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DSS Athletic Training Office 940 Hwy. 290 West Dripping Springs, TX 78620 (512) 8583201 and (512) 8583225 RETURN TO LEARN CONCUSSION CARE PLAN FOR ACADEMICS StudentAthlete Name Grade Parent Name Contact
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How to fill out return to learn concussion

How to fill out return to learn concussion:
01
Obtain the return to learn concussion form from your school or healthcare provider.
02
Review the form to understand what information needs to be filled out.
03
Start by entering your personal information, including your name, date of birth, and contact information.
04
Provide details about your concussion, such as the date it occurred and the symptoms you experienced.
05
Indicate if you received any medical treatment for your concussion and provide the names of healthcare professionals involved.
06
Specify any accommodations or modifications you may require for your learning environment, such as extended breaks or reduced screen time.
07
If applicable, include any recommendations from your healthcare provider regarding your return to learn plan.
08
Sign and date the form to acknowledge that the information provided is accurate.
09
Submit the completed return to learn concussion form to your school or healthcare provider, as instructed.
Who needs return to learn concussion:
01
Students who have experienced a concussion and are planning to return to school.
02
Athletes who have suffered a concussion and want to resume their academic activities.
03
Individuals, including both children and adults, who have sustained a concussion and need support for their educational pursuits while recovering.
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What is return to learn concussion?
Return to learn concussion refers to a protocol that helps students safely return to their academic activities after experiencing a concussion.
Who is required to file return to learn concussion?
Parents or guardians of students who have had a concussion are required to file return to learn concussion.
How to fill out return to learn concussion?
Return to learn concussion forms can be filled out by providing information such as symptoms, medical history, and accommodations needed for the student.
What is the purpose of return to learn concussion?
The purpose of return to learn concussion is to ensure that students can safely return to their academic activities while recovering from a concussion.
What information must be reported on return to learn concussion?
Return to learn concussion forms must include information on the student's medical history, symptoms, and any accommodations needed for their academic activities.
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