Medical history and physical exam clearance required for participation in LHSAA athletics.
- Completed by
- Examining physician, NP or PA
- Issued by
- Louisiana High School Athletic Association (LHSAA)
- Format
- Language
- English and Spanish
Louisiana LHSAA Return to Competition Form
LHSAA requires a written statement from a health care provider before an athlete returns to competition after a concussion or head injury, and an athlete found to have a concussion cannot continue practice or competition that day. This one-page form is that statement: the attending provider permits the athlete to return on a stated date in a stated sport.
Who completes it
The attending health care provider, a physician as defined in R.S. 37:1262(2), a licensed nurse practitioner or a licensed physician assistant, completes the form with a Louisiana medical license number and signs.
Submitting and payment
- How to submit it
- The completed form is kept by the school and by the health care provider; LHSAA does not keep the record.
- Who pays
- LHSAA sets no fee and does not say who pays for the provider's evaluation.
Good to know
- If a health care provider recommends that an athlete not continue, that recommendation may not be overruled.
- Athletes also need written clearance from their health care provider to complete the graduated return-to-play progression.
- The form must be completed in its entirety: athlete, school, sport, date of concussion, date to return, provider name and Louisiana license.
Get the official form
Download the current version from the source each time; forms change without notice.
LHSAA Return to Competition Form
Fill it with Vero
If your copy of the form is a fillable PDF, upload it once and Vero Documents fills it from the visit note and the chart, ready for you to review and sign. Download, print, or email the finished form, with the patient’s consent.
How this list is checked
A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.
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Frequently asked questions
Who can sign the LHSAA Return to Competition Form?
The attending health care provider, defined on the form as a physician under R.S. 37:1262(2), a licensed nurse practitioner or a licensed physician assistant. The provider enters a Louisiana medical license number, signs and dates the form.
Does LHSAA keep the Return to Competition Form?
No. The form should be maintained by the school and the health care provider, and LHSAA states it does not maintain this record. It must be completed in its entirety, including the date of concussion and the date the athlete may return.
Can a coach overrule a provider's decision to hold an athlete out?
No. LHSAA's rule quoted on the form says that if a health care provider recommends an athlete not continue, the provider shall not be overruled. A concussed athlete also cannot return to practice or competition the same day.