MEDICAL RETURN TO ATHLETIC PARTICIPATION FORM.docx - vashonislandathletics 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the student's name in the designated field at the top of the form.
3. Next, specify the sport or activity where the injury occurred. This helps provide context for the medical evaluation.
4. Fill in the date of the injury to document when the incident took place.
5. In the Medical Provider Release section, enter the date of medical evaluation to indicate when clearance was assessed.
6. The medical provider must authorize and clear the student for return-to-play. Ensure they fill in their signature and printed name, along with their office address and telephone number.
7. If applicable, include any additional notes regarding the athlete's condition or recommendations from the medical provider.
8. Finally, review all entries for accuracy before saving or exporting your completed form for submission to Vashon Island High School.

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