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Ontario Physical Education Safety Guidelines Appendix C4 Documentation for a Diagnosed Concussion Return to Learn/Return to Physical Activity Postsecondary Interschool September 2015Appendix C4 Sample

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How to fill out concussion return to school

01

Obtain clearance from a healthcare provider before returning to school.

02

Communicate with teachers and school staff about any accommodations needed.

03

Gradually increase workload and physical activity as symptoms improve.

04

Follow any guidelines provided by the healthcare provider for a safe return to school.

Who needs concussion return to school?

01

Students who have experienced a concussion and are returning to school after the injury.

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What is concussion return to school?

Concussion return to school is a form that must be completed following a student's concussion to ensure proper accommodations and monitoring while they return to school.

Who is required to file concussion return to school?

The student's healthcare provider or school nurse is typically responsible for filing the concussion return to school form.

How to fill out concussion return to school?

The form should be filled out by the healthcare provider or school nurse, detailing the student's symptoms, treatment plan, and any accommodations needed for their return to school.

What is the purpose of concussion return to school?

The purpose of the concussion return to school form is to ensure the student's safety and well-being as they recover from a concussion and return to their normal school activities.

What information must be reported on concussion return to school?

The form should include information on the student's symptoms, treatment plan, any accommodations needed, and any restrictions on physical or cognitive activities.

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