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Mild traumatic brain injury program of care (MTB POC) Supplementary ReportClaim numberVisit wsib.ca/submit to submit this form and supporting documents. A. Injured person information Last nameFirst
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What is mild traumatic brain injury?
Mild traumatic brain injury (MTBI) is a brain injury that results from a bump, blow, or jolt to the head or a penetrating head injury that interferes with normal brain function. Symptoms can include confusion, headache, dizziness, and temporary loss of consciousness.
Who is required to file mild traumatic brain injury?
Individuals who have suffered a mild traumatic brain injury, especially in settings such as workplace injuries or accidents, may be required to file for documentation or compensation through insurance or legal claims.
How to fill out mild traumatic brain injury?
To fill out a mild traumatic brain injury report, gather relevant medical documentation, fill out the required forms with accurate information about the incident, symptoms, and any medical evaluations or treatments received, and submit these to the appropriate authority or insurance provider.
What is the purpose of mild traumatic brain injury?
The purpose of documenting a mild traumatic brain injury is to ensure proper medical treatment, seek compensation for damages, and monitor potential long-term effects on health and cognitive function.
What information must be reported on mild traumatic brain injury?
Information that must be reported includes the date and circumstances of the injury, symptoms experienced, medical evaluations and treatments received, and any relevant personal and insurance information.
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