Healthcare providers utilize concussion reports as essential tools for assessing and managing concussions, allowing them to track the patient's progress and provide suitable guidance.

For pdfFiller’s FAQs

What is concussion?

Concussion is a type of traumatic brain injury that is caused by a blow to the head or body, a fall, or another injury that jars or shakes the brain.

Who is required to file concussion?

Healthcare providers, coaches, and school officials are required to file concussion reports.

How to fill out concussion?

Concussion reports can be filled out by providing details of the injury, symptoms, and follow-up care.

What is the purpose of concussion?

The purpose of concussion reporting is to ensure that individuals receive appropriate medical care and to track trends in head injuries.

What information must be reported on concussion?

Information such as the date of the injury, symptoms, initial treatment, and follow-up care must be reported on concussion forms.

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