ImPACT® Completion Confirmation Name: Tyson Motes Date of Birth: Sep 28, 2006 Test Type: Baseline Test Date and Time: Oct 21, 2021 11:14:43 am CDT Confirmation ID: H_FFE13FE653494D3B907566E69867CCE A475E6A2E815349F3894E0BF113858014 Your Passport ID: 3SSE-7NHH-9KSQ 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.