Head Injuries
Please make sure you fill this in fully and accurately.

If the injury is a head-injury (anything above the neck) then record on the head-injury form.

Date *
MM
/
DD
/
YYYY
Time *
Time
:
Child's Name *
Your answer
Which class are they in? *
What was the injury? Please record part of the head and if there were any visible lumps too *
Your answer
What treatment did you give? *
Required
Did you sent a blue slip home? *
Confirm you have contacted the parents;
Did the injury require further treatment away from school? *
If yes, what further treatment was needed?
Your answer
Who are you? *
Submit
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