ImPACT® Completion Confirmation

Name: Honor Meunier

Date of Birth: Jan 7, 2004
Test Type: Baseline
Test Date and Time: Nov 28, 2018 04:56:38 pm EST
Confirmation ID: H_7B8DD0967A8444119CBB0F01C737699
E9F52067EA9564F9DBF686B05EDEC8DEA

Your Passport ID: QULM-JPHK-YGEG

NEXT STEPS

Download the free ImPACT Passport® app.

Use the app to safely store your unique ImPACT Passport
ID, as well as record symptoms, get concussion
education, and find local care providers who specialize
in concussion care.

Save your ImPACT Passport ID.

You need this unique code to grant your healthcare
provider access to your clinical reports* when needed.

*Due to the clinical nature of ImPACT, only a trained care provider can view your scores. They can access your
clinical report by using your unique ImPACT Passport ID.