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Baylor Scott & White Family Medicine Keller Concussion ProgramPatient Name: ___ Date of Evaluation: ___ The Athlete named above is cleared for a complete return to full contact sport participation: o
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Visit the website where the online concussion release letter is located.
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Find the section for concussion information or release forms.
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Click on the appropriate form to fill out.
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Who needs online concussion release letter?

01
Athletes participating in contact sports
02
Students involved in school sports teams
03
Individuals participating in recreational activities where head injuries are a risk
04
Coaches and trainers responsible for the safety of athletes
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An online concussion release letter is a formal document that provides clearance for an individual, typically a student-athlete, to return to play after suffering a concussion.
It is typically required to be filed by a healthcare professional, such as a physician or athletic trainer, on behalf of a student-athlete who has been diagnosed with a concussion.
To fill out an online concussion release letter, the healthcare professional must provide details about the athlete's concussion evaluation, treatment, and confirmation that the athlete is cleared to return to play.
The purpose of the online concussion release letter is to ensure that an athlete has received appropriate medical evaluation and is safe to resume participation in sports activities after a concussion.
The online concussion release letter must report the athlete's name, date of the concussion, assessment details, the healthcare provider's recommendation, and the date of clearance.
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