Sample Medical Concussion Assessment Form
The Medical Assessment Form is provided to a student that demonstrates or reports concussion signs and or symptoms. For more information consult the Sample Tool to Identify a Suspected Concussion.
The student must be assessed as soon as possible by a medical doctor or nurse practitioner. In Canada, only medical doctors and nurse practitioners are qualified to provide a concussion diagnosis. In rural or northern regions, a nurse with pre-arranged access to a medical doctor or nurse practitioner may be used to assess the suspected concussion. Prior to returning to school, the parents/guardians must inform the school principal of the results of the medical assessment.