Request a Concussion Care Appointment

Thank you for your interest in Midwest Orthopedic Sports Medicine Concussion Care Network. To request an appointment, please fill out and submit the form below. One of our team members will be in touch with you by phone within 1-2 business days to confirm your appointment and collect any additional information we may need.

If you or a loved one have experienced a concussion and are having severe symptoms, please go to your nearest Emergency Department immediately for evaluation.

Thank you!

  • About You

  • Reason for Appointment

  • Select a Location