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Get the free Gfeller-Waller Concussion Clearance NCHSAA Return to Play Form - albhs kcs k12 nc

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Te - i -t e. C 1. es S 1 l1 l. es. I. S Comments e 3 lPfoilfiate I s a 5 l eei s lcontinues hrs cays. SCHOOL ACADEMICS check all that apply May start return to play progression under the supervision of the health care provider for your school or team o May be advanced back to competition after phone conversation with attending physician Must return to medical provider for final clearance to return to competition Has completed gradual RTP progression see reverse w/o any recurrence of...
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How to fill out gfeller-waller concussion clearance nchsaa

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How to fill out gfeller-waller concussion clearance nchsaa

01
Step 1: Obtain the gfeller-waller concussion clearance form from the NCHSAA website or your school's athletic department.
02
Step 2: Read the instructions provided with the form thoroughly to understand the requirements and procedures for completion.
03
Step 3: Gather all necessary medical information, including previous concussion history and any medical conditions that may affect concussion clearance.
04
Step 4: Schedule an appointment with a licensed healthcare provider, such as a physician or certified athletic trainer, who can perform the concussion evaluation.
05
Step 5: Bring the gfeller-waller concussion clearance form to your appointment and provide the healthcare provider with all relevant medical information.
06
Step 6: Undergo the concussion evaluation, which may involve a physical examination, neurocognitive testing, and symptom assessment.
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Step 7: If the healthcare provider determines that you have successfully passed the concussion evaluation, they will complete and sign the clearance form.
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Step 8: Submit the completed gfeller-waller concussion clearance form to your school's athletic department or the NCHSAA, depending on their specified submission process.
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Step 9: Keep a copy of the clearance form for your records.
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Step 10: Repeat the concussion clearance process as required by the NCHSAA or your school's athletic department for each new sports season or after sustaining a new concussion.

Who needs gfeller-waller concussion clearance nchsaa?

01
Any student-athlete participating in NCHSAA-sanctioned sports needs gfeller-waller concussion clearance.
02
This includes both high school and middle school athletes.
03
The clearance is required to ensure the athlete's safety and to assess their readiness to return to play after a concussion.
04
Coaches, parents, and school administrators should verify that all student-athletes have obtained the necessary clearance before allowing them to participate.

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