Per the Massachusetts Chapter of the American Academy of Pediatrics, all children and adolescents who test positive for COVID-19 should notify their pediatrician and the infection should be documented in their medical record. For a child or adolescent who is SARS-CoV-2–positive, even if the case is considered asymptomatic or mildly symptomatic, assessment by primary care physician (phone, telemedicine, or in-person consultation) is required so appropriate guidance can be given to the family and school. Based on the severity of symptoms of the case, the MCAAP has published Return to play after COVID-19 infection algorithm (see PDF) to guide pediatric patients through the protocol of returning to participation. This form (see "COVID-19 Return to Play Form" below) is required before returning to extracurricular athletics and should be submitted to the nurse and athletic trainer.

After a student has been diagnosed with COVID-19, they must be cleared for progression back to physical activity by an approved health care provider* (MD/DO/PA-C/NP). The student cannot begin the return to play process prior to receiving medical clearance.

*: Approved health care providers include, but are not limited to, a member of the student's Pediatric Health Care Provider Team, a Primary Care Provider-referred Cardiologist, the physician who has completed the student's pre-participation physical, or an appropriate provider approved by the nursing staff/COVID team leader. Unless otherwise specified, a health care provider from an Urgent Care, Emergency Department, or inappropriate specialty should not be completing this form.