Forms

Several forms are available to meet the requirements of the concussion law. The forms have different purposes and have been placed in categories related to the intended audience.

Families & Students

Coaches & Athletic Administrators

Teachers & Administrators

Healthcare Providers

  • Child SCAT 3. Use this standardized tool to evaluate concussion symptoms in injured children, ages five to 12.
  • Concussion Signs & Symptoms Checklist. Nurses can use this form to document all details related to a head injury.
  • SCAT 3 for Adults. Use this standardized tool to evaluate concussion symptoms in injured athletes, ages 13 and older.
  • Symptom Log (RTF, 99KB). School nurses may use this tool to assess a concussion over time.