NC Gfeller-Waller Concussion Clearance NCHSAA Return to Play Form 2011-2025 free printable template

GfellerWaller Concussion Clearance NCAA Return to Play Form This form is adapted from the Acute Concussion Evaluation (ACE) care plan on the CDC website (http://www.cdc.gov/concussion/index.html)

How to fill out concussion clearance form

How to fill out NC Gfeller-Waller Concussion Clearance NCHSAA Return to Play

1. Obtain the NC Gfeller-Waller Concussion Clearance form from your coach or school athletic department.
2. Complete the top section of the form with your personal information, including name, date of birth, and sport.
3. Provide details of the concussion incident, including date, symptoms, and any medical examinations that were performed.
4. Have your physician or healthcare provider complete the medical clearance section, confirming that you are fit to return to play.
5. Ensure the physician signs and dates the form to validate the clearance.
6. Submit the completed form to your school’s athletic department or designated official before resuming practice or competition.

Who needs NC Gfeller-Waller Concussion Clearance NCHSAA Return to Play?

1. Any student-athlete who has been diagnosed with a concussion and is seeking to return to play after recovery.

People Also Ask about

What is done during concussion protocol?

It's recommended that individuals with a concussion have a 1-2 day period of rest followed by progressive increases in activity. This return to activity should always be monitored by a trained healthcare provider. Most providers will try to see their patients 24-72 hours after the injury to assess their functioning.

How do I get a concussion clearance?

Our providers typically consider clearance once the athlete is: Free of concussion symptoms for at least 24 hours. Off any medications started for concussion symptoms. Attending full days of school and tolerating a full academic workload (if applicable, depending on the time of year)

What is concussion clearance?

You can begin the process towards concussion clearance when: Symptoms of concussion are gone (you feel like your normal self) and you are off all medications used to treat concussion symptoms. Your physical examination by your medical provider is normal. Your cognitive function (thinking and learning) is normal.

What is the criteria for concussion clearance?

Concussion Clearance Process Symptoms of concussion are gone (you feel like your normal self) and you are off all medications used to treat concussion symptoms. Your physical examination by your medical provider is normal. Your cognitive function (thinking and learning) is normal.

How long does it take to get cleared for a concussion?

Concussion recovery and treatment. Approximately 80 percent of concussions resolve over seven to 14 days, with an average of 10 days. People with concussions should never return to sports or other physical activity sooner than one week from sustaining the injury.

When can you be cleared from concussion?

While most children and teens with a concussion feel better within a couple of weeks, some will have symptoms for months or longer. Talk with your children's or teens' health care provider if their concussion symptoms do not go away or if they get worse after they return to their regular activities.

What is the post-concussion screening form?

The SCAT5 is a standardized tool for evaluating for a suspected concussion and can be used on individuals aged 13 years and older. It supersedes the original SCAT (2005), the SCAT2 (2009), and the SCAT3 (2013). For children aged 12 and under, please use the Child SCAT5.

What are the 5 stages of concussion protocol?

Here's a quick recap of each protocol step (you can read the official outline from the NFL here). Step 1: Rest and recovery. This one is simple. Step 2: Light aerobic activities. Step 3: More aerobic exercise and strength training. Step 4: Football specific activities. Step 5: Full football activity.

For pdfFiller’s FAQs

How do I make edits in concussion clearance form without leaving Chrome?

Adding the pdfFiller Google Chrome Extension to your web browser will allow you to start editing concussion clearance form and other documents right away when you search for them on a Google page. People who use Chrome can use the service to make changes to their files while they are on the Chrome browser. pdfFiller lets you make fillable documents and make changes to existing PDFs from any internet-connected device.

Can I edit concussion clearance form on an iOS device?

You certainly can. You can quickly edit, distribute, and sign concussion clearance form on your iOS device with the pdfFiller mobile app. Purchase it from the Apple Store and install it in seconds. The program is free, but in order to purchase a subscription or activate a free trial, you must first establish an account.

How do I fill out concussion clearance form on an Android device?

Use the pdfFiller Android app to finish your concussion clearance form and other documents on your Android phone. The app has all the features you need to manage your documents, like editing content, eSigning, annotating, sharing files, and more. At any time, as long as there is an internet connection.

What is NC Gfeller-Waller Concussion Clearance NCHSAA Return to Play?

The NC Gfeller-Waller Concussion Clearance NCHSAA Return to Play is a regulatory protocol in North Carolina that outlines the necessary steps and criteria for athletes who have sustained a concussion to safely return to sports participation.

Who is required to file NC Gfeller-Waller Concussion Clearance NCHSAA Return to Play?

Coaches, school administrators, and healthcare providers are required to file the NC Gfeller-Waller Concussion Clearance NCHSAA Return to Play for any student-athlete who experiences a concussion while participating in sports under the North Carolina High School Athletic Association.

How to fill out NC Gfeller-Waller Concussion Clearance NCHSAA Return to Play?

To fill out the NC Gfeller-Waller Concussion Clearance NCHSAA Return to Play, you need to complete the designated forms which include providing the athlete's details, a health professional's assessment, and confirmation that the athlete has completed a graduated return-to-play protocol.

What is the purpose of NC Gfeller-Waller Concussion Clearance NCHSAA Return to Play?

The purpose of the NC Gfeller-Waller Concussion Clearance NCHSAA Return to Play is to ensure the safety of student-athletes by providing guidelines for evaluating and managing concussions, ensuring that athletes do not return to play until medically cleared.

What information must be reported on NC Gfeller-Waller Concussion Clearance NCHSAA Return to Play?

The information that must be reported includes the athlete's identification details, the date of the concussion, documentation of the medical evaluation, the athlete's recovery status, and the signatures of both the healthcare provider and the athlete's parent or guardian.