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INDIANA UNIVERSITY BLOOMINGTON DIVISION OF STUDENT AFFAIRS Disability Services for Students Acquired Brain Injury Documentation Form Student Name: DOB: / / has requested disability support services
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What is acquired brain injury?
Acquired brain injury is damage to the brain that occurs after birth, which can result from various causes such as trauma, stroke, infection, or tumors.
Who is required to file acquired brain injury?
A healthcare provider or facility that diagnoses or treats a patient with acquired brain injury is required to file a report.
How to fill out acquired brain injury?
The report for acquired brain injury should include relevant medical information, details of the injury or illness, and any known causes or contributing factors.
What is the purpose of acquired brain injury?
The purpose of filing acquired brain injury reports is to track and monitor cases, identify trends, and improve treatment and prevention strategies.
What information must be reported on acquired brain injury?
Information such as patient demographics, medical history, symptoms, diagnostic test results, and treatment interventions must be reported.
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