Get Military Mace

The Military Acute Concussion Evaluation (MACE) is a critical tool for assessing individuals who may have experienced a concussion. This guide will provide step-by-step instructions to help you fill out the MACE form online accurately and efficiently.

Follow the steps to complete the MACE form online

1. Click ‘Get Form’ button to obtain the Military Mace form and open it in your preferred editing tool.
2. Begin by filling in the Patient Name, Social Security Number, Unit, Date of Injury, Time of Injury, Examiner's Name, Date of Evaluation, and Time of Evaluation. Ensure all entries are clear and accurate.
3. In the History section, provide a comprehensive description of the incident leading to the suspected concussion. Address the questions regarding memory, dazing, confusion, and whether the individual hit their head.
4. Circle all applicable causes of injury in the next section. Pay close attention to properly indicate the nature of the incident.
5. Specify whether a helmet was worn during the incident and detail the type if applicable.
6. Evaluate and document any periods of amnesia before and after the injury. Indicate how long the person was unable to register continuous memory.
7. Determine if the individual experienced any loss of consciousness and the duration of this loss, both self-reported and observed, and record the details.
8. In the Symptoms section, circle all symptoms reported by the individual since the injury occurred.
9. Proceed to the Examination section and complete the Orientation, Immediate Memory, and Concentration assessments as outlined in the instructions, scoring each section accordingly.
10. Calculate the total score from the evaluations and document it on the form.
11. Select the appropriate diagnosis based on the evaluation outcomes, circling the relevant ICD-9 code.
12. Review the completed form for accuracy. Once satisfied, save your changes, download, print, or share the completed Military Mace form as needed.

Complete the Military Mace evaluation form online to ensure accurate assessment and documentation.