Welcome to the Anaheim Ducks High School Hockey League Baseline Concussion Testing and Protocol Page. All ADHSHL participants MUST follow these instructions for ImPact Baseline Concussion testing and return-to-activity after a concussion:
1) PRINT - ImPACT Testing Worksheet and Consent Form - Complete and Sign
2) SCHEDULE - ImPACT Baseline Concussion Test
To sit for the testing you MUST bring the completed IMPACT Testing Worksheet on the scheduled day of testing.
Pacific District Statement of Concussion Protocol
Statement of Protocol: When concussive activity is suspected, an athlete will be removed from participation until he/she can be evaluated by a medical professional trained in the diagnosis and treatment of concussions, then cleared to safely return to participation.
The Pacific District Concussion Protocol includes the additional terms and conditions:
When a concussion occurs, it MUST be reported within 48 hours to the ADHSHL Concussion Testing & Management Program at firstname.lastname@example.org
Any athlete held out for a concussion evaluation or who has been diagnosed with a concussion MUST provide a written Return To Play form from a qualified medical provider allowing them to return to any training, practice, or game activity with no restrictions. The parent and coach both must sign the form acknowledging they received it.
The form can be printed and filled out, and then must be signed by a qualified medical provider. The parent and coach must then sign the form. The form should be kept with the team coach or manager.
A copy with all signatures must also be submitted to the ADHSHL prior to any training, practice or game activity at: email@example.com