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DISABILITY RATING SCALE - tbims.org

TBI NATIONAL DATABASE COLLECTION form Patient Name: Date of RATING : _____ Name of Person Completing form : _____ DISABILITY RATING SCALE : DISABILITY RATING SCALE ratings to be completed within 72 hours after Rehab. Admission. And within 72 hours before Rehab. Discharge. A. EYE OPENING: (0) Spontaneous 0-SPONTANEOUS: eyes open with sleep/wake rhythms indicating active arousal mechanisms, does not assume awareness. 1-TO SPEECH AND/OR SENSORY STIMULATION: a response to any verbal approach, whether spoken or shouted, not necessarily the command to open the eyes.

TBI NATIONAL DATABASE COLLECTION FORM Patient Name: Date of Rating: _____ Name of Person Completing Form: _____

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  Form, Scale, Ratings, Disability, Disability rating scale

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