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St. Thomas Episcopal School Concussion Return to Play Form Student: Gender: Female Male Date of Birth: Grade Level: Date of Injury: Activity: Date of Initial Exam: After consultation and examination,
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How to fill out ste concussion return to

How to fill out STE concussion return to:
01
Obtain the form: The STE concussion return to form can usually be obtained from your healthcare provider or the medical staff overseeing your concussion protocol. Make sure to request a copy of the form before proceeding.
02
Read the instructions: Before filling out the form, carefully read the instructions provided. This will help you understand the purpose of the form, what information needs to be provided, and any specific guidelines or requirements that must be followed.
03
Personal information: Start by providing your personal information, including your name, date of birth, contact details, and any other required identifying information. This is necessary for proper documentation and communication purposes.
04
Medical history: Fill out the section related to your medical history. This may include information on previous concussions, any related medical conditions, medications you are currently taking, and any other relevant health information. Be honest and thorough in providing this information to ensure proper assessment and treatment.
05
Symptom assessment: This section typically requires you to rate the severity and frequency of various concussion symptoms you may be experiencing. Use the provided scales or checkboxes to accurately convey your symptoms to the healthcare professionals. This will help them monitor your progress and tailor the appropriate treatment plan.
06
Functional assessment: In this section, you may be asked to evaluate your ability to perform certain activities or tasks that were affected by the concussion. This can include physical activities, cognitive functions, or emotional well-being. Again, be honest in your assessment to help healthcare providers understand your limitations and progress.
07
Medical clearance: Some forms may include a section where your healthcare provider needs to provide medical clearance for your return to activities. Ensure that your healthcare provider completes this section if required, including any additional comments or recommendations regarding your recovery process.
Who needs STE concussion return to:
01
Athletes: Athletes who have sustained a concussion, regardless of the sport or level of competition, may need to complete the STE concussion return to form. This is to ensure a safe return to play and protect them from further injuries.
02
Students: Students who have experienced a concussion may require the STE concussion return to form to assess their readiness to return to school activities. This is crucial for their academic and social reintegration while considering any necessary accommodations.
03
Employed individuals: Individuals in a work setting who have suffered a concussion may need to complete the STE concussion return to form to determine their readiness to return to work duties. This ensures their safety and reduces the risk of further injury or impairment in the workplace.
In conclusion, filling out the STE concussion return to form involves providing personal and medical information, assessing symptoms and functionality, and potentially obtaining medical clearance. It is essential for athletes, students, and employed individuals to complete this form to ensure a safe and appropriate return to their respective activities.
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What is ste concussion return to?
The concussion return to form is a document that outlines a student athlete's plan for returning to sports after a concussion.
Who is required to file ste concussion return to?
Student athletes who have suffered a concussion are required to file the concussion return to form.
How to fill out ste concussion return to?
The concussion return to form can be filled out by the student athlete, their parent or guardian, and a medical professional.
What is the purpose of ste concussion return to?
The purpose of the concussion return to form is to ensure that student athletes safely return to sports after a concussion.
What information must be reported on ste concussion return to?
The concussion return to form must include details of the concussion, symptoms experienced, treatment received, and a plan for returning to sports.
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