Get Consent Form Impact Baseline Concussion Testing(1) - Montgomeryschoolsmd

Filling out the Consent Form for ImPACT Baseline Concussion Testing is an essential step for student-athletes participating in interscholastic athletics. This guide provides clear, step-by-step instructions to help you complete the form confidently and correctly.

Follow the steps to complete the Consent Form online.

1. Click the ‘Get Form’ button to access the document and open it in the online editor.
2. Carefully read the introductory section that outlines the importance of baseline concussion testing and the role of ImPACT. It is crucial to understand your rights and responsibilities regarding this testing.
3. In the designated field, enter the student athlete's name. Ensure that the spelling is correct, as this information is important for identification.
4. Indicate the sport in which the student will participate by filling in the appropriate information in the sport section.
5. Obtain the required signatures. The student-athlete must sign and date the form, indicating their understanding and acceptance of the terms outlined.
6. Have a parent or guardian provide their signature and date on the form as well. This signifies their consent and acknowledgment of the information provided.
7. Fill in the name of the physician, their practice's name, and their phone number. This information is necessary for the school to share ImPACT results if needed.
8. Complete the student’s home address and provide contact numbers for the parent/guardian. Indicate the preferred contact number and the best time to reach them.
9. Once all fields are filled, review the entire form for accuracy. Make any necessary corrections before proceeding.
10. Finally, save the changes, and choose to download, print, or share the completed form as required.

Complete your Consent Form for ImPACT Baseline Concussion Testing online today.