Apertura infortunio

Page 1

JUVENTUS SOCCER SCHOOLS JSS International Academy

OPEN ACCIDENT TAB NAME AND SURNAME

DATE ACCIDENT

AGE BORN

time acc.

JSS COACH

rilief from

DYNAMIC ACCIDENT

TRIAGE Date open acc.

Code

Time Open Accident

START DIAGNOSIS

START TREATMENT

COMUNICATIONS 1째Comunications with family

YES

NO

1째Comunications with RAMS

YES

NO

YES

NO

Sent to F.A.

Signature JSS Coach

re-sent for RAM visit Signatur JSS RAM

YES

NO

Signature JSS HC


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