Concussion / Head Injury Forms

Dracut Public Schools
Concussion / Head Injury Forms

Report of Head Injury Form

Concussion Evaluation Care Plan

Review of Concussion Evaluation Care Plan 

Medical Clearance Form 

* All paperwork MUST be completed for all students diagnosed with a concussion *

Medical Clearance form MUST be completed for student to return to full activity
including ALL sports and physical education class.

Concussion Information for Parents