Cottage Concussion Clinic

Cottage Concussion Clinic


To schedule an appointment with Rebecca Pifer, NP at the Cottage Concussion Clinic, please call 805-879-4240.

The Cottage Concussion Clinic is the region’s referral center and safety-net provider for concussion or mild traumatic brain injury (mTBI) management for the youth in Santa Barbara, Ventura and San Luis Obispo counties.

The clinic provides comprehensive services that include diagnosis and individualized treatment plans for concussions. We create an academic plan to help get the student back into the school environment while they recover. Once the child has fully recovered and completes a graded return to play protocol, the clinic provides formal sports clearance along with future sport recommendations.

Baseline Testing

Baseline concussion testing is a preventative measure and promotes health optimization prior to the start of a sport season. Baseline testing includes information about the athlete's history, graded symptom checklists, detailed neurologic exam, vestibular-ocular motor screening, cognitive function and balance testing.

In the event of a concussion, the data not only helps identify a concussion, but presents an individual’s normative values to guide recovery. The data obtained supports medical professionals by providing a more individualized approach to concussion management while planning for return to school and safe return to play protocols, or an effective rehabilitation program.

The clinics experts are also available to educate students, teams, young athletes and their families to increase concussion awareness.

Cottage Concussion Clinic Staff

The clinic was founded by Stephen Kaminski, MD, the medical director of trauma services at Santa Barbara Cottage Hospital and is operated by Rebecca Pifer, ACNP-BC, MSN, BSN, RN, RN- FA, highly trained and experienced in treating concussions.

Referrals placed as needed may include our Pediatric Neurologist Dr. Genevieve Cruz as well as Orthopedics, Physical therapy, Occupational therapy, Speech Therapy, Ophthalmology, Neuropsychologist and Behavioral Health..

Concussion Fast Facts

  • An estimated 3.8 million concussions occur in the U.S. every year among the 40 million children participating in organized sports
  • It’s estimated that 50% of concussions go unreported
  • 30% of concussions occur between ages 5-19
  • A history of one concussion is associated with a higher risk for subsequent concussion
  • The leading cause of sports concussion is football for males and soccer for females

What is a Concussion?

Concussion Clinic - Heads Up - Eye Exam

Learn about what a concussion is and how they are caused.

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Signs & Symptoms

Concussion Clinic - Heads Up - Signs and Symptoms

Read about the warning signs and symptoms of a concussion.

Signs & Symptoms


Child smiling and wearing a safety helmet

Create a safe environment and encourage safe practices.

Prevention TIps

State Law and Athletic Guidelines

Every state has created laws on concussions, recognizing the seriousness of these injuries. These laws are created to protect our youth from the lifelong consequences or life threatening effects of returning to physical activity too soon.

California state laws mandate that minimum concussion standards must be followed by all public or private schools:

  • An athlete who is suspected of sustaining a concussion or head injury shall be immediately removed from the athletic activity for the remainder of the day
  • The athlete shall not be permitted to return to the athletic activity until receiving written clearance from a licensed health care provider who is trained in the management of concussion
  • If the licensed health care provider determines that the athlete sustained a concussion or a head injury, the athlete shall also complete a graduated return-to-play protocol of no less than seven days in duration under the supervision of a licensed health care provider

AB-2007 Youth Athletics: Youth Sports Organizations: Concussions or Other Head Injuries

AB-2127 Interscholastic Sports: Full-Contact Football practices: Concussions and Head Injuries

In addition, California Interscholastic Federation (CIF) the governing body for athletic programs for all high schools in the state has adopted similar guidelines and recognizes all medical professionals defined as MD, DO, NP and PA who special in concussion management to provide diagnosis and clearance of a concussion (see CIF bylaws 503 H)

Cottage Location

Cottage Concussion Clinic Provider

Rebecca Pifer, ACNP-BC, MSN, BSN, RN, RN- FA

Rebecca Pifer, ACNP-BC, MSN, BSN, RN, RN- FA

Pediatric Neurologist Referral as Needed:

Dr. Genevieve Cruz, MD

Genevieve Cruz, MD

Cottage Concussion Clinic Resources

Pictures of athletic competitions

Download and print Cottage Concussion Clinic resources below.

Signs & Symptoms

What You Need to Know

Watch and Learn

Concussion YouTube Video - Dr. Stephen KaminskiSports Related Brain Injury and Concussion - Stephen Kaminski, MD, the Medical Director of Trauma Services at Santa Barbara Cottage Hospital discusses sports related brain injuries and what is being done to treat concussions.

Watch Video

Safe Kids Santa Barbara County

Safe Kids Santa Barbara County

Cottage Health is proud to be a coalition of Safe Kids World Wide. Our local coalition, known as Safe Kids Santa Barbara County, shares the mission of keeping ALL children safe from preventable injuries.

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