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  • Physician Concussion Evaluation Form - Ppcsd

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Physician Concussion Evaluation Form This form is to be completed by the physician and returned to the Athletic Trainer and/or the school Nurse. Date: I have examined , who was removed from play for.

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An athlete's return to regular activities involves a stepwise process. It starts with a few days of rest (2-3 days) and is followed by light activity (such as short walks) and moderate activity (such as riding a stationary bike) that do not worsen symptoms.

They perform a neurological exam to test your balance and other brain functions. If your concussion symptoms don't go away, you may need additional visits with other types of health care professionals. You may need more-detailed testing to further assess changes in brain function.

The pertinent physical examination elements for concussion include evaluation of cranial nerves, manual muscle testing, and deep tendon reflexes; inspecting the head and neck for trauma or tenderness and cervical range of motion; Spurling maneuver; a static or dynamic balance assessment; screening ocular examination; ...

1 Patients presenting unconscious with a Glasgow Coma Scale (GCS) less than 9 or with an altered level of consciousness (GCS 9 to13) will be triaged as CTAS level 1 or 2 respectively. Those patients presenting with GCS 14 or 15 and reporting a head injury will be triaged as CTAS 3 or 4.

Is there a quick concussion test that can be done at home? Ask your loved one to state their name, where they are, the time and date, and what just happened. Ask your loved one to spell the word “world” backward. Ask your loved one if they have a headache, feel dizzy or nauseous.

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© Copyright 1997-2025
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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
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
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 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232