Kansas School Sports Head Injury Prevention Recommendations
This document provides guidelines and recommendations for compliance with the Kansas School Sports Head Injury Prevention Act. It includes protocols for handling concussions in school sports. The content is crucial for coaches, school athletes, and parents.
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Before filling out this form, make sure you have the required information and understand the concussion protocols. Follow the guidelines to ensure the safety and compliance of school athletes. Read carefully and provide accurate details.

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Who needs the Kansas School Sports Head Injury Prevention Recommendations?
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Coaches need this file to understand and implement concussion protocols.
2
School athletes require this file to be informed about head injury prevention.
3
Parents must have this file to ensure their children’s safety.
4
School administrators use this file to maintain compliance with state laws.
5
Health care providers need this document for reference when clearing athletes for play.
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What are the instructions for submitting this form?
To submit this form, ensure all sections are filled out accurately. Submit the completed form through email, fax, or online submission form, as applicable. Check with your school's administration for specific submission instructions.
What are the important dates for this form in 2024 and 2025?
The important dates for this form in 2024 and 2025 are the start of each school year. Ensure the form is completed and submitted before the commencement of any sports activities.

What is the purpose of this form?
The purpose of this form is to ensure compliance with the Kansas School Sports Head Injury Prevention Act. It provides guidelines for handling concussions and head injuries in school sports. The form helps in maintaining the safety and health of school athletes.

Tell me about this form and its components and fields line-by-line.

- 1. Athlete Information: Contains personal details about the student athlete.
- 2. Parent/Guardian Information: Details of the parent or guardian responsible for the athlete.
- 3. Health Care Provider: Information on the licensed health care provider evaluating the athlete.
- 4. Concussion Symptoms: A list of signs, symptoms, and behaviors consistent with a concussion.
- 5. Clearance Form: A section to be filled out by the health care provider granting clearance for the athlete to return to play.
What happens if I fail to submit this form?
Failure to submit this form can lead to serious consequences for the student athlete.
- Ineligibility: The student athlete may not be allowed to participate in sports activities.
- Increased Health Risks: Continuing to play without proper clearance may lead to severe health issues.
- Non-compliance: Schools may face penalties for not adhering to the state laws.
How do I know when to use this form?

- 1. Pre-season Submission: Ensure the form is filled out and submitted before the sports season begins.
- 2. Post-injury Assessment: Submit the form after any head injury to get clearance for the athlete to return to play.
- 3. Annual Requirement: Submit the form at the start of each school year.
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