Follow the steps to complete the checklist effectively.

1. Click 'Get Form' button to obtain the checklist and open it for editing.
2. Begin by entering the student's name in the designated field. This is essential for identifying the individual being assessed.
3. Fill in the student's grade and the date and time of the injury. This information helps provide context regarding the incident.
4. Describe where and how the injury occurred. It is important to include details about the cause and the force of the impact.
5. In the 'Description of Injury' section, provide specific details about any loss of consciousness, memory loss, or seizures experienced after the incident.
6. Use the checklist to monitor observed signs at three intervals: 0 minutes, 15 minutes, and 30 minutes after the student arrives. Note any concerning symptoms that may arise during these time frames.
7. Record any physical, cognitive, or emotional symptoms from the checklist as you monitor the student.
8. Refer to the 'Danger Signs' section and be vigilant for any worsening symptoms that necessitate immediate medical attention.
9. Conclude by documenting the resolution of the injury, indicating whether the student returned to class, was sent home, or was referred to a healthcare professional.
10. Finally, sign the form in the designated section, including your title, to validate the information provided.
11. Once completed, save your changes, download, print, or share the checklist as necessary.

Complete the HHS Concussion Signs And Symptoms Checklist online to ensure proper monitoring and care.