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  • Concussion Reporting Form

    The USA Hockey/WAHA Concussion Management Protocol and the state statutes require that an athlete be removed from any training, practice or game if they exhibit any signs, symptoms or behaviors consistent with a concussion or are suspected of sustaining a concussion. The player should not return to physical activity until he or she has been evaluated by a qualified medical provider who has provided written clearance to return to sports. Once you hit the Submit button, you will be directed automatically to the USA Hockey Return To Play form. Print it out and have it completely filled out once the player has been cleared and send it to the WAHA Player Safety Coordinator. It is important to know all about concussions and the effects they may have on youth athletes. Once a person suffers a concussion, they are more susceptible to suffering more, especially youth athletes. It is very important that a concussed athlete follow all proper steps and be fully recovered before they return to full participation in athletic activities.
  • Purpose

    This form is used after an athlete has been removed from athletic activity due to a concussion or suspected concussion to report data to the WAHA Player Safety Coordinator for use in the USA Hockey Player Safety Initiative and for the WAHA Player Safety Coordinator to follow-up with the Association to ensure that all USA Hockey/WAHA Concussion protocols are being followed.
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