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POST CONCUSSION RETURN TO PLAY PROTOCOL FORM
StudentAthlete:
Date of Injury:
Six Stage progression of Return to Play
Minimum of 24 hours between stages
If, at any stage, symptoms recur, protocol begins
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How to fill out post concussion return to
How to fill out post concussion return to
01
Start by consulting with a medical professional who specializes in concussions.
02
Follow the recommended rest period and avoid physical exertion or activities that can worsen your symptoms.
03
Gradually introduce light aerobic exercises, such as walking or stationary biking, into your routine.
04
If tolerated well, gradually increase the intensity and duration of your exercises.
05
Monitor your symptoms closely during each stage and communicate with your healthcare provider.
06
Once you have successfully completed the return-to-exercise phase, consider incorporating sport-specific activities.
07
Stay vigilant and stop any activity that triggers symptoms. It is important to listen to your body's signals.
08
Work closely with your healthcare provider to gradually return to your normal activities and sports.
Who needs post concussion return to?
01
Individuals who have experienced a concussion and are looking to safely return to their previous levels of physical activity.
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What is post concussion return to?
Post concussion return to is a form that outlines the plan for a person to return to activities after a concussion.
Who is required to file post concussion return to?
Any individual who has experienced a concussion and is seeking to return to activities is required to file post concussion return to.
How to fill out post concussion return to?
Post concussion return to can be filled out by providing details about the individual's concussion, symptoms, activities to avoid, and gradual return to normal activities.
What is the purpose of post concussion return to?
The purpose of post concussion return to is to ensure a safe and gradual return to activities after experiencing a concussion.
What information must be reported on post concussion return to?
Information such as the individual's concussion history, symptoms, activities to avoid, and the plan for gradual return to activities must be reported on post concussion return to.
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