ORA Concussion Incident Form
Please complete this form along with the ORA Injury Report Form to ensure we have all of the participants information and details of the injury.

Members of Ontario ringette who have a suspected concussion must consult a physician before returning to play and have a medical clearance letter from a doctor to be permitted back on the ice.

Details of the ORA Concussion Guidelines and protocol can be found here: www.ontario-ringette.com/concussion

Participant Name:
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Date:
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Phone Number:
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Gender
Age:
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Association:
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