Student Management Marcus Johnson Add Encounter
JB
Add Encounter – Marcus Johnson
Injury
Illness
Encounter
Date *
Time of Encounter *
:
Where Encounter Occurred *
Sport *
Surface Type *
Injury Cause / Mechanism
Notes
Note to Coach
Note to Guardian
Medical Note
Estimated Return to Play Date
Follow Up Plan
Report Concussion?
Injury
Details
Body Side
Anatomical Site *
Injury Nature *
Injury Type *
Severity
Diagnosis
Concussion Details
ATC Evaluation Date
Physician Evaluation Date
Loss of Consciousness
Helmet Worn
Previous Concussions
Initial Treatment
Illness
Details
Illness Type *
Onset Date *
Diagnosis Date
Symptoms & Severity
Overall Severity *
Select symptoms and rate severity (1=mild, 5=severe):
Status & Notifications
Contagious?
School Nurse Notified?
Quarantine Required?
Medications
Current Medications
SCAT6 Assessment Sport Concussion Assessment Tool, 6th Edition
Symptom Score: 0/22  |  Severity: 0/132
1. Symptom Evaluation
Rate each symptom from 0 (none) to 6 (severe):
2. Cognitive Screening
Orientation (0-5)
What month/date/day/year/time is it?
Immediate Memory (0-15)
3 trials of 5-word recall
Concentration (0-5)
Digits backward + months reversed
3. Neurological Exam
Balance Errors (mBESS)
Double leg, single leg, tandem stance
Coordination (Finger-to-Nose)
Tandem Gait (seconds)
4. Delayed Recall
Delayed Recall Score (0-5)
5. Return-to-Play Protocol
Stage Activity Date Started Status
1 Symptom-limited activity Completed
2 Light aerobic exercise In Progress
3 Sport-specific exercise Not Started
4 Non-contact training drills Not Started
5 Full-contact practice Not Started
6 Return to competition Not Started
Pain Scale
No Pain
Evaluations
Modalities
Therapeutic Exercise/Activity
Is student able to participate?
  Activity Log
System – Encounter created
Mar 19, 2026 – 10:30 AM
JBrewster – Updated injury details: Anatomical Site changed to "Head"
Mar 19, 2026 – 10:35 AM
JBrewster – Concussion reporting enabled, SCAT6 assessment started
Mar 19, 2026 – 10:38 AM
Injury Assistant
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Transcript
Parsed Fields
Patient Data
Johnson, Marcus
Student ID: MJ20091
Demo 1 HS
Address
Austin Texas
Austin, TX 123456
Email
N/A
Phone
N/A
Sports
N/A
Allergies
N/A
Conditions
N/A
Guardian 1 Name
guardian 1
Guardian 1 Phone
012-345-6789
Guardian 2 Name
N/A
Guardian 2 Phone
N/A
Emergency Contact
parent
Emergency Phone
012-345-6789
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