ImPACT® Completion Confirmation

Name: Morgan Shein

Date of Birth: Nov 8, 2007
Test Type: Baseline
Test Date and Time: Dec 6, 2023 02:22:07 pm EST
Confirmation ID: H_D0934CB5263B42D6864C8580FD98ED
1E85E39B459A4641B6A2CAF4DBB74C0C
D9

Your Passport ID: H95K-UMDS-55U2

NEXT STEPS

Download the free ImPACT Passport® app.

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

Save your ImPACT Passport ID.

Scan the QR code above with the ImPACT Passport app,
available in the Apple App Store or Google Play Store, to
record your ImPACT Passport ID and be able 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.