Get Tbi Dbq Form

The Tbi Dbq Form is an essential document for the assessment and evaluation of traumatic brain injuries. This guide will provide detailed instructions on how to complete the form online to ensure that users can fill it out accurately and efficiently.

Follow the steps to fill out the Tbi Dbq Form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the name of the patient or veteran and their social security number in the designated spaces at the top of the form.
3. In Section I, provide information regarding the diagnosis of TBI. Select whether the veteran currently has or has had a TBI and indicate the diagnosis date and ICD code, along with any additional diagnoses if applicable.
4. Continue to fill out the medical history section. Summarize the history of the veteran’s TBI and note any relevant exposures to blasts, detailing the number and dates of such exposures.
5. Provide information regarding the veteran’s treatment plan, specifically whether it includes continuous medication for the diagnosed condition.
6. Review available medical evidence in Section 3, indicating which documents were reviewed as part of the examination.
7. Assess the cognitive impairment and other symptoms in Section II. For each of the 10 facets, select the answer that most accurately describes the veteran's condition.
8. In Section III, indicate whether the veteran has any residuals attributable to the TBI. Check all conditions that apply and provide a brief description of any scars or other findings.
9. Complete any diagnostic testing information, specifying tests performed and their results.
10. Finally, indicate the functional impact of the veteran’s conditions on their ability to work, followed by any remarks if applicable. Ensure the physician signs and dates the form before submission.
11. Once all fields are completed, save the changes, and then download, print, or share the form as needed.

Start completing your Tbi Dbq Form online today to ensure a thorough evaluation.