• Concussion Statement/Baseline Test Agreement

  • NCC has a responsibility to educate its student athletes of the signs and symptoms of mild traumatic brain injuries; otherwise known as concussions.  The Athletic training staff is trained to recognize those that may present with concussive type symptoms.  However, many concussions can go unreported.  As a student athlete at NCC, I understand that it is my responsibility to report all known possible concussions and head injuries to athletic training staff and coaches.

    Definition

    A concussion is the most common type of brain injury.  It is the result of a direct blow to the head or body causing the head and brain to move quickley back and forth.  This injury typically results in impairment of neurological function.  The brain ceases to function normally and may result in signs and symptoms listed below.  It is important to understand that the signs and symptoms listed below are common for a concussion but may exist independently of one another:

    *Headache  *Loss of Appetite  *Difficulty Sleeping  *Altered Emotions  *Blurred Vison  *Difficulty concentrating  *Neck Pain  *Balance Problems  *Nervousness  *Dizziness  *Anxiety  *Feeling slowed down  *Feeling in a fog  *Continued Double vision *Vomiting  *Drowsiness/Fatigue  *Sensitivity to light or noise

     

    By signing below, I acknowledge that i have read and understood the information regarding concussions htat apply to my particular sport.  I acknowledge i have recieved the NJCAA handout regarding concussions.  I know and understand that i should notify the proper athletic healthcare providers when i suspect i may sustained a concussion.  I take full responsibility for notifying sports medical staff if i think i may have a concussion, and i also take full responsibility for any injuries or other porblem that might occur to me or others as a result of a concussion. 

     

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