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Concussion and Brain Injury Clinic

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Request an Appointment Screening - Post-Concussion

To confirm: The injury was more than two weeks ago.

NEXT QUESTION: Does the patient have ANY of the following symptoms?

· Is the patient confused, lethargic, or disoriented?

·  Does the patient have a severe headache?

·  Has the patient vomited more than once?

·  Is the patient deteriorating?

If the answer to ANY of those questions is YES, please do NOT use this form. These can be signs of a more serious brain injury, so please call 911 or go to an Emergency Room as soon as possible.

If the patient does NOT have any of the four symptoms listed above, please go on to the next screen.


Concussion Hotline

Expert help is just a
phone call away!


Whether your concussion was an hour ago or a year ago, we take your symptoms seriously. For expert assessment, call us or use our online form.
Request an AppointmentNeed a Second Opinion?