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Appendix CONCUSSION REFERRAL & RETURN FORM THIS FORM MUST BE COMPLETED (Sections 1 & 2) Should a player wish to return to play, section 2 must be completed by a medical doctor and specific clearance

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Concussion services - operational are services provided to individuals who have suffered a concussion to help them recover and manage their symptoms.

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Healthcare providers and medical facilities that provide concussion services are required to file concussion services - operational.

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Concussion services - operational can be filled out by providing details of the services provided, the individual's medical history, and any treatment plans.

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