Have questions about including ImPACT® and/or Cognitive Impairment Screener (CIS)™ in your senior living facility or home health agency? Please fill out the form below and we'll be in touch. Senior Living Contact Us Name* First* Last* Title* Organization* Untitled-- Select a State --AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificEmail* MessageCAPTCHA Product & Training Support support@impacttest.com 877-646-7991 Ext. 3 7am to 7pm CST / CDT