Sports Injury Report
Complete the following form anytime a student-athlete has an injury while under your supervision.
Sport *
Gender *
Coach Name (First, Last) *
Your answer
Student-athlete Last Name *
Your answer
Student-athlete First Name *
Your answer
Date of injury *
MM
/
DD
/
YYYY
Attended by (choose all that apply): *
Required
Injury Description *
Your answer
Injury Classification *
Treatment issued *
Your answer
Further medical assessment advised *
Emergency transportation *
Parents contacted *
Submit
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