Return to Play form available HERE

The Graduated Return to Play may ONLY begin once

1.  the player is sign and symptom free AND

2.  the Return to Play form has been filled out completely and signed by the Concussion Management Partner (or qualified provider) AND

3.  the two-week mandatory rest period has passed

 

While at the healthcare provider:

• Ensure that the section of the Return to Play form indicating that the ImPACT scores are within normal range has been completed and signed by the provider
• Ensure that the graduated return to play section of the Return to Play form has been completed by the provider
• Confirm that the provider will fax a copy of the completed form to Rugby Oregon.
• Keep a copy of the completed form for your records.

 

A graduated return to play plan will be developed and managed by the coach and/or the healthcare provider. The coach will watch for recurrence of any signs or symptoms of the concussion during the graduated increase in physical activity. Once the graduated return to play plan is complete without any symptoms, the coach will notify Rugby Oregon and the player will be reinstated to the roster.