Try for free

UIL Concussion Return to Play Form (Texas)

Texas Education Code Chapter 38 (Natasha's Law) requires a student to complete the return-to-play protocol set by the district's Concussion Oversight Team before returning after a concussion. UIL's one-page form documents that return: a designated school official verifies the treating physician's evaluation, the completed protocol and the physician's written statement, and the parent signs consent.

Who completes it

The treating physician does not sign this form; they provide a written statement that, in their professional judgment, it is safe for the student to return to play. A designated school official signs the verification section, and a parent or other person with legal authority signs the certifications.

Submitting and payment

How to submit it
The completed form goes to the athletic trainer or other person (not a coach) responsible for compliance with the protocol set by the district's Concussion Oversight Team.
Who pays
UIL sets no fee and the form does not say who pays for the physician's evaluation or statement.

Good to know

  • The treating physician is selected by the student, the parent or another person with legal authority to make medical decisions for the student.
  • The parent consents to disclosure of the physician's written statement and any return-to-play recommendations to appropriate persons, consistent with HIPAA.
  • The form cites Section 38.157(c) of the Texas Education Code for submission and Section 38.159 for the immunity provisions the parent acknowledges.
  • UIL also posts a separate Concussion Acknowledgement Form, available in English and Spanish, on its athletics forms page.

Get the official form

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

Return to Play Form - Concussion Management Protocol

Official pagePDF

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.

See how Vero Documents works

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.

Vero is not affiliated with, or endorsed by, the agencies and insurers listed here. Read our editorial policy.

Frequently asked questions

Does the doctor sign the UIL return to play form?

No. The form is signed by a designated school official and by the parent or other person with legal authority. The official verifies that the school received a written statement from the treating physician saying it is safe for the student to return to play.

What must the physician's written statement say?

Per the form, the statement indicates that, in the treating physician's professional judgment, it is safe for the student to return to play. The school separately verifies that the student completed the return-to-play protocol set by the district's Concussion Oversight Team.

Who receives the UIL return to play form?

The athletic trainer or other person, who cannot be a coach, responsible for compliance with the return-to-play protocol, as determined by the superintendent or designee under Section 38.157(c) of the Texas Education Code.