This form is required to be completed by a physician to be fully cleared to play.
To be completed after symptom free of concussion symptoms.
If any of these red flags are seen, it is highly recommended that the student-athlete is to be taken
to the emergency room immediately.
- Loss of Consciousness
- Seizures
- Excessive Vomiting
- Severe Neck Pain
- Numbness or Tingling in Extremities
Signs and Symptoms
(anything more than NORMAL)