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This document serves as a clearance form for athletes recovering from a concussion, outlining steps for assessment, care, and return to play. It is adapted from the Acute Concussion Evaluation care plan on the CDC website and includes guidelines for medical providers on the management of concussion injuries in athletes.

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How to fill out caha concussion clearance form

01

Obtain the CAHA concussion clearance form from your coach or the CAHA website.

02

Fill out the athlete's information including name, date of birth, and sport.

03

Indicate the date of the concussion injury and any symptoms experienced.

04

Complete the physical assessment section as required.

05

Have the form signed by a licensed healthcare professional who has evaluated the athlete.

06

Submit the completed form to your coach or designated team official.

Who needs caha concussion clearance form?

01

Any athlete who has sustained a concussion and wishes to return to play in CAHA sanctioned activities.

02

Coaches and team officials may also need to be aware of athletes who have been concussed for safety reasons.

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What is caha concussion clearance form?

The CAHA concussion clearance form is a document used to certify that an athlete has been evaluated and cleared by a qualified healthcare professional to return to play after experiencing a concussion.

Who is required to file caha concussion clearance form?

The form is required to be filed by athletes who have sustained a concussion and wish to return to participation in sports.

How to fill out caha concussion clearance form?

To fill out the CAHA concussion clearance form, the athlete or parent/guardian must provide personal information, detail the injury, and obtain a signature from a qualified healthcare professional who has evaluated the athlete.

What is the purpose of caha concussion clearance form?

The purpose of the CAHA concussion clearance form is to ensure the safety of athletes by confirming they are fit to resume sports activities after a concussion.

What information must be reported on caha concussion clearance form?

The form must include the athlete's personal information, details regarding the concussion, and the healthcare professional's evaluation and approval for the athlete to return to play.

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