Office Concussion Assessment: Free Digital SCOAT6
The first standardised office follow-up tool for sport-related concussion, digitised with CISG approval. Automated scoring. Guided workflows. Instant PDF reports.
CISG Approved
Guided Workflow
Automated Scoring
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Free Online SCOAT6
Quick signup – just name and email. Guided workflows, automated scoring across 16+ components, instant PDF reports.
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What is SCOAT6?
The Sport Concussion Office Assessment Tool 6 (SCOAT6) is the first internationally standardised tool for evaluating sport-related concussion in the subacute phase - from 72 hours to 30 days post-injury. Developed through the 2022 Amsterdam Consensus by the CISG, it extends the acute SCAT6 into the clinical office setting.
Learn more about SCOAT6 →Why Was a Standardised Office Follow-Up Tool Needed?
For decades, no standardised tool existed for office follow-up after sideline SCAT assessment. SCOAT6 fills that gap with a comprehensive multimodal evaluation designed for the days and weeks after injury.
Who Developed SCOAT6?
Created through the 6th International Conference on Concussion in Sport (Amsterdam 2022), informed by systematic review of 127 studies across 12 clinical domains.
SCOAT6 results in ScreenIT: Automated scoring with downloadable PDF reports for clinical documentation.
What Does SCOAT6 Assess?
SCOAT6 provides comprehensive multimodal assessment across domains not covered by SCAT6.
What Are the Core Assessment Domains?
Symptom Evaluation (22-item PCSI)
Verbal Cognitive Tests (10/15-word memory)
Neurological Examination
Modified Balance (mBESS + tandem gait)
Modified VOMS (vestibular/ocular motor screening)
What Are the Extended Office Domains New in SCOAT6?
Mental Health Screening (GAD-7, PHQ-2)
Sleep Assessment (ASSQ)
Orthostatic Vital Signs
Cervical Spine Assessment
Graded Aerobic Exercise Testing
Concussion affects more than cognition and balance. SCOAT6’s mental health, sleep, and vestibular-ocular screening helps clinicians identify specific rehabilitation targets and guide referrals to vestibular therapy, neuropsychology, or mental health specialists. For dedicated mental health assessment, see SMHAT-1.
Where Does SCOAT6 Fit in Concussion Management?
CRT6
Immediately
Anyone (coaches, parents)
Sideline recognition tool for non-medical personnel
SCAT6
0–72 hours
Healthcare professionals
Acute concussion assessment in the critical first 72 hours
SCOAT6
72h–30 days
Healthcare professionals
Office follow-up and recovery monitoring beyond acute phase
Child SCOAT6
72h–30 days
Healthcare professionals
Office follow-up for children ages 8–12
Why Choose Digital SCOAT6?
ScreenIT transforms SCOAT6 from a paper form into a powerful clinical workflow tool. Part of our complete concussion assessment library.
Automated Scoring
Eliminates Errors
Instant calculation across 16+ assessment components. Eliminates manual tallying of symptom scores, mVOMS provocation ratings, and cognitive composites.
Guided Administration
Step-by-Step Prompts
On-screen prompts for each domain. Integrated metronome for mVOMS at 180 bpm. Built-in timers for tandem gait and cognitive tests.
Longitudinal Tracking
Recovery Trends
Compare results across serial SCOAT6 administrations. Visualise recovery trends from 72 hours through return to sport.
SCAT6 Integration
Seamless Transition
Transition from SCAT6 to SCOAT6 within the same patient record. The first 10 words of the SCOAT6 memory list directly compare to SCAT6 results.
Paper SCOAT6
Manual scoring across 16+ components
Manual metronome/timer management for mVOMS
No longitudinal comparison across visits
Manual SCAT6-to-SCOAT6 score comparison
Paper forms stored in filing cabinets
No built-in administration guidance
Easy to skip optional components inadvertently
Manual calculation of cut-point thresholds
Digital SCOAT6 - ScreenIT
Instant automated scoring
Integrated metronome (180 bpm) and timers
Automatic longitudinal tracking and comparison
Seamless SCAT6-to-SCOAT6 transition in patient record
Secure cloud storage with instant retrieval
Step-by-step guided workflow
Flexible workflow with clear domain navigation
Automatic cut-point flagging (GAD-7, PHQ-2, ASSQ)
How Does SCOAT6 Guide Return to Sport and Return to Learn?
SCOAT6 includes the graduated return-to-sport strategy, providing systematic evidence to support clearance decisions throughout recovery.
What Is the Graduated Return-to-Sport Strategy?
Stage 1
Relative Rest
24–48 hours. Symptom-limited activity. Light intensity only. No risk of contact.
Stage 2
Light Aerobic Exercise
Increase heart rate. Walking, stationary cycling 5–10 min. No resistance training.
Stage 3
Sport-Specific Exercise
Individual sport-specific drills. Increase body/head movement. Moderate intensity.
Stage 4
Non-Contact Training
More complex drills. Add resistance training. Requires HCP authorisation.
Stage 5
Full-Contact Practice
Following medical clearance. Normal training including body contact.
Stage 6
Return to Competition
Full sport participation. Minimum one week from Stage 1 to Stage 6.
RTL and RTS can occur in parallel. Student-athletes should complete full RTL before completing RTS. Academic support should address environmental, physical, curricular, and testing accommodations.
Current evidence supports early sub-symptom-threshold activity rather than prolonged complete rest. The SCOAT6 graded aerobic exercise test helps establish safe exercise prescriptions at 80% of maximum symptom-free heart rate.
Concussion and mental health are bidirectionally linked. Add SMHAT-1 mental health screening to your concussion assessment workflow – free, with automated scoring across six domains.
Frequently Asked Questions About SCOAT6
What is the difference between SCAT6 and SCOAT6?
SCAT6 is used for acute concussion assessment within 72 hours of suspected injury. SCOAT6 is used for office-based follow-up evaluation from 72 hours to 30 days post-injury. Both are companion tools from the 2022 Amsterdam Consensus published in the British Journal of Sports Medicine. The first 10 words of the SCOAT6 memory list directly compare to SCAT6 results, enabling continuity of cognitive tracking across the acute and subacute phases.
Who can administer SCOAT6?
SCOAT6 is designed for licensed healthcare professionals trained in concussion assessment, including sports medicine physicians, physiotherapists, and other qualified clinicians. For non-medical personnel (coaches, parents, teachers), the Concussion Recognition Tool (CRT6) is available instead to help recognise when professional evaluation is needed.
How long does a SCOAT6 assessment take?
A complete SCOAT6 assessment typically takes 25–45 minutes when administered with paper forms. ScreenIT’s digital version streamlines administration with automated scoring across all 16+ components and guided workflows.
Does ScreenIT have CISG authorisation for SCOAT6?
Yes. ScreenIT has written CISG authorisation, granted June 2025, to digitise the SCOAT6. The digital version contains the same validated assessment items as the official paper version published in the British Journal of Sports Medicine (BJSM 2023).
What does the clinical utility evidence show for SCOAT6?
Kontos et al. (2025) in Sports Medicine found acceptable-to-outstanding clinical utility (AUC 0.73–0.91) for SCOAT6 symptoms, modified VOMS, and timed tandem gait. Verbal cognitive tests, orthostatic vital signs, and mBESS showed lower utility (AUC below 0.70).
What Is the Evidence for SCOAT6?
Primary Sources
SCOAT6 Full Tool: BJSM 2023;57(11)
Introducing SCOAT6: Patricios et al. (2023), BJSM
Systematic Review: Patricios, Schneider, van Ierssel et al. (2023), BJSM
Amsterdam Consensus: doi:10.1136/bjsports-2023-106898
Clinical Utility: Kontos et al. (2025), Sports Medicine
Last Reviewed
Content last reviewed: February 2026. Based on SCOAT6 published June 2023.
Start Your Free Digital SCOAT6
The first standardised office concussion assessment, now digital. CISG-approved. Automated scoring. Guided workflows. Instant reports - completely free.
Start Digital Assessment
Free Online SCOAT6
Complete online with automated scoring and instant PDF report.
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CISG-Approved Digital Format