Get Notification Of Probable Head Injury For Interscholastic - Carrollk12

Filling out the Notification Of Probable Head Injury For Interscholastic - Carrollk12 is an essential step in ensuring the health and safety of student-athletes. This guide will help you navigate the form with clear, step-by-step instructions, ensuring you complete it accurately and effectively.

Follow the steps to fill out the form accurately and efficiently.

1. Begin by locating the form online. Use the ‘Get Form’ button to access and open the Notification Of Probable Head Injury For Interscholastic - Carrollk12 form in your online document editor.
2. Complete the 'Name' field with the full name of the student who may have sustained a head injury.
3. Fill in the 'School' field with the name of the institution the student attends.
4. Enter the 'Date of Injury' in the specified format, ensuring the date corresponds with the incident.
5. Select the 'Sport' field to indicate which sport the student was participating in at the time of the injury.
6. Provide the 'Parent/Guardian Name' to identify who is completing the form.
7. Input a reliable 'Phone' number for the parent or guardian in case further communication is necessary.
8. In the 'Description Incident/Injury' section, briefly describe the incident that led to the suspicion of a concussion.
9. Carefully review the 'When to Seek Care Urgently' section and ensure you note any warning signs that would require immediate medical attention.
10. Take note of the 'Common Signs & Symptoms' outlined in the form, as these may help in understanding the condition of the student.
11. After gathering all necessary information, ensure to sign off on the form as the parent/guardian, and include the relevant date.
12. Complete the section designated for the licensed health care provider (LHCP) after visiting a physician. This includes their name, signature, date, and diagnosis.
13. If a concussion is diagnosed, confirm the student's return date to school and understand any necessary accommodations.
14. Finally, save your changes, and either download, print, or share the completed form as required.

Ensure the health and safety of your student-athlete by accurately filling out and submitting the Notification Of Probable Head Injury For Interscholastic - Carrollk12 online.