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Concussion: Return to Play Prescription Student Name: Date of Birth: Instructions to student and parent: A graduated return to play protocol, as described below, is required for all concussed students.
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How to fill out concussion return to play

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To fill out a concussion return to play form, follow these steps: 1. Obtain a concussion return to play form from a healthcare professional or athletic trainer. 2. Start by filling out your personal information, including your name, date of birth, and contact details. 3. Provide details about the concussion incident, such as the date it occurred, how it happened, and any observable symptoms or signs. 4. Indicate if you have received any medical treatment or evaluation for the concussion. 5. Specify the date you were cleared to begin the return to play process. 6. Write down any restrictions or modifications recommended by the healthcare professional for your return to play. 7. Include the date of your follow-up evaluation appointment. 8. Sign and date the form, and ensure any necessary signatures from parents or guardians are also obtained. 9. Submit the completed form to the appropriate authority, such as your coach, athletic department, or school administration. 10. Keep a copy of the form for your records.

Who needs concussion return to play?

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Anyone who has suffered a concussion, regardless of age or athletic level, needs to go through the concussion return to play process. This includes athletes participating in high school, college, or professional sports, as well as recreational athletes and individuals involved in activities with a risk of head injury. It is crucial to follow the return to play guidelines to ensure a safe and gradual return to physical activity and minimize the risk of re-injury or complications.
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Concussion return to play is a protocol followed by individuals who have suffered a concussion, outlining the steps they must take before being allowed to participate in physical activities again.
Athletes, coaches, and medical professionals are required to file concussion return to play forms for individuals who have suffered a concussion.
Concussion return to play forms can be filled out by providing detailed information about the individual's injury, symptoms, treatment, and progress towards recovery.
The purpose of concussion return to play is to ensure the safety and well-being of individuals who have suffered a concussion by allowing them to gradually return to physical activities.
Information such as the individual's medical history, details about the concussion, symptoms experienced, treatment received, and progress towards recovery must be reported on concussion return to play forms.
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