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Suspected Concussion Return to Play Certification Form Athlete: ___ Sport: ___ Team: ___ 1) Athlete was examined by Healthcare Professional, and it was diagnosed that the Athlete did NOT suffer a
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The Illinois Department of Public Health oversees the management of concussions in Illinois.
Schools, sports organizations, and medical professionals are required to file concussion reports with the Illinois Department of Public Health.
Concussion reports can be filled out online through the Illinois Department of Public Health website or submitted via mail.
The purpose of the concussion reporting system is to track and monitor concussions in Illinois to improve treatment and prevention strategies.
Information such as the date of the injury, symptoms, treatment, and follow-up care must be reported on concussion forms.
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