Referral Form
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Thank you for referring this patient to BrainCussion for an evaluation.  We will contact the patient to discuss the treatment options as soon as possible.
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BrainCussion is a registered trademark for BrainCussion, LLC.  Copyright 2022.  All rights reserved.  BrainCussion does not prescribe any testing, does not perform any medical testing, does not interpret any testing, does not render any diagnosis, nor does BrainCussion recommend or render any diagnosis or treatment to any patient at any time. All scope of work performed by BrainCussion is conducted solely in Georgia.  National Telehealth services are provided by braincussion telehealth, LLC, in partnership with ImPact Applications, Inc., the leader in providing reliable concussion tools, training, and resources to thousands of health care providers and professional and amateur athletic organizations around the world.