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

Members of Ringette Ontario 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 RO Concussion Guidelines and protocol can be found here: www.ringetteontario/concussion
Participant Name:
Date:
Phone Number:
Gender
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Age:
Association:
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