CLF HelpLine Form

The CLF HelpLine provides personalized support to those struggling with the outcomes of brain injury, as well as their families. If you or a loved one have suffered a recent concussion, are struggling with lingering symptoms, or are concerned about CTE, we want to hear from you.

Fill out the form below and a dedicated member of the Concussion Legacy Foundation team will be in touch as soon as possible.

If you are experiencing a medical emergency or mental health crisis, please contact emergency services or the resources below for immediate support: 

If you are looking for accessibility assistance to complete a CLF HelpLine request, please email help@concussionfoundation.org.

Please scroll down to view our CLF HelpLine disclaimers, policies, and or click here for our FAQs.

 

Share a Request for Support

Contact Information
Please fill out your information. You will be the main point of contact for this HelpLine request. 
Use abbreviated state name (Ex. New York = NY)
Please ensure this email matches the one above.

If you select "Phone Call," please follow instructions to book a call at the link in your confirmation email upon submission. If you do not see an email, please check your junk inbox or check the spelling of your email. Phone appointments are available in the US and Canada.

Patient Information
This section asks about the patient and their history of brain trauma exposure. Complete this section to the best of your ability regarding your knowledge of the patient's history so CLF HelpLine case managers can respond with the best possible resources. Some responses are required to submit the form.
Child, Spouse, Friend, Client, etc.
Use abbreviated state name (Ex. New York = NY)

We ask for age because some medical providers have age requirements.

If the patient's service ENDED before 9/11/2001, select "Pre 9/11"

DISCLAIMER: The CLF HelpLine is not a crisis helpline, however we can direct you to crisis-related resources.














ie. number of years exposed to RHI
















Ex. Neurologist, Dr. XYZ
Ex. Lack of health insurance
Referral Information
We ask this because some alumni networks offer support and resources. This could be where you attended, graduated, work, or have another connection.
 
 

Contact Information

 

The CLF HelpLine is a resource to help you find the medical resources that you or a loved one need. It does not provide medical advice and is not a substitute for medical treatment.

The CLF HelpLine is not an emergency services resource. If you or a loved one is experiencing a medical emergency, you should contact 911.

The CLF HelpLine is only monitored during regular business hours, and our response time will vary depending on the number of responses we receive.

Your HelpLine request may be shared with medical professionals or members of the CLF community in the course of fulfilling your request.

Concussion Legacy Foundation
361 Newbury St, 5th floor
Boston, MA 02115

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