Complete the form below to request a sports concussion rehabilitation visit with one of our Sports Rehabilitation physical therapists. You will be contacted by our staff to schedule the appointment. If you have not previously been a patient within the UW Health system, you may also be contacted by registration to create your electronic health record.
Please do not submit urgent questions about your medical care through this website. If you are experiencing a life- or limb-threatening emergency, call 911. If your need is urgent, call your clinic for assistance.
First Name *
Last Name *
Phone Number *
(Please include area code)
Best Time to Call *
e-mail Address *
Reason For Consultation *
Evaluation of concussion that occurred while participating in sport
Evaluation of injury that is preventing return to sport
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