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TRAUMATIC BRAIN INJURY WAIVER (TBI) PERSON-CENTERED SERVICE PLAN BEGIN DATE: __/__/___ SERVICE PLAN END DATE:Initial6MonthAnnualLAST NAME:TransferWise NAME:CASE MANAGER PROVIDER AGENCY:DischargeMIDDLE INITIAL:DOB:MEDICAID
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Gather all relevant medical records related to the traumatic brain injury.
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Provide detailed information about the circumstances of the injury, including any symptoms experienced and treatments received.
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Who needs traumatic brain injury?

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Individuals who have experienced a traumatic brain injury and need to document and communicate their medical history and current condition to healthcare providers, insurance companies, or legal professionals.
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Traumatic brain injury is a disruption in the normal function of the brain that can be caused by a bump, blow, or jolt to the head.
Medical professionals or healthcare providers are required to file traumatic brain injury.
Traumatic brain injury reports can be filled out by providing detailed information about the injury and its effects.
The purpose of traumatic brain injury reporting is to track and monitor cases for research and prevention efforts.
Information such as the cause of the injury, symptoms, treatment, and outcome must be reported on traumatic brain injury.
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