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Updated Concusion or Head Injury Form

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Newsletter Note:   Tuesday, August 20, 2013 at 01:46

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To All FYSA Members and Affiliates,

The 2013-2014 season is upon us and with that comes an increase of practices and games.  Over the past two seasons, FYSA has been proactive in the education and the enactment of procedures to be followed as it relates to injuries particularly those of possible head injuries.


Please find below the revised Possible Concussion or Head Injury Notification Form.  

The addition to the form is the "release of information" which has been added to enable the player's medical provided the ability to contact the individual(s) who may have been involved in any treatment.


Please read this information carefully and follow the steps that are outlined in the procedure.

The form may be copied and pasted as a word document and printed out for the club and team use.

Should you have any questions, please do not hesitate to contact me.


Becky McLaren

Becky McLaren

VP, Administration and Communication 









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