[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-171542-105":53,"doc-detail-171542-en":127},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":120,"head_meta":122,"extra_data":124,"updated_unix":126},105,"en","traumatic-brain-injury-accommodations-form","Traumatic Brain Injury Accommodations Form","","Traumatic Brain Injury Accommodations Form is an optional school tool used to support students returning to school after a traumatic brain injury (including concussion). It lists student information, captures concussion/TBI-related symptom challenges across thinking, physical, emotional, sleep, and other domains, and records requested accommodations. The form is not for diagnosing TBI and directs completion with educators, school staff, parents/caregivers, a school nurse, and a physician to guide learning and safe participation.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/traumatic-brain-injury-accommodations-form/171542/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/traumatic-brain-injury-accommodations-form/171542.png","ImageObject",442,249,{"name":88,"@type":89},"Finn","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/vnd.openxmlformats-officedocument.wordprocessingml.document","2026-10-23","2026-09-01",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",7,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What is the purpose of the Traumatic Brain Injury Accommodations Form?","Question",{"text":109,"@type":110},"It provides a structured list of accommodations for students who have experienced a traumatic brain injury (including concussion), helping school districts welcome students back to school and learning.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"Is this form intended to diagnose a traumatic brain injury?",{"text":114,"@type":110},"No. The form is not intended to diagnose TBI, and students should work with their primary care provider and/or a TBI specialist.",{"name":116,"@type":107,"acceptedAnswer":117},"Which symptom areas are included in Section 2?",{"text":118,"@type":110},"Section 2 covers challenges affecting thinking, physical symptoms, emotional changes, sleep problems, and an additional “Other” description section.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},171542,1791313143,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":136,"language":137,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":138,"faqs":139,"seo_title":140,"seo_description":61,"update_tm":141,"read_time":73},34359740700684,"https://ap-avatar.wpscdn.com/avatar/1f400023980c374ae676?_k=1777273430885731487","Traumatic Brain Injury Accommodations Form\nThis form provides a list of accommodations for students who have experienced a traumatic brain Injury (TBI). It is an optional tool that school districts can use to guide their processes in welcoming students back to school and learning. This form is not intended to diagnose a TBI.  A student should be working with their primary care provider and/or a TBI specialist. This form should be completed in conjunction with educators and school staff, parents/caregivers, a school nurse, and a physician.\nA concussion is a type of TBI. A TBI is caused by a jolt, bump, blow to the head or penetrating injury causing damage to the brain that disrupts its normal functioning. These changes can lead to symptoms that negatively affect the students thinking, behavior, emotions, sleep functions and overall health. TBIs affect people differently. Most students will have symptoms that last a few days or a week. A more serious TBIs can last for weeks, months, or even longer.\nSection 1\nStudent Information\nDate: \t___________________\nStudent name: \t___________________________________________________________________\nStudent Date of Birth: ______________________________________________________________\nName of Person completing form: ____________________________________________________\nRelationship to student: ____________________________________________________________\nPhysician Name: __________________________________________________________________\nPhysician Phone:    _________________________________\nPhysician Signature: _______________________________________________________________\nDate of Next Evaluation: ___________________________________________________________\nSection 2\nStudent Symptoms\nPlease indicate the challenges affecting the student by checking signs and symptoms from the list below\nThinking\nDifficulty thinking clearly\nDifficulty concentrating\nDifficulty remembering\nDifficulty following instructions\nDifficulty tracking conversations\nFeeling more slowed down\nFeeling sluggish, hazy, foggy or groggy\nAnswers questions slowly\nRepeats questions\nForgets class schedule or assignments\nPhysical\nHeadache\nPressure in head\nNausea or vomiting\nBalance problems\nDizziness\nFatigue\nBlurry or double vision\nSensitivity to light or noise\nNumbness or tingling\nDoes not “feel right”\nEmotional\nDepressed\nIrritable\nSad\nMore emotional than usual\nNervous\nBehavior or personality change\nSleep\nSleeps less than usual\nSleeps more than usual\nHas trouble falling asleep\nHas trouble staying asleep\nOther\n(Please describe below)\n_________________________________________________________________________________\n_________________________________________________________________________________\n_________________________________________________________________________________\n\u000f\nSection 3\nStudent Accommodations\nPlease indicate the accommodations that may be of assistance during this time.\nEnvironment\nPost class rules\nPost daily schedule\nGive preferential seating\nChange to another class\nChange schedule (most difficult in morning)\nProvide system for transition\nAccommodate for length of school day\nProvide frequent breaks\nProvide a quiet workplace\nMaintain consistent schedule\nEliminate distractions (visual, auditory & olfactory)\nMethod of Instruction\nRepeat or break-up directions\nProvide visual prompts\nProvide immediate feedback\nPoint out similarities to previous concepts\nUse manipulative materials\nPre-teach or reteach\nUse peer tutor or partner\nUse small group instruction\nUse simple sentences\nUse individualized instruction\nPause frequently\nUse cooperative learning\nEncourage requests for clarification, repetition, etc.\nUse examples relevant to student’s life\nDemonstrate & encourage use of technology\nProvide Notes to reduce the amount of writing so student can focus of lecture\nTeach to current level of ability (use easier materials)\nTransitions\nAssistance identifying post- secondary supports\nIdentification of community resources for persons with b","cbCaisjLe4I2A3qr","https://ap.wps.com/l/cbCaisjLe4I2A3qr","docx",57385,6,"English","# Student Information\n## Student Symptoms\n## Student Accommodations","[{\"question\":\"What is the purpose of the Traumatic Brain Injury Accommodations Form?\",\"answer\":\"It provides a structured list of accommodations for students who have experienced a traumatic brain injury (including concussion), helping school districts welcome students back to school and learning.\"},{\"question\":\"Is this form intended to diagnose a traumatic brain injury?\",\"answer\":\"No. The form is not intended to diagnose TBI, and students should work with their primary care provider and/or a TBI specialist.\"},{\"question\":\"Which symptom areas are included in Section 2?\",\"answer\":\"Section 2 covers challenges affecting thinking, physical symptoms, emotional changes, sleep problems, and an additional “Other” description section.\"}]","Traumatic Brain Injury Accommodations Form | DOCX",1788284087]