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Click ‘Get Form’ to open it in the editor.
Begin by entering the patient’s name and date at the top of the form. This personalizes the document and ensures clarity.
In the permission section, fill in your name and provide a signature to authorize communication between your physician and the school.
Complete the physician's name and contact information, ensuring that all details are accurate for effective communication.
Specify the reevaluation timeline for recommendations, allowing for adjustments based on recovery progress.
Review each area of requested modifications carefully. Check boxes next to accommodations that apply, such as attendance flexibility or breaks during class.
For academic adjustments, detail any specific needs under each category like visual stimulus or testing accommodations.
Once completed, save your changes and share the document with relevant parties directly from our platform for seamless distribution.

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What are the accommodations for concussions?

Early on in your return to work, you may need an accommodation for frequent rest breaks (e.g., a 10-minute break every hour). Other general accommodations include: Decreased workload or reduced job demands. Additional time to complete tasks.

How to help students with concussions?

Tips for class work for students with concussion Reduce workload to a level that is manageable for the student, including reduced homework and if necessary, a reduced course load. Allow the student to work to just beyond the threshold of provoking symptoms and then rest in a quiet area, recover and then return to class.

What accommodations are available for concussions in school?

Many students will need temporary academic supports and accommodations to help as they progress through the Return to Learn process. These can include: Environmental Supports: modified school attendance, frequent rest breaks from cognitive/thinking/desk work tasks, reduced screen time.

What is a 504 plan for a concussion?

A 504 plan will describe modifications and accommodations to help a student return to pre-concussion performance levels. For example, a student recovering from a concussion might receive environmental adaptations, temporary curriculum modifications, and behavioral strategies.

What are the school guidelines for concussion?

Focus on what the student does well and expand the curriculum to more challenging content as concussion symptoms subside. Adjust the students schedule as needed to avoid fatigue: shorten day, time most challenging classes with time when student is most alert, allow for rest breaks, reduced course load.