PUBLIC HEARING REPLY FORM
Persons wishing to present testimony at the public hearing on Traumatic Brain Injury Treatment and Services
are requested to complete this reply form as soon as possible, but no later than close of business Thursday, October 1, and mail, email or fax it to:
I plan to attend the public hearing on "Traumatic Brain Injury Treatment and Services" to be conducted by the Assembly Committee on Health and Assembly Committee on Mental Health on October 8th.
I have been invited to make a public statement at the hearing. My statement will be limited to 10 minutes, and I will answer any questions which may arise. I will provide 10 copies of my prepared statement.
I will address my remarks to the following subjects:
I do not plan to attend the above hearing.
I would like to be added to the Committee's mailing list for notices and reports.
I would like to be removed from the Committee's mailing list.
I will require assistance and/or handicapped accessibility information.
Please specify the type of assistance required: