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CAMBRIDGE MINOR LACROSSE CONCUSSION EVALUATION AND RETURN TO PLAY FORM (SECTION ONE: Completed by Team Trainer) Athletes Name: ___ Date: ___ Sports Team: ___ Number of Past Concussions: ___ Brief

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How to fill out concussion evaluation and return

01

Start by gathering information about the individual's medical history, including any previous concussions.

02

Administer a series of tests to assess symptoms, cognitive function, and balance.

03

Monitor the individual's progress and symptoms over time, making note of any changes or improvements.

04

Develop a treatment plan based on the individual's specific needs and symptoms.

05

Gradually reintroduce physical activity and monitor for any return of symptoms.

06

Once the individual is symptom-free and has completed the return to play protocol, they may be cleared to resume normal activities.

Who needs concussion evaluation and return?

01

Athletes who have experienced a head injury or concussion

02

Individuals involved in high-impact sports or activities

03

Anyone who has been in a car accident or suffered a fall that may have resulted in a head injury

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What is concussion evaluation and return?

Concussion evaluation and return is a process used to assess and manage concussions in athletes, including determining when it is safe for them to return to play.

Who is required to file concussion evaluation and return?

Coaches, school administrators, and medical professionals are typically required to file concussion evaluation and return forms.

How to fill out concussion evaluation and return?

Concussion evaluation and return forms can usually be filled out online or using a paper form provided by the organization overseeing the sports program.

What is the purpose of concussion evaluation and return?

The purpose of concussion evaluation and return is to ensure the safety of athletes who have sustained concussions and to prevent further injury by allowing them to return to play only when it is medically safe to do so.

What information must be reported on concussion evaluation and return?

Information such as the athlete's symptoms, medical history, date of injury, and clearance from a medical professional must be reported on concussion evaluation and return forms.

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