Please respond by May 10, 2016.

A parent in the DFW area is considering creating a Neighborhood Home (txcpsh.org/nh) for his adult son and two other adults who live with Traumatic Brain Injury. He would like to know if there are other families with the same interest.

If you are a parent, guardian or sibling of someone who may be interested in this arrangement, please provide your information below

Also, if you are a service provider with education about TBI and experience helping to individuals with TBI, please complete the form.

Feel free to share this page with others who may be interested.

Your Name *
Your Name
You are a
Provider, skip this question
Providers skip this question. Examples: SSI, CLASS, HCS, Private Pay, etc
For Providers only. How long have you been providing services to consumers with TBI?
Providers only. What formal education or training have you had to learn how to help people with TBI?