Report a Suspected Concussion (Woolwich Minor Hockey)
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Report a Suspected Concussion
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Report a Suspected Concussion
Trainers will use this form to add the player to the Suspected Concussion list. Parents/Guardians will automatically be notified by email of this submission. Return to Play protocol must be followed.
Player Name
*
Parent/Guardian Name
*
Parent/Guardian Email Address
Example:
[email protected]
Your submission will be sent to this address.
Trainer Name
*
Team Name
*
Suspected Concussion Date
*
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Parent/Guardian Next Steps
Parents/Guardians must make arrangements with a doctor and submit a signed doctors note to the Hockey Office clearing the player to return.
Human Validation
Check The Box
*
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