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2016-2017 Carondelet High School Injury Report
Please fill this form out in a timely manner.
Please make sure that if you fill out an injury report that your athlete comes to see the athletic trainer as soon as possible .
Name *
Your answer
Date of Injury *
Your answer
Sport & Level (JV, Varsity), if applicable
Your answer
Location (i.e. inner court, Garaventa, etc.) *
Your answer
Event (game, practice), if applicable
Your answer
Body Part *
Be as specific as possible (toe, lower leg, upper arm, etc.)
Your answer
Side *
Type of Injury *
How did injury occur? *
Please be Specific.
Your answer
Treatment *
Please be Specific. (i.e. sent to infirmary, given ice, etc.)
Your answer
Was it an emergency? *
Did they go to the hospital?
Required
Did they see a doctor? *
Required
What did the injury require? *
If injury required "other" please explain.
Your answer
Submitted By *
Your answer
Your email address
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Your answer
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