Request a Consultation

Would you like an OHIP-funded consultation with a medical doctor regarding your concussion?

  • Complete the following form if the patient is 18 or older and interested in consultation with our program.
  • Upon receipt of your request, we will send you by email a link to your intake questionnaires within 72 hours.
  • After a review of your submitted intake questionnaires, we will advise you of the next step.
  • Please be sure to check your spam folder occasionally to ensure you do not miss our correspondence
  • Please note that intake assessments must be done in-person in order to participate in virtual care afterwards.