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Phone Consult Preparation Form The Sensory Connection Program Karen Moore OR/L Organization: Location: Consult participant(s): Date: Date of Consult Email: Phone Number 1. Please list each of the
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Start by gathering all necessary information about the child's injury, including medical records, test results, and any previous treatments or therapies.
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Fill out the necessary medical forms and documentation accurately and completely. Provide detailed information about the child's symptoms, the circumstances of the injury, and any relevant medical history.
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Consult with healthcare professionals or specialists if needed to ensure accurate filling of the brain injury information. They can provide guidance on specific medical terminology or details that need to be included.
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Be thorough and specific when describing the child's symptoms, such as changes in behavior, cognitive abilities, physical functioning, and emotional well-being.
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Include a detailed timeline of the child's injury and subsequent treatment, noting any significant milestones, improvements, or setbacks.
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If applicable, provide information about the child's rehabilitation or therapy programs, including the types of interventions or treatments used and the progress made.
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Attach any relevant supporting documentation, such as medical reports, imaging studies, or therapist evaluations. Make sure these documents are organized and clearly labeled.
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Double-check the completed form for accuracy and completeness before submitting it. Review all the information provided to ensure nothing important has been overlooked.
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Who needs brain injury in children?

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Brain injury in children may be needed by healthcare professionals, such as doctors, neurologists, pediatricians, and therapists, to accurately diagnose and treat the child's condition.
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Brain injury in children refers to any damage to the brain that occurs in individuals under the age of 18.
Healthcare providers, schools, and parents are required to file a report of brain injury in children.
The report should include details such as the cause of the injury, symptoms experienced, and any treatment provided.
The purpose of reporting brain injury in children is to track and monitor cases in order to improve prevention and treatment strategies.
Information such as the child's age, date of injury, location, and any previous head injuries must be reported.
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