Complimentary Membership for Patients of Rehabilitation Hospitals

In order for the Brain Injury Association of NC to make a connection with persons with brain injuries who are discharged from your hospital, we need your assistance with obtaining information.

Please ask each person diagnosed with brain injury to consider a complimentary membership with the Brain Injury Association of NC.  This will allow us to send information to them about brain injury and follow up with them periodically to make sure they are receiving resource information, education & training, information about support groups, etc.

Please complete the electronic form below.  There is also a printable form for your convenience.

Thank you for your assistance!