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Get the free Early Response Concussion Service Referral Form - Brainstreams.ca

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Revised Apr-2014. Early Response Concussion Service Referral Form. 4255 Laurel Street. Phone: 604-714-4186. Vancouver, BC V5Z 2G9. Fax: 604-730- 7904.
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Early response concussion service is a program designed to provide immediate medical attention and support to individuals who have suffered a concussion.
Anyone who has experienced a concussion and is seeking medical assistance is required to file an early response concussion service.
To fill out an early response concussion service, individuals must provide information about their concussion symptoms, medical history, and any other relevant details.
The purpose of early response concussion service is to ensure that individuals receive prompt and appropriate medical care following a concussion in order to prevent further complications.
Information that must be reported on early response concussion service includes the date and time of the injury, symptoms experienced, any prior medical conditions, and contact information.
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