A 24 Hour notice is required for transfer requests. Transfer requests will be completed within 24 hours Monday through Friday
In order to transfer an ImPACT™ Baseline Test to another Provider, you must meet one of the following Criteria:
• An Adult (greater than 18 years of age) • A Parent or Legal Guardian of a minor child • A Medical Professional or Clinician that will be managing the concussion for the patient for whom the transfer is requested
To request the ImPACT™ Baseline Transfer, please click on the link below and include the following information in the body of the email:
• Name of Patient • Date of Birth of Patient • Your name and relationship to Patient (ie. Father, Mother, Self, Treating Physician) • Organization to which you would like the ImPACT™ Baseline Test transferred.
All logos and names are the copyrights of the respective owners. Links to organizations found at this site are provided solely as a service to our users. These links do not constitute an endorsement of these organizations or their programs by the Wisconsin Sports Concussion Collaboration, WIsportsconcussion.org or ThedaCare, Inc. and none should be inferred. Wisconsin Sports Concussion Collaboration, WIsportsconcussion.org or ThedaCare, Inc. are not responsible for the content of the individual organization Web pages found at these links.