Get Ohio Department Of Health Student Injury Report Form

Filling out the Ohio Department Of Health Student Injury Report Form is an important process for documenting incidents that occur in schools. This guide provides a step-by-step approach to help you navigate through the form easily and accurately, ensuring that all necessary information is collected.

Follow the steps to accurately complete the report form

1. Click the 'Get Form' button to access the Student Injury Report Form and open it in your preferred digital editor.
2. Begin by filling in the student information section including the name, date of incident, date of birth, grade, and gender. Provide the necessary details for identification.
3. Add the parent or guardian information by including their name(s), work phone, home phone, cell phone, and address.
4. Document the school information section by entering the school name and phone number.
5. Indicate the location of the incident by checking the appropriate box, such as athletic field, cafeteria, classroom, or other specified locations.
6. Identify if any equipment was involved in the incident. Check the appropriate box and describe the equipment if applicable.
7. Select the type of surface where the injury occurred by checking all applicable options from asphalt to gymnasium floor.
8. Using the provided grid, check the body area(s) where the injury was sustained and detail the type of injury.
9. Circle any contributing factors that might have influenced the accident, such as a fall, collision, or other specified reasons.
10. Provide a detailed description of the incident, mentioning any witnesses and staff present. If necessary, attach another sheet for additional comments.
11. Indicate the incident response by checking all relevant actions taken such as first aid administered, parent/guardian contact, or if 911 was called.
12. Complete any additional comments about this incident, especially suggestions for preventing future occurrences.
13. Sign the completed form and route it to the school nurse and principal for their review and signatures.
14. Save changes to the form, then download, print, or share it as necessary, ensuring that the original form and copies are filed according to district policy.

Take the next step and complete the Ohio Department Of Health Student Injury Report Form online today.