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CA CIF Physician Recommended School Accommodations Following Concussion 2016 free printable template

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Physician (MD/DO) Recommended School Accommodations Following Concussion Patient Name: Date: I, give permission for my physician to share the following information with my children school and for
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CA CIF Physician Recommended School Accommodations Following Concussion Form Versions

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How to fill out CA CIF Physician Recommended School Accommodations Following

01
Obtain the CA CIF Physician Recommended School Accommodations form from your school or the CIF website.
02
Fill out your personal information at the top of the form, including your name, date of birth, and school.
03
Consult with your physician to discuss your condition and the necessary accommodations.
04
Have your physician complete the relevant sections of the form, detailing the medical diagnosis and recommended accommodations.
05
Review the completed form for accuracy and ensure all required signatures are present.
06
Submit the completed form to your school’s athletic director or the designated authority.

Who needs CA CIF Physician Recommended School Accommodations Following?

01
Students who have medical conditions that significantly impact their ability to participate in sports.
02
Athletes who require specific accommodations to ensure their safety and equal opportunity in school sports activities.
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The CA CIF Physician Recommended School Accommodations Following is a documentation form that outlines specific accommodations advised by a physician for students participating in school sports. It ensures that students with medical conditions can partake in athletic activities safely.
Students who have medical conditions that may affect their participation in sports are required to file this form. This includes those who have been advised by a physician to have specific accommodations.
To fill out the form, a physician must provide their medical evaluation, specify recommended accommodations, and sign to validate the information. The student or their guardian then submits this form to the school administration.
The purpose is to ensure the health and safety of students during athletic participation by providing necessary accommodations based on medical recommendations.
The form must include the student's medical condition, specific accommodations required, the physician's details, and their signature and date to confirm the recommendations.
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