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Get the free written clearance/return to play form for concussed atheltes

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PAGE 1 of 2HEALTHCARE PROVIDER RELEASE CONCUSSION RETURN TO PLAY PROTOCOL Student Name: ___ Sport: ___School: ___Birthdate: ___Date of Injury: ___Description: ___IMPORTANT NOTE TO HEALTHCARE PROVIDER
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How to fill out written clearancereturn to play

01
Meet with a healthcare provider to discuss your injury or condition.
02
Follow any specific instructions or protocols provided by your healthcare provider.
03
Complete any necessary physical therapy or rehabilitation as prescribed.
04
Obtain written clearance or return to play form from your healthcare provider.
05
Fill out the written clearance or return to play form accurately and completely.
06
Submit the form to the appropriate authority for approval before returning to play.

Who needs written clearancereturn to play?

01
Athletes who have suffered an injury or medical condition that affects their ability to participate in sports or physical activity.
02
Anyone who has undergone surgery or medical treatment that requires clearance before resuming physical activity.
03
Individuals participating in organized sports or activities that require medical clearance before returning to play.
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Written clearance return to play is a formal document or certification that an athlete has been medically cleared to participate in sports or physical activities following an injury or health issue.
Typically, athletes who have undergone medical treatment for injuries or health problems are required to file a written clearance return to play, often at the request of coaches, schools, or sports organizations.
To fill out a written clearance return to play, an athlete must provide personal information, details of the injury or condition, medical assessment results, and the date of medical clearance from a qualified healthcare professional.
The purpose of the written clearance return to play is to ensure that an athlete is physically fit and safe to return to sports activities, reducing the risk of re-injury or complications.
The information that must be reported includes the athlete's name, date of birth, details of the injury or condition, medical provider's information, and confirmation of full medical clearance to return to play.
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