Name:

Licensed Athletic Trainer

Phone:

Email: 

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Please Click:

MHSAA Physical Form

MHSAA Health and Safety Overview 

Concussion Fact Sheet for Parents

Concussion Fact Sheet for Student-Athletes

MHSAA Return to Play Activity Post Concussion Form

Sports Physicals

All student-athletes must have a sports physical performed by their physician after April 15 to be eligible to participate in athletics during the current school year. The physical form must be dated and signed by the doctor, parent, and student-athletes. We will accept the MHSAA physical form or your doctor’s sports physical form. The MHSAA physical form is available in our office as well as online on this page. Physical forms must be turned in to the main office. Coaches are not permitted to accept physical forms and students may not practice until the form has been turned in to the office. Please identify yourself as a Wayne-Westland student-athlete when making your appointment.

Informed Consent

By its nature, participation in interscholastic athletics includes risk of injury which may range in severity. Although serious injuries are not common in supervised school athletic programs, it is impossible to eliminate the risk. Participants have the responsibility to help reduce the chance of injury. Players must obey all safety rules, report all physical problems to their coaches, follow a proper conditioning program, and inspect their own equipment daily.

Insurance

Athletes are covered under their own home policies. The district does provide supplemental insurance to assist with costs from injuries that are incurred during practices or games that are not covered by a home policy.

ImPACT Testing

ImPACT (Immediate Post-Concussion Assessment and Cognitive Testing) is the most scientifically validated computerized neurocognitive test used by more than 7,400 high schools and 1,000 colleges and universities to help evaluate and manage suspected concussions. Since 2006, over 7.5 million individuals have taken the ImPACT test. ImPACT comes in two forms:

1. BaselineTest–Administered before the start of a sport season, school year, or other activity. Baseline scores are collected and stored on our HIPAA compliant server. ImPACT recommends re- administering the baseline test every two years.
2. Post-InjuryTest–Administered when a concussion is suspected. Test results are compared to baseline scores and/or normative data scores as part of a healthcare provider’s assessment of the injury. Multiple post-injury tests may be given to an individual during treatment and rehabilitation.

Here’s How ImPACT Works:
25-45 minute computerized, online test for ages 12-59 Delivered via a secure web portal
Taken via a desktop computer (PC and Mac compatible) that has an internet connection and a mouse

 Administered in the presence of a physician, nurse, athletic trainer, athletic director, or coach (only a licensed healthcare provider can administer an ImPACT post-injury test)
 Results interpreted by a licensed healthcare provider What does ImPACT measure? The test tracks a persons’ symptoms and measures multiple aspects of cognitive functioning, including