Get the free ImPACT Baseline Testing Consent Form

This document is a consent form for parents to authorize their child's participation in the ImPACT Baseline Testing program at Fairfield High School, aimed at evaluating brain function for safe concussion

How to fill out impact baseline testing consent

How to fill out ImPACT Baseline Testing Consent Form

1. Obtain the ImPACT Baseline Testing Consent Form from the relevant source, such as a school or sports organization.
2. Read the instructions carefully to understand the purpose of the form and the testing process.
3. Fill in the participant's personal information, including their name, age, and date of birth.
4. Provide details of the parent or guardian, if applicable, including name and contact information.
5. Review the consent section, which outlines the risks and benefits of the ImPACT testing.
6. Sign and date the consent form to indicate that you understand and agree to the testing process.
7. Return the completed form to the designated authority, ensuring it is submitted before the testing date.

Who needs ImPACT Baseline Testing Consent Form?

1. Athletes participating in contact sports who require a baseline assessment of cognitive function.
2. Schools and sports organizations that manage youth sports programs.
3. Parents or guardians of minor athletes who need to provide consent for testing.

For pdfFiller’s FAQs

What is ImPACT Baseline Testing Consent Form?

The ImPACT Baseline Testing Consent Form is a document that provides consent for an athlete to undergo baseline concussion testing using the ImPACT (Immediate Post-Concussion Assessment and Cognitive Testing) program.

Who is required to file ImPACT Baseline Testing Consent Form?

The form is typically required to be filed by athletes participating in sports, particularly at the high school and collegiate levels, as well as their guardians or parents to provide consent for those underage.

How to fill out ImPACT Baseline Testing Consent Form?

To fill out the form, individuals must provide personal information such as the athlete's name, date of birth, and contact details, along with signatures from the athlete and a parent or guardian, affirming their understanding and consent.

What is the purpose of ImPACT Baseline Testing Consent Form?

The purpose of the form is to ensure that athletes and their guardians are informed about the testing process, its importance in identifying concussive injuries, and to obtain legal consent for conducting the tests.

What information must be reported on ImPACT Baseline Testing Consent Form?

The form typically requires reporting of the athlete's personal details, emergency contact information, information regarding previous concussions, and consent signatures from the athlete and a parent or guardian.