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GRADUATED RETURN TO PLAY CHECKLIST For Positive Case of Covid19 (Updated 1/24/22) Name of Student Athlete___Date of Birth___ School___County of School ___ Date of Initial Symptoms ___Covid19 Positive?

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How to fill out graduated return to play

01

Step 1: Begin with a comprehensive assessment by a healthcare professional to ensure the athlete is medically cleared for a graduated return to play protocol.

02

Step 2: Create a plan that gradually increases activity levels, starting with light aerobic exercise and progressing to sport-specific drills.

03

Step 3: Monitor the athlete closely for any signs of symptoms returning during each stage of the return to play protocol.

04

Step 4: Ensure the athlete has successfully completed each stage of the protocol before advancing to the next level of activity.

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Step 5: Obtain clearance from a healthcare professional before the athlete is allowed to fully return to play in competitive sports.

Who needs graduated return to play?

01

Athletes who have experienced a concussion or other significant injury that has kept them out of play for an extended period of time.

02

Coaches and sports organizations looking to safely reintegrate athletes back into competitive play after an injury.

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What is graduated return to play?

Graduated return to play is a stepwise process designed to safely transition an athlete back to competitive participation following a concussion or injury, ensuring that they are symptom-free and able to manage physical exertion.

Who is required to file graduated return to play?

Athletes who have experienced a concussion or significant injury and require a structured plan for returning to sports participation must have their graduated return to play filed by their coach or healthcare provider.

How to fill out graduated return to play?

To fill out the graduated return to play, one must document the athlete's symptoms, the stages of return, the duration of each stage, and the athlete's progress through each phase until they are fully cleared to participate.

What is the purpose of graduated return to play?

The purpose of graduated return to play is to minimize the risk of further injury and ensure a safe return to sport by gradually increasing the intensity of physical activity while monitoring the athlete's response.

What information must be reported on graduated return to play?

The report must include the athlete's initial condition, any symptoms, chronological stages of the return plan, assessment outcomes for each stage, and final clearance from a healthcare professional.

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