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Lewis S. Mills Athletics CONSENT FOR COGNITIVE TESTING and RELEASE OF INFORMATION Dear Parent/Guardian management of head injuries. If you object to your child participating in this program we ask that you please sign and return the opt-out form below to the Athletic Department. Sincerely David Francalangia Director of Athletics at Lewis Mills High School I give my permission for name of child Child s Date of Birth To have pre- and post-concussion ImPACT Immediate Post-concussion...
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