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Traumatic Brain Injury Student Name: Building: Date of Evaluation Report: DOB: Reviewer Name: Eligible: Yes No Evaluation (Must meet initial criteria) Reevaluation (Must address criteria components)
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What is traumatic brain injury?
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, or a penetrating head injury.
Who is required to file traumatic brain injury?
Healthcare providers, hospitals, and clinics are required to file traumatic brain injury reports.
How to fill out traumatic brain injury?
The traumatic brain injury report can be filled out online or through a paper form provided by the appropriate health department.
What is the purpose of traumatic brain injury?
The purpose of filing traumatic brain injury reports is to track and monitor these serious injuries in order to improve prevention and treatment strategies.
What information must be reported on traumatic brain injury?
The report must include information such as the cause of the injury, symptoms, duration of loss of consciousness, and any treatment received.
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