The providers at Ramos Center are trained, qualified, and regulated to manage specific post-concussion symptoms and, in order for all potential post-concussion symptoms to be effectively and appropriately managed within legislated scopes of practice, may need to refer to other professionals. Only the diagnosing healthcare professionals can make a concussion diagnosis. A full diagnosis involves an evaluation of the cause of the injury, current symptom presentation, potential risk factors that may have a negative impact on recovery, and clinical history. In order to address any medical issues and conditions related to or concurrent with a concussion, a medical assessment must first be made by a physician and/or nurse practitioner. They will take any necessary actions and, when needed, make referrals for medical management and treatment. After consulting with other treating professionals involved in the care of the specific patient, final clearance decisions regarding return to activity, including school, work and sports, can only be made by a physician or a nurse practitioner. In addition to regulated healthcare professionals, non-regulated professionals or paraprofessionals can also provide care for persons after concussion. There are many community-based organizations that should be considered in addition to professionally provided treatment and management from regulated health care professionals and provide both beneficial information and peer support back and forth due to an external force such as a bump, blow or jolt. Symptoms of concussions can last for weeks, and if not treated properly, can lead to other health complications.