Maryland State Department Of Education Concussion Awareness Parent/student-Athlete Acknowledgement Statement Page 10
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12Team Members
Role(s)
Responsibilities
needed.
• Review any prior testing performed in the medical setting post-
injury and administer additional testing as needed.
• Assist in development of an Individualized Education Program
(IEP) if applicable.
• Suggest appropriate instructional accommodations and
modifications for student if applicable.
• Provide speech and/or language services if applicable and
monitor student progress.
• Assist in promoting awareness of TBI/concussion symptoms.
• Ensure concussion materials are provided to coaches, athletes,
Athletic Director
Provides leadership and
supervision of the
and parents.
• Provide concussion materials to coaches, athletes, and parents.
interscholastic athletic
• Ensure athletes and parents have signed forms acknowledging
program.
receipt of concussion information.
• Ensure all coaches have completed annually a recognized
concussion training course.
• Collect all Student Accident/Concussion forms from coaches.
• Provide a copy of the Student Accident/Concussion form to the
principal or designee.
• Provide a copy of the Student Accident/Concussion form to the
school nurse.
• When athlete returns, collect the signed Return to Play clearance
from the coach.
• Provide a copy of the Return to Play clearance form to principal.
• Provide a copy of the Return to Play clearance form to school
nurse.
• Educate students and staff in concussion management and
Certified Athletic Trainer
Under the supervision of a
qualified physician can
prevention.
• Oversee student athletes taking baseline validated standardized
assist the medical director
and coach by identifying a
computerized tests if permitted by district policy.
student with a potential
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