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Patient name MHN DOB Age Gender Acute Concussion Evaluation (ACE) Care Plan Page 1 of 2 Service date (month/day/year) / / Injury date (month/day/year) / / You have been diagnosed with a concussion.

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How to fill out the Ace Care Plan online

The Ace Care Plan is designed to assist individuals recovering from a concussion by outlining important steps and symptom management strategies. This guide provides a clear, step-by-step approach to filling out the form accurately and effectively online.

Follow the steps to complete your Ace Care Plan online.

  1. Press the ‘Get Form’ button to access the Ace Care Plan form and open it for editing.
  2. Begin by filling in the patient's personal details, including their name, date of birth (DOB), age, and gender, in the designated fields.
  3. Enter the service date and injury date in the appropriate 'month/day/year' format.
  4. Review the symptom list and check all symptoms that are currently present. Take care to ensure this section accurately reflects the patient's condition.
  5. Follow the guidelines for returning to daily activities by listing strategies for recovery, including rest and limitations on physical or cognitive activities.
  6. For the school section, select appropriate supports and interventions that will assist the patient in managing their concussion symptoms during school hours.
  7. Indicate whether the patient can return to sports and detail the gradual return-to-play plan, emphasizing the importance of monitoring symptoms closely.
  8. Complete the referral plan section by selecting appropriate healthcare provider referrals and scheduling follow-up appointments as necessary.
  9. Review all information entered in the form to confirm its accuracy before proceeding.
  10. Once complete, save any changes made to the document. From here, you'll have the options to download, print, or share the Ace Care Plan as needed.

Complete and submit your Ace Care Plan online to ensure a smooth recovery process.

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An initial score of less than 5 is associated with an 80 percent chance of a lasting vegetative state or death. An initial score of greater than 11 is associated with a 90 percent chance of complete recovery (Teasdale and Jennett, 1974).

The ACE is intended to provide an evidence-based clinical protocol to conduct an initial evaluation and diagnosis of patients (both children and adults) with known or suspected MTBI.

Concussion treatment Over-the-counter pain relievers. Drinking plenty of water. Concussions can cause nausea and vomiting, which lead to dehydration. Getting enough rest. Taking a break from sports and other strenuous activities. Not driving a vehicle right away. ... Avoiding alcohol while recovering. ... Brain rest.

An important part of treatment for a concussion is getting plenty of rest, both sleep at night and naps or rest breaks during the day if needed. Your doctor will probably tell you to avoid certain physical activities and sports while you recover and may suggest medicine to take if you have a headache.

After more rest and no concussion symptoms, the athlete can start at the previous step. Step 1: Back to regular activities (such as school) ... Step 2: Light aerobic activity. ... Step 3: Moderate activity. ... Step 4: Heavy, non-contact activity. ... Step 5: Practice & full contact. ... Step 6: Competition.

Sport Concussion Assessment Tool (SCAT5) Red flags. Memory assessment – Maddocks Questions. Glasgow Coma Scale (GCS) examination. Cervical spine assessment. Symptom evaluation. Cognitive screening. Neurological screening. Balance examination.

Physical and mental rest Relative rest, which includes limiting activities that require thinking and mental concentration, is recommended for the first two days after a concussion. However, complete rest, such as lying in a dark room and avoiding all stimuli, does not help recovery and is not recommended.

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© Copyright 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Your Privacy Choices
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
altaFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232