Enrollment Forms & Information

If you would like to enroll your school in our program, please click on the link below titled “MCMC School Enrollment Form”.  This form must be completed in its entirety.

If you are an existing ImPACT™ customer, then fill out the ImPACT™ Data Transfer Request Form.

 

MCMC School Enrollment Form

MCMC Expectation Form (Download and save as an Adobe Acrobat document to your computer to open and edit)

ImPACT Data Transfer Request Form (Download and save as an Adobe Acrobat document to your computer to open and edit)

 

MCMC Information Sheet

Diane Sartanowicz MS, ATC, LAT

Director-Massachusetts Concussion Management Coalition
Boston Children’s Hospital   20 Hope Avenue, Suite G01
Waltham, MA  02453   781-216-3083

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