Head Injury Tracker (HIT) Project School Application Form
School Name
Your answer
School Address
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Contact Person
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Title
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Email
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Contact Phone Number
Your answer
Is Your School Public or Private
Does your school use ImPACT™ or another neurocognitive testing software? (If not ImPACT™, please specify which one and for how long?):
Your answer
What Staff Resources Does Your School Currently Provide?
What IT Equipment Does Your School Have?
Approximately how many student athletes are in your program:
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Who will be entering the HIT data at school?
Your answer
Please use the space below to share any comments or concerns.
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Disclaimer
The Concussion Institute at Colby College (CIC) seeks to promote a shared commitment to best practices regarding concussion treatment and return to play (RTP) guidelines. The CIC’s information, and guidelines are not intended as a standard of care and should not be interpreted as such. Information from CIC is only a guide and is of a general nature consistent with the reasonable practice of a healthcare professional. Individual treatment will depend on the facts and circumstances specific to each individual case and remain the sole responsibility of the health care provider(s). CIC supports the perspective on RTP decisions and patient care responsibility set forth in what is commonly referred to as the Zurich Report, November 2013, which is available in its entirety on our website.

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