South Berkshire Hockey Club Injury reporting
Reporting all injuries during matches or practice sessions
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Name of injured person *
When did the injury occur? *
MM
/
DD
/
YYYY
In what type of game did the injury take place ? *
Required
Who was injured *
Did the injury occur in open play or during a penalty corner *
What was the injury caused by? *
Did the injury require hospital treatment? *
Which part of the body was affected? *
What was the type of injury sustained? *
Did the player experience any of these symptoms tick any that apply *
Required
What, if any, protective equipment was worn at the time of  the injury? *
Required
Briefly summarise the treatment that took place *
Please add any further detail on the treatment? *
Please provide the name of the first aider who treated the injured party *
Please name the captain or coach who will follow up with the injured party *
Anything else to add?
Submit
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