ImPACT Baseline Test

ImPACT is a tool used in concussion management. An important component of ImPACT is the baseline test. Should you suffer a head injury, this baseline will be used in conjunction with medical care to determine the extent, if any, of injury to your brain. Carefully read and follow all instructions prior to each test module.

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Read more about Head Injuries: (PDF format)
Article 1 - Concussion
Article 2 - Concussion Management
Article 3 - Concussion Management (Take a Knee – Save a Life)
Article 4 - Head Injuries
Articles 5-6 - Second Impact Syndrome Articles

The test is $10.00 paid thru PayPal. You do NOT have to have a PayPal account to use the trusted PayPal payment gateway.

Please fill out the following information and you will be directed to PayPal to make your payment. After the payment is made, PayPal will provide a LINK to the test to be given online.

3 Steps: 1) Fill out this form. 2) Pay at PayPal. 3) Link to website and password will be provided to you on PayPal's payment page.

Name (Parent/Caregiver) *
Name of Person Taking the Test *
Phone (with area code) *
Email *