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Western Ohio Junior Football Conference Concussion Return to Play Form CONCUSSION EVALUATION AND RELEASE TO PLAY FORM FOR LICENSED HEALTH CARE PROVIDERS (SECTION ONE: Completed by Head Coach or Assistant
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How to fill out concussion return to play:

01
Obtain the concussion return to play form from the appropriate governing body or healthcare professional.
02
Fill out the personal information section, including name, date of birth, and contact information.
03
Provide details about the concussion, such as the date it occurred, how it happened, and any symptoms experienced.
04
Describe the medical evaluation received, including the healthcare professional's name, contact information, and the date of evaluation.
05
Indicate any treatment or rehabilitation that was recommended or received for the concussion.
06
Provide information about any previous concussions or head injuries.
07
Answer any additional questions on the form, such as regarding any current symptoms or limitations.
08
Sign and date the form to acknowledge that all information provided is true and accurate.

Who needs concussion return to play:

01
Athletes: Concussion return to play is necessary for athletes who have experienced a concussion and want to resume participation in their sport.
02
Coaches and trainers: It is important for coaches and trainers to have a return to play form in order to properly monitor an athlete's recovery and ensure their safety on the field.
03
Healthcare professionals: Concussion return to play allows healthcare professionals to assess an athlete's readiness to return to physical activity after a concussion and provide appropriate guidance and follow-up care.
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Concussion return to play is a protocol that guides the process of an athlete's safe return to sports after experiencing a concussion.
Athletes who have experienced a concussion and wish to return to play are required to file a concussion return to play.
To fill out concussion return to play, athletes need to provide relevant medical information, details of the concussion incident, and follow any specific instructions provided by healthcare professionals.
The purpose of concussion return to play is to ensure the safety and well-being of athletes by gradually reintroducing them to sports activities after a concussion.
Information such as the athlete's medical history, details of the concussion incident, recovery progress, and clearance from healthcare professionals must be reported on concussion return to play.
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