Concussion Services Referral

Are you ready to start your journey with Brain Care Centre?

In order to access our Concussion Services, you must have a referral from a medical professional.

A properly completed referral needs:

  1. A completed Referral for Concussion Services Program form filled out by a healthcare professional. We do not accept self-referrals for the concussion program.
  2. Accompanying medical documentation verifying the diagnosis of concussion (e.g. discharge summary, neuropsychological assessment, MRI/CT report).
    ** Individuals must be at least 3 months and less than 5 years post-injury to be eligible for concussion service.

If you do not have medical documentation of the injury, please indicate on the form and send in your referral form without it. Brain Care Centre will work with you to obtain the documentation.

If you need more information, call us: 780-477-7575

Referrals in Edmonton can be sent to Brain Care Centre in the following ways:

  • Email:
  • Mail attention: Suite#305, Hys Centre 11010-101 Street, Edmonton, AB, T5H 4B9
  • Fax: 780-474- 4415 Attn: New Referral

Referrals in Edson/Hinton can be sent to Brain Care Centre in the following ways: