Access to services starts with our Application Packet. The client or family completes the needed forms and returns them to BISSWVA either online, by mail, or fax.
- All forms are PDF files. You will need AdobeReader® to view them.
- Use the link to below to download AdobeReader® if you do not already have installed on your computer.
or toll-free at
Fill out and mail back the completed application packet to:
Brain Injury Services of SWVA
3904 Franklin Rd., Suite B Roanoke, VA 24014
IMPORTANT TO KNOW
If an applicant struggles with drugs or alcohol, or severe mental health issues, he/she can be denied unless currently participating in an appropriate treatment program.
Eligibility for case management shall be applied without regard to sex, race, creed, and /or national origin. Reasonable accommodations shall be provided to individuals served, in accordance with the Americans with Disabilities Act (ADA).
BISSWVA is a nonprofit funded by the Commonwealth of Virginia and with private donations. There is no charge for Case Management services.