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Return to Sports Instructions

Medically reviewed by Drugs.com. Last updated on Jan 5, 2023.

Your child may need to give his or her school or coach a return to sports form after an illness, injury, or procedure. Ask your child's healthcare provider to fill out this release. Make copies of the form. Keep one copy and give another copy of the completed form to your child's school or coach.

Date of illness, injury, or procedure:

Do not let your child return to sports until his or her healthcare provider says it is okay.
  • May return to sports with the following restrictions:
  • May return to sports with NO restrictions on:
  • Follow-up visit information:

Healthcare provider's signature:

Date signed:

Date of last medical evaluation (if different than above):

Medical healthcare provider's name and information (please print):

Care Agreement

You have the right to help plan your child's care. Learn about your child's health condition and how it may be treated. Discuss treatment options with your child's healthcare providers to decide what care you want for your child. The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.