Before signing a TBI Residuals documentation protocol, check to ensure that you answered all questions in the Request for Examination. Also verify that you described current signs and symptoms and any functional limitations imposed by TBI residuals, along with any current treatment and any side effects.

General assessment of TBI residuals includes evaluating and documenting facets as listed on a TBI Residuals documentation protocol. This information is required for VBA to adjudicate the Veteran's or Servicemember's claim:

• consciousness
• communication
• orientation
• memory, attention, concentration, executive functions
• judgment
• social interaction
• neurobehavioral effects
• motor activity (with intact motor and sensory systems)
• visual spatial orientation
• subjective symptoms