Home
About
Training
Learn
Store
Contact
Blog
Back
Meet the Team
Back
Getting Started
Classes Offered
Personal Training
Bootcamp
Kids and Teens
Parents and Bubs Classes
Home
About
Meet the Team
Training
Getting Started
Classes Offered
Personal Training
Bootcamp
Kids and Teens
Parents and Bubs Classes
Learn
Store
Contact
Blog
Coach Injury and Incident Form
Name of Coach Completing Form
*
Name of Athlete
*
Type
*
Injury
Incident
Other
Injury Severity
Leave blank if not an injury
1 (No visible injury; athlete reports feeling fine shortly after incident)
2 (Minor discomfort; no limitation in movement or activity; no treatment needed)
3 (Slight pain that does not limit performance; possibly some minor swelling)
4 (Mild pain that slightly limits performance; athlete can still participate with minor adaptations)
5 (Moderate pain that limits performance significantly; some movements are painful, but non-competitive participation is still possible.)
6 (Moderate-severe pain with movement limitation; requires medical evaluation but not emergency care.)
7 (Severe pain and significant limitation in movement; requires immediate medical evaluation and likely treatment)
8 (Severe pain with inability to bear weight or use affected area; potential structural damage (e.g., moderate sprain, minor fracture).
9 (Severe injury with immediate obvious disability; likely major structural damage (e.g., major sprain, significant fracture).
10 (Acute, debilitating pain with severe impact; emergency medical care needed (e.g., severe fractures, dislocations, tendon ruptures)
Time and Date
*
Description of Event
*
Suggested Follow Up
*
None required
Non-urgent follow up email/text
Semi-urgent (48-72 hours) follow up
Next day follow up
Day of follow up
Form submitted, thank you!
