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TSSAM CONCUSSION RETURN TO PLAY FORM This form is adapted from the Acute Concussion Evaluation (ACE) care plan on the CDC website (www.cdc.gov/injury). All medical providers are encouraged to review
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How to fill out tssaa concussion return to
How to fill out TSSAA Concussion Return To:
01
Obtain the form: The TSSAA Concussion Return To form can usually be found on the TSSAA website or may be provided by your school or sports organization. Download or request a physical copy of the form.
02
Personal information: Fill in the required personal information, such as your full name, date of birth, address, and contact details. Make sure to provide accurate and up-to-date information.
03
Injury details: Provide details of the concussion injury, including the date of the injury, how it occurred, and any medical evaluations or diagnoses related to the concussion. This information will help determine your readiness to return to sports activities.
04
Medical clearance: The form will typically require medical clearance from a licensed healthcare professional before returning to sports. After receiving proper medical evaluation and clearance, have your healthcare provider fill out the relevant sections of the form, sign it, and provide any necessary medical documentation.
05
Parent or guardian signature: If you are a minor, ensure that a parent or legal guardian signs the form, acknowledging that they agree with your return to sports and have understood the potential risks associated with returning after a concussion.
Who needs TSSAA Concussion Return To:
01
Student-athletes: Any student-athlete who has suffered a concussion while participating in TSSAA-affiliated sports should go through the TSSAA Concussion Return To process. It is important to ensure that student-athletes are fully recovered and safe to return to play before resuming sports activities.
02
Coaches and athletic trainers: Coaches and athletic trainers play a vital role in the health and safety of student-athletes. They should be familiar with the TSSAA Concussion Return To guidelines and ensure that the necessary forms are completed correctly by the student-athletes and medical professionals involved.
03
Parents or legal guardians: Parents or legal guardians of student-athletes need to be aware of the TSSAA Concussion Return To process to support their child's safe return to sports. They should understand the importance of medical evaluation, clearance, and the potential risks associated with returning too soon after a concussion.
Remember, the TSSAA Concussion Return To form aims to prioritize the health and well-being of student-athletes by ensuring a safe return to sports activities following a concussion. It is crucial to follow the guidelines and consult with the appropriate healthcare professionals to make informed decisions about returning to play.
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What is tssaa concussion return to?
TSSAA concussion return to is a form used to document when a student-athlete is cleared to return to play after suffering a concussion.
Who is required to file tssaa concussion return to?
The student-athlete's healthcare provider is required to file the TSSAA concussion return to form.
How to fill out tssaa concussion return to?
The TSSAA concussion return to form can be filled out by the healthcare provider who has cleared the student-athlete to return to play.
What is the purpose of tssaa concussion return to?
The purpose of TSSAA concussion return to is to ensure that student-athletes are medically cleared to safely return to play after suffering a concussion.
What information must be reported on tssaa concussion return to?
The TSSAA concussion return to form must include the student-athlete's name, date of birth, date of injury, details of the concussion, and clearance date.
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