Concussion Training Medical Clearance Form

The Concussion Training Medical Clearance Form allows doctors to demonstrate their understanding of concussion. It also outlines the important factors for ‘signing off” a player to return to sport.

Signing off a player should only occur when:

  • the patient is free of symptoms, and
  • after return to normal activity, school or work.

The Concussion Training Medical Clearance Form is available online.  A copy can be printed to take back to the team or school. The form also retained in the Cloud (by Concussion Training) as a record.

concussion-training-medical-clearance-form

Form Highlights

The key highlights of the form – and clearance process – are that the Doctor understands and documents:

  • When the concussion occurred
  • Required rest period for the sport concerned
  • That the patient is free of symptoms at rest and with activity
  • That no medication for concussion is being taken
  • Whether Baseline Tests have returned to normal (where applicable)
  • A Return to Play programme has been undertaken and completed

To go to the Concussion Training Medical Clearance Form please click the button below.

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