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Injury Report

Report of Injury In Youth Hockey

Injury Report

This site is for youth hockey injury reports only. Other issues relating to coaching or team problems must be directed to the local association.  Submissions that do not have a contact name and phone number will be deleted.

This project is being conducted by the Minnesota Hockey Safety Committee. Your assistance and cooperation is appreciated. All reports will be followed by a phone call to the family of the injured player by trained medical professional in order to gain a better understanding of the circumstance surrounding the injury.

We are only concerned with Concussions/Brain Injuries and Fractures

Instructions:
1) Complete on-line form
2) Print a copy for your records

Definition of “Injury”:
For the purposes of this form, “injury” is defined as: any head injury of suspected fracture occurrence that requires missing a game or practice or brings the player to medical attention. Please report all events that might qualify as significant

The coach or team contact is required to verify the injury reported.

(dd/mm/yy)

(dd/mm/yy)

(dd/mm/yy)