Get Serious Injury Concussion Report Form - Ulster Rugby

This guide provides clear and detailed instructions on how to accurately complete the Serious Injury Concussion Report Form for Ulster Rugby online. This essential document is crucial for reporting serious injuries and suspected concussions in a timely manner.

Follow the steps to complete the Serious Injury Concussion Report Form online.

1. Press the ‘Get Form’ button to access the report and open it in your preferred editor.
2. Fill in the contact information section by providing the player’s name, date of birth or age, club or school name, and contact details of the person for IRFU follow-up.
3. Complete the injury information section by noting the date of injury and the event (game or training) when the injury occurred.
4. Indicate whether the referee determined that the action leading to the injury was a violation of the Laws. Also, specify the body part that was injured by circling the appropriate option from the provided list.
5. In the form, identify yourself by providing your name, role in the club or school, contact number, and the date upon which the form was completed, along with your signature.
6. Select the mechanism of the injury (contact or non-contact) and specify the type of injury by choosing from the options like concussion, fracture, sprain, etc.
7. Describe any treatment administered to the player at the time of injury and indicate if hospital attendance or admission was required.
8. If applicable, confirm if a parent or guardian was informed about the injury if the player is underage.
9. Add any additional comments that may be helpful for context.
10. Once all fields are filled, save your changes, and opt to download, print, or share the completed form as needed.

Complete your Serious Injury Concussion Report Form online to ensure accurate reporting and maintain safety in your sport.