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NCHSAA Concussion Return-To-Learn Recommendations

North Carolina's State Board of Education requires schools to follow a Return-To-Learn after Concussion policy. This NCHSAA form lets the licensed health care provider select educational accommodations for a student recovering from a concussion, from a shortened day and extra time to testing limits, screen-time limits and quiet settings, so cognitive demand increases gradually.

Who completes it

A licensed health care provider (MD, DO, athletic trainer, PA, NP, neuropsychologist or physical therapist) checks the recommended supports and fills in the hours, minutes and percentages. NCHSAA strongly encourages concussion-management expertise.

Submitting and payment

How to submit it
The completed recommendations are given to the student's school, and Form C refers to them when the student returns to school with accommodations.
Who pays
NCHSAA sets no fee and does not say who pays for the provider's time.

Good to know

  • Length-of-day options include a shortened day with a set number of hours, no more than 4 hours in class, or shortened classes with a maximum length.
  • Homework can be cut by a percentage, by minutes per class or to a nightly maximum, and classroom or standardized testing can be limited or deferred.
  • Vision and environment supports include screen-time caps, printed notes in 14-point font or larger, sunglasses or a hat, earplugs and alternate lunch, PE or music settings.
  • The provider can also bar practice attendance or allow the student to be present without participating for a set number of hours.

Get the official form

Download the current version from the source each time; forms change without notice.

Licensed Health Care Provider Return to Learn Recommendations

Official pagePDFVersión en español

Fill it with Vero

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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 fills out the NCHSAA Return-To-Learn Recommendations?

A licensed health care provider: physician, athletic trainer, physician assistant, nurse practitioner, neuropsychologist or physical therapist. The provider reviews the student's academic situation and checks the accommodations that may help, adding specific hours, minutes or percentages where the form asks.

How does the Return-To-Learn form relate to Form C?

On Form C, the provider can mark that the student may return to school on a given date with the accommodations selected on the Return-To-Learn form. The two are part of the same Gfeller-Waller set, revised June 2026, in English and Spanish.

What testing accommodations can be recommended?

No significant classroom or standardized testing, limited testing by number of questions or total time, tests without bubble sheets, extra time, no more than one test or quiz per day, or resumption of regular testing once the student is ready.