Superficial Accident Form

This form is for the reporting of minor injuries that require nothing more than a plaster, ice pack etc.
If the incident is more severe please use the other form.
**REMEMBER IF THE INCIDENT IS SEVERE PLEASE SEEK PROFESSIONAL ASSISTANCE**
Student Name(Required)
Coaches Name(Required)
MM slash DD slash YYYY
Time of Incident(Required)
Time as near as possible to the incident taking place.
:
Items given out(Required)
Please indicate the items that where used to treat this incident
Thank you for sending the form. We will check it and get back to you if we require further information.

Minor Accident Form

Cuts, scrapes, etc

Superficial Accident Form

This form is for the reporting of minor injuries that require nothing more than a plaster, ice pack etc.
If the incident is more severe please use the other form.
**REMEMBER IF THE INCIDENT IS SEVERE PLEASE SEEK PROFESSIONAL ASSISTANCE**
Student Name(Required)
Coaches Name(Required)
MM slash DD slash YYYY
Time of Incident(Required)
Time as near as possible to the incident taking place.
:
Items given out(Required)
Please indicate the items that where used to treat this incident
Thank you for sending the form. We will check it and get back to you if we require further information.

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