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About the SCAT6

What the SCAT6 is — and what a digital concussion baseline looks like.

An independent explainer for athletic trainers, parents, and clinicians. The SCAT6 is the gold-standard paper assessment published by the Concussion in Sport Group. HQ Baseline is a separate commercial product for digital concussion baselines. Here's what each one is for.

What is the SCAT6?

The current gold standard for paper-based sport concussion assessment.

The Sport Concussion Assessment Tool 6 (SCAT6) is the 2023 update of the most widely used standardized concussion assessment in sport. Published by the Concussion in Sport Group (CISG) as part of the international consensus statement, it is designed for athletes ages 13 and older (the Child SCAT6 covers ages 5–12) and is used in two ways: as a baseline before the season, and as a comparison test if a concussion is suspected.

A baseline matters because “normal” performance varies between athletes. A post-injury reaction time in the 50th percentile may look fine — until you learn the athlete’s personal baseline sat in the 95th. Without a baseline, clinicians are comparing to a population. With one, they’re comparing to that specific brain.

The SCAT6 itself is free to download from the British Journal of Sports Medicine. What’s hard isn’t the form — it’s running structured assessments on 200 athletes a season, collecting objective scores, storing them somewhere searchable, and pulling the right record up at the exact moment an athlete hits the turf. Digital baseline products address that operational problem with a different toolset.

HQ Baseline at a glance

How HQ Baseline approaches the concussion-baseline problem.

HQ Baseline is not the SCAT6. It is a separate commercial product built to give athletic trainers and clinicians pre-injury data on an athlete — collected on the athlete’s own phone, scored by voice recognition and motion sensors, and stored in a searchable dashboard. Here’s what it includes.

  • Symptom evaluation

    On-screen symptom rating with clear Likert scales and subtype-aware follow-ups.

  • Cognitive testing

    Orientation, immediate memory, concentration, and delayed recall — voice-scored on the athlete's own phone.

  • Balance testing

    Double-leg, single-leg, and tandem stances scored by the phone's accelerometer and gyroscope.

  • Tandem gait

    Three-meter heel-to-toe walk timed by motion sensors — no stopwatch, no proctor.

  • Neurological screen

    Oculomotor and coordination items prompted with clear self-guided instructions.

  • Decision support

    Post-injury vs. baseline comparison with subtype radar, not a single composite number.

For a step-by-step walkthrough of the modules, see the how it works page. For published research on digital concussion baselines, see the research page.

Frequently asked questions

What is the SCAT6?
The Sport Concussion Assessment Tool 6 (SCAT6) is a paper-based standardized concussion assessment published by the Concussion in Sport Group (CISG) as part of their 2023 international consensus statement. It is freely downloadable and is the most widely used sport concussion evaluation tool in the world. It is intended for use by qualified healthcare professionals.
Is HQ Baseline the SCAT6?
No. HQ Baseline is not the SCAT6 and is not affiliated with, endorsed by, or certified by the Concussion in Sport Group. HQ Baseline is a separate digital concussion baseline product built by Headquarters Health. The SCAT6 is a paper assessment owned by the CISG; HQ Baseline is a commercial software product that tackles the same clinical problem — giving a clinician pre-injury data to compare against after a suspected concussion — using mobile voice and motion sensors.
Who publishes the SCAT6?
The SCAT6 is published by the Concussion in Sport Group (CISG) and released through the British Journal of Sports Medicine. The form and the accompanying 2023 consensus statement are available open-access from BJSM.
Who can administer the SCAT6?
The SCAT6 is intended for qualified healthcare professionals. HQ Baseline takes a different operating model: athletes complete a structured battery on their own phone, and a clinician reviews the objective scores afterward on a dashboard. The clinician remains the decision-maker either way.
Is the SCAT6 free?
Yes. The SCAT6 form is free to download. Running it at scale — reading paper forms from hundreds of athletes, entering scores, and pulling the right record on game day — is where programs struggle. Digital baseline products like HQ Baseline are commercial tools that address that operational problem.
Where can I read the SCAT6 consensus statement?
The 2023 CISG consensus statement and the SCAT6 form are published open-access through the British Journal of Sports Medicine. See our resource hub for plain-English explainers.

See what a digital concussion baseline looks like on a real phone.