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Dr. Robert C. Cantu Concussion Center Emerson Hospital 310 Baker Ave. Concord MA 01742 Phone 978 287-8250 Fax 978 287-8202 PATIENTS 22 YEARS OLD AND OLDER NEUROLOGICAL / CONCUSSION HISTORY Chief Complaint Date of Injury How was the Injury sustained Referring MD Previous Neurological Exams History of Present Illness Check if you have or have had any of the following Any falls in the past 6 months If so when Have you ever been diagnosed with a concussion Yes No Have you ever lost consciousness...
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What is cantu concussion center?
The Cantu Concussion Center is a research and clinical center focused on studying and treating concussions.
Who is required to file cantu concussion center?
Medical professionals, sports organizations, and researchers may be required to file information with the Cantu Concussion Center.
How to fill out cantu concussion center?
You can fill out the Cantu Concussion Center forms online or by submitting a physical copy with the required information.
What is the purpose of cantu concussion center?
The purpose of the Cantu Concussion Center is to gather data on concussions, advance research in the field, and improve treatment methods.
What information must be reported on cantu concussion center?
Information such as patient demographics, injury details, and recovery progress may need to be reported on the Cantu Concussion Center forms.
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