2024-25 Injury Report Form (Halton Hills Minor Hockey)

2024-25 Injury Report Form

2024-2025 Player Injury Log


Note : This log should report, at minimum , each time;
• A player is removed for the remainder of the game due to an injury sustained during play.
• A player is injured during a practice whether on or off ice.
• A player is forced to leave a game or practice for unknown medical reasons.
• A player is injured during a hockey related event.

Note : If an injury requires medical referral and/or hospitalization, you will be required to complete and submit a Hockey Canada Injury Report.   LINK HERE.



Team/Player Info

General

Injury Description

Managment of Injury

Follow Up/Recommendations

What did you recommend to the player/parents?

I understand that if there is any potential of the player seeking further medical attention (i.e. doctor) that the following form is to be provided to the parents which can also be downloaded from the HHMH Website on the Trainer page.  LINK HERE

I certify that the given information above is true and correct to my knowledge.

I understand that I will be contacted by the Head Trainer if more forms or information are required and will comply with any instructions given.

I understand that any false or misleading reports or not completing further forms or instructions may be cause for removal of from Trainer Duties.

I understand that I will follow the applicable return to play protocols applicable to the injury.