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ASA CONCUSSION RETURN TO PLAY PHYSICIAN FORMReturn completed form to ASA medical@azyouthsoccer.org STUDENT NAME: DATE OF BIRTH: DATE OF INJURY: DATE OF EVALUATION: SOCCER CLUB/TEAM: I have evaluated

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How to fill out concussion procedure and protocol

01

Ensure the athlete who suffered the concussion is removed from play immediately.

02

Assess the athlete for signs and symptoms of a concussion.

03

Notify the appropriate medical personnel and follow their instructions.

04

Keep the athlete under close observation for at least 24 hours after the injury.

05

Provide written instructions for the athlete's recovery plan, including when they can return to play.

Who needs concussion procedure and protocol?

01

Athletic trainers

02

Coaches

03

Medical personnel

04

Athletes

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What is concussion procedure and protocol?

Concussion procedure and protocol outlines the steps to be taken when a concussion is suspected or diagnosed, including evaluation, treatment, and return-to-play guidelines.

Who is required to file concussion procedure and protocol?

Schools, sports teams, and organizations involved in athletics are required to have and follow concussion procedure and protocol.

How to fill out concussion procedure and protocol?

Concussion procedure and protocol can be filled out by designated personnel trained in recognizing and responding to concussions.

What is the purpose of concussion procedure and protocol?

The purpose of concussion procedure and protocol is to ensure the safety and proper management of athletes who have suffered a concussion.

What information must be reported on concussion procedure and protocol?

Concussion procedure and protocol typically includes signs and symptoms of concussion, steps for evaluation, treatment options, and return-to-play criteria.

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