Sports Facility Concussion Incident Report
About this free form template

Streamline Concussion Reporting and Athlete Safety with Paperform

Concussion management is critical for any sports facility, school athletic program, or recreation center. When a head injury occurs, you need a clear, consistent way to document the incident, assess symptoms against baseline data, and ensure proper return-to-play protocols are followed before an athlete gets back in the game.

This Sports Facility Concussion Incident Report template helps coaches, athletic trainers, and facility managers capture all the essential information in one organized form. You'll document the incident details, compare current symptoms to pre-season baseline assessments, track cognitive and physical responses, and secure parent or guardian consent for treatment and communication—all in a single, professional submission.

Built for sports programs that take athlete safety seriously

Whether you're running a high school athletic department, a club sports organization, a youth league, or a multi-sport recreation facility, this template is designed to help you:

  • Document incidents thoroughly with date, time, location, mechanism of injury, and witness statements
  • Compare symptoms to baseline using standardized concussion symptom checklists
  • Initiate return-to-play protocols by clearly outlining next steps and medical clearance requirements
  • Secure parent/guardian consent for treatment, communication, and medical follow-up
  • Maintain compliance with state and local concussion management laws and best practices

With Paperform's conditional logic, the form adapts based on symptom severity and athlete age, ensuring you collect the right information every time. Responses are timestamped and stored securely, giving you a complete audit trail for each incident.

Automate follow-up and keep parents in the loop

Once a concussion report is submitted, you can use Stepper (stepper.io) to automate your response workflow. Send immediate email notifications to parents, athletic trainers, and medical staff. Create tasks for follow-up assessments, schedule medical clearance appointments, and update your athlete management system—all triggered automatically from the form submission.

You can also integrate with Google Sheets or Airtable to maintain a centralized incident log, or connect to your CRM or communication platform to keep all stakeholders informed throughout the recovery and return-to-play process.

Designed for clarity under pressure

When a potential concussion occurs, emotions run high and time is critical. This template is structured to guide the reporting staff member step-by-step through the documentation process, with clear symptom checklists, yes/no questions, and space for narrative details. The form is mobile-friendly, so coaches and trainers can submit reports from the field, court, or sideline immediately after the incident.

Paperform's professional design options let you brand the form with your facility logo and colors, while maintaining the clinical clarity needed for medical documentation. All data is stored securely with SOC 2 Type II compliance, meeting the standards required for handling sensitive athlete health information.

Trusted by athletic programs, recreation facilities, and sports organizations worldwide, this template helps you prioritize athlete safety, ensure proper protocols are followed, and maintain clear communication with parents and medical professionals throughout the concussion management process.

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michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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