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artis.apexcos.com

* Include (or forward to HR) all hospital and doctor paperwork. (i.e. hospital discharge papers; work release form; prescriptions)

http://artis.apexcos.com/HealthSafety/HS_New/Forms/Blank%20Incident%20Report%20Form.doc

Date added: June 3, 2014 - Views: 8

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Psychosocial Evaluation Form - Genesee Health System

PSYCHOSOCIAL ASSESSMENT Client Name: DOB: Section 4 Staff Name: Last revised: April 24, 2008 Case Number: Page 7 of 7 Medicaid Number: Title: ...

http://www.gencmh.org/Portals/0/Forms/Clinical/Provider%20Required/Psychosocial%20Assessment%204-24-08.doc

Date added: September 7, 2012 - Views: 285

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Pennsylvania - Ernst Publishing

... recording and access to copies of military discharge papers. ... and hospital liens); Sections 36 ... the form of discharge papers, with sufficient blank lines ...

http://www.ernstpublishing.com/public/State%20Statutes.doc

Date added: October 7, 2011 - Views: 48

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www.courts.ca.gov

The decedent was transferred within the hospital the following day and later that day signed discharge papers acknowledging that he left ... (Blank v. Kirwan (1985 ...

http://www.courts.ca.gov/opinions/nonpub/B234051.DOC

Date added: July 12, 2013 - Views: 10

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Sample Promissory Note - HowStuffWorks

Borrower agrees that until the principal and interest owed under this promissory note are paid ... or other indulgence or discharge or release of any obligor ...

http://static.howstuffworks.com/pdf/samp-promissory.doc

Date added: September 15, 2011 - Views: 392

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ENVIRONMENT OF CARE CLARIFICATIONS - Navy Medicine

Is Joint Commission requiring hospitals to provide information and credentials on non-hospital personnel? Joint Commission ... discharge by partitions, doors ... of a ...

http://www.med.navy.mil/sites/nmcp/EduTrain/Documents/FacMgmt/EnvironmentOfCareClarificationsSept2002.doc

Date added: April 14, 2012 - Views: 95

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Organized Form The Start, Inc - Baby Briefcase® Official ...

the baby or the paperwork? Roslindale ... discharge papers, immunizations and vaccinations ... “As a new parent, you come home from the hospital laden with ...

http://www.babybriefcase.com/downloadable_files/BabyBriefcasePressRelease0704.doc

Date added: November 23, 2011 - Views: 14

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DATA DICTIONARY - Iowa Hospital Association

Length of time patient stayed in hospital. From admission to discharge. 10 sex ... Field will be blank if field 23 is ... (e.g. Mental Health State Papers, Iowa ...

http://www.ihaonline.org/imis15/Images/IHAWebPageDocs/infoservices/Inpatient%20and%20Outpatient%20Services/IP%20Data%20Dictionary%202011%202Q.doc

Date added: October 17, 2013 - Views: 43

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Florida Baker Act Forms - Home | Florida Department of ...

11. The following steps were taken to get the PERSON to go to a hospital for mental health care: ... Florida Baker Act Forms ...

http://www.dcf.state.fl.us/programs/samh/MentalHealth/laws/3002.doc

Date added: September 24, 2011 - Views: 82

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Continuity of Care Record (CCR) - ASTM International ...

Continuity of Care Record (CCR) The Concept Paper of the CCR. Version 2.1b. Note: Development of the CCR is an ongoing process. Thus, the following information, in ...

http://www.astm.org/COMMIT/E31_ConceptPaper.doc

Date added: October 14, 2011 - Views: 74

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M21-1, Part 3, Change Document 131 - Veterans Benefits ...

O27 RESERVED Blank ... Enlistment contracts, discharge papers, MABMC-11 (discharge order) ... M21-1, Part 3, Change Document 131 Author: CAPPLIVE

http://www.benefits.va.gov/warms/docs/admin21/m21_1/part3/chg131.doc

Date added: October 9, 2011 - Views: 75

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Sample Settlement Agreement - Junkfax.org home page: How to ...

The parties desire to enter into this Settlement Agreement in order to provide for certain payments in full settlement and discharge of all claims which are or ...

http://www.junkfax.org/fax/reference/sampleSettlement.doc

Date added: October 13, 2011 - Views: 839

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CHAPTER V: - MeHIMA | Maine Health Information Management ...

All hospitals should have as references the "Hospital Vital ... the name of the father will be left blank, ... -- The person who "assembles the discharge papers" will ...

http://www.mehima.org/legalmanual/Ch%205%20Reporting%20April%202006.doc

Date added: May 23, 2013 - Views: 33

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Exhibit 5-3: Acceptable Forms of Verification - HUD/U.S.

Military Discharge papers. ... Verification by a doctor, hospital or clinic, ... Verification form completed by welfare department indicating maximum amount family ...

http://portal.hud.gov/hudportal/documents/huddoc?id=DOC_35766.doc

Date added: October 15, 2011 - Views: 145

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1 - Employment and Training Administration

Work Opportunity and Employment & Training Administration. Welfare-to-Work Tax Credits. 1. CONTROL NO.

http://www.doleta.gov/Performance/guidance/docs/ETA%209061%20Fina%20Rev%20wInstrs%206-05-05Rev6-24.doc

Date added: December 5, 2013 - Views: 10

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Universal Credential Application - wfhplan.org

UNIVERSAL APPLICATION. ... Yes No Have your clinical privileges or employment at any hospital or healthcare ... attach a copy of your discharge papers ...

http://wfhplan.org/documents/WFHN_Universal_Application_unprotected_6_05_BLANK.doc

Date added: November 4, 2014 - Views: 1

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Massachusetts - Mass.Gov

... the hospital discharge planner, ... makes 2 copies of the original "Local Certification" papers, ... Leave blank. The Division ...

http://www.mass.gov/eohhs/docs/dph/cdc/tb/nursing-case-protocols.doc

Date added: May 28, 2012 - Views: 56

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DATA DICTIONARY - Iowa Hospital Association

DISCHARGE DATE : The month, day, and ... for occasioning the admission of the patient to the hospital for ... Health State Papers, Iowa Cares, etc.) 04 County/Local ...

http://www.ihaonline.org/imis15/Images/IHAWebPageDocs/infoservices/Inpatient%20and%20Outpatient%20Services/OP%20Data%20Dictionary%202011%202Q.doc

Date added: August 21, 2013 - Views: 39

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Evidenc - Mass.Gov

Certified medical record from the hospital/nursing home where the death occurred. ... Discharge papers. ... the Injury information should be blank.

http://www.mass.gov/eohhs/docs/dph/vital-records/amendmentsevidencesuppliment.docx

Date added: January 2, 2015 - Views: 1

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THE UNIVERSITY OF NEW MEXICO

(Blank to next page) ... is requesting proposals for Discharge Planning Software that will allow the Care Management Services of UNM Hospital to improve the discharge ...

http://hospitals.unm.edu/about/Proposals/2013/P282-13%20Discharge%20Planning%20Software.doc

Date added: January 15, 2014 - Views: 1

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FAMILY INFORMATION GUIDE - wells-financial

family information guide _____ vital statistics and historical data. full name ... location of discharge papers: ... (ad&d, hospital, rx, vision, dental, ...

http://www.wells-financial.com/uploads/4_FAMILY_INFORMATION_GUIDE_updated_062408.docx

Date added: August 18, 2013 - Views: 8

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Sample Substance Abuse Policy - Tool Box Topics

Prior to implementing any substance abuse ... alone to justify an employee discharge, ... the company to have access to hospital reports or documents ...

http://www.toolboxtopics.com/Beyond%20Safety%20Meetings/Fleet%20Stuff/Sample%20Substance%20Abuse%20Policy.DOC

Date added: October 19, 2011 - Views: 78

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Improving Care Transitions - Welcome to ADRC Technical ...

... medications lists and papers from the hospital? ... You should see a blank spot ... Prepare for discharge Medical Care Follow-Up Hosp SNF Home 2-Day ...

http://www.adrc-tae.acl.gov/tiki-download_file.php?fileId=29588

Date added: February 19, 2013 - Views: 21

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Birth3 - Texas Department of State Health Services Mobile

Corrections to Birth Certificate Records The ... Adding information-Items Left Blank on the Original Certificate ... A copy of official discharge papers of ...

http://www.dshs.state.tx.us/vs/handbooks/birth/birth3.doc

Date added: September 15, 2011 - Views: 68

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PENNSYLVANIA GENERAL DURABLE POWER OF ATTORNEY

THIS POWER OF ATTORNEY ... manage or participate in the operation of any business and engage, compensate and discharge ... and to file all other papers and ...

http://www.judicialtitle.com/word/PA_POA.doc

Date added: July 12, 2012 - Views: 133

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INSTITUTE FOR THE ADVANCMENT OF SOCIAL WORK RESEARCH

CALL FOR PAPERS: THE IMPACT OF ... HOSPITAL DISCHARGE SURVEY DATA SET. ... Send email to [email protected] Leave subject line blank and type in message area: ...

https://www.naswdc.org/research/call/041405.doc

Date added: May 23, 2013 - Views: 19

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Ob/Gyn Intern Orientation and Survival Guide

Ob/Gyn Intern Orientation and Survival Guide ... Hospital Care (OB) ... Discharge Orders ...

http://slfp.net/uploads/internsurvive.doc

Date added: December 1, 2012 - Views: 21

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EXECUTIVE SUMMARY - Protection & Advocacy for People with ...

She claimed she had “worked it out with DHEC” and had papers stating the DMH ... [blank ] as [his] lawful ... One resident’s hospital discharge papers stated ...

http://pandasc.org/wp-content/uploads/2012/06/CRCF-7-14-09-FINAL.doc

Date added: May 3, 2013 - Views: 39

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DOCUMENTATION OF HISTORY AND PHYSICAL EXAM

Breast (lumps, nipple discharge, family history of breast cancer, self breast exam) ... Depression attributed to current condition and prolonged hospital stay.

http://www.med.wayne.edu/aesculapians/documents/Year%20Two/ClinMed%20PD/H&P%20-%20Sample%20-%20Partial%20Exam.doc

Date added: October 10, 2011 - Views: 675

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J - Independence Seaport Museum

... a blank checklist for official ship documents; ... discharge papers from the U.S. Coast Guard-Merchant ... a hospital ledger book and loose notes about medical ...

http://www.phillyseaport.org/images/Archives/ISM-WWII.doc

Date added: May 4, 2013 - Views: 49

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www.castonline.ilstu.edu

Therapeutic Recreation ... and fill in the number of clients in the blank ... Physical Medicine and Rehabilitation Treatment/Rehabilitation Hospital Based ...

http://www.castonline.ilstu.edu/klitzing/internship%20papers/Therapeutic%20Recreation%20Internship%20Site%20Info%20Form%202011.doc

Date added: June 29, 2013 - Views: 4

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C2005 Evidence Evaluation Template - Nov.11, 2003

Initial search identified 132 papers. 71 relevant papers ... There were more survivors to hospital discharge in the units ... REMEMBER TO SAVE THE BLANK ...

http://circ.ahajournals.org/content/suppl/2005/11/09/CIRCULATIONAHA.105.170522.DC299/W174_Lurie_Koster.doc

Date added: September 16, 2014 - Views: 2

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NURSERY ENDORSEMENTS

You have a have a lab coat over the scrubs to go around the hospital. ... a printout of the discharge papers will ... if it is blank or if the problem list ...

http://lincolnpediatrics.org/guidenx.doc

Date added: January 16, 2014 - Views: 3

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Audit Program Template

Name of Audit. Audit Program. Objectives: ... review the Permanent File and prior working papers, including policies/procedures, organizational charts, agreements ...

http://auditknowledge.com/operational/FIN%20-%20Audit%20Program%20Template.doc

Date added: October 22, 2011 - Views: 1781

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COURSE DESCRIPTION - Council on Social Work Education (CSWE ...

Course Description. ... Papers should be typed in 12-point font in Times New Roman or comparable, ... Hospital discharge planning for frail older people and their family.

http://www.cswe.org/File.aspx?id=55792

Date added: May 6, 2013 - Views: 5

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SECTION 1 - Veterans Organizations | The American Legion

discharge or honorable separation, ... (blank) ballot is just a ... papers or other process which are to be served on the Department Headquarters of The American ...

http://www.legion.org/documents/word/pogsection4_06.doc

Date added: January 11, 2013 - Views: 62

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M21-1, PT V, Chapter 23, Change 9 - Veterans Benefits ...

separation papers (DD214 or other document) ... (blank for origi- ... the end of the month of your hospital discharge; ...

http://www.benefits.va.gov/warms/docs/admin21/m21_1/part5/ch23.doc

Date added: October 22, 2011 - Views: 44

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Introduction

The database search was limited to English-language papers. ... PL Henneman, FS Blank, HA ... Accuracy of medication documentation in hospital discharge ...

http://www.medicinesresources.nhs.uk/upload/documents/Evidence/Medicines%20Management/mm-reconciliation-2011-final.doc

Date added: August 2, 2013 - Views: 9

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Individual Characteristics Form

Work Opportunity Tax Credit Employment & Training Administration. 1. CONTROL NO. (For Agency Use Only)

http://www.reginfo.gov/public/do/DownloadDocument?documentID=18494&version=1

Date added: June 3, 2014 - Views: 6

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APACHE GAMING COMMISSION - The Delaware Nation > Home

... (Military Discharge Papers) ... patrons and public by ensuring that gaming activities are free from criminal activities ... (no questions should be left blank).

http://delawarenation.com/Portals/0/PDF/gamingcommission/NewPDF1/INIITIAL%20VENDOR%20COMPANY_Prinicpal%20Application.docx

Date added: January 8, 2014 - Views: 7

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Handbook on Death REgistration - Texas Department of State ...

A long-term care facility is not a hospital but provides patient care ... Leave blank if injury was not a ... Serial number of discharge papers or adjusted ...

http://www.dshs.state.tx.us/vs/handbooks/death/chapter-4.doc

Date added: May 8, 2013 - Views: 29

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elpaso.ttuhsc.edu

Do not place in the trash AND PLEASE DO NOT LEAVE CONFIDENTIAL PAPERS LYING ... written on blank order sheet as ... preterm infants after hospital discharge ...

http://elpaso.ttuhsc.edu/fostersom/pediatrics/neonatology/documents/5.29.09_Handbook.doc

Date added: April 18, 2014 - Views: 64

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Family Information - Operation We Are Here

Consider taking the SCOR with you to appointments and hospital visits so ... left blank Medical Bill ... Death Certificates Divorce Papers Discharge ...

http://www.operationwearehere.com/SCOR_2.doc

Date added: April 26, 2012 - Views: 22

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I

Memorial Hospital discharge summary dated July 1, ... Use blank SSA letterhead (SSAL ... The ALJ also can require people to bring important papers to your hearing and ...

http://www.ssa.gov/disability/Documents/Prototype_Operating_Instructions.doc

Date added: October 2, 2011 - Views: 99

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ANNEXURE - Punjab Gramin Bank

To Bring the following documents / Stamp papers for ... already submitted) 2. Blank ... of a Civil Surgeon of Government Hospital alongwith ...

http://www.pgbho.com/List_of_Joining_Formalities_Office_Asstt.%5B1%5D.doc

Date added: May 5, 2013 - Views: 15

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RCFE Manual - California Department of Health Care Services

RCFE Provider Handbook. ... Temporary Relocation to a Hospital or Skilled Nursing Facility 21. ... Discharge planners in acute care hospitals;

http://www.dhcs.ca.gov/services/ltc/Documents/RCFEManual.doc

Date added: August 24, 2011 - Views: 145

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www.daltonwealth.com

Hospital (preferred): ... Adoption papers. Birth certificate. Driver’s license. ... Military discharge papers. Pre-paid funeral documentation. Other:

http://www.daltonwealth.com/new/daltonwealthmanagement/content.asp?contentid=2017685715

Date added: June 28, 2014 - Views: 3

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www.maine.gov

The state had just released their first reports of hospital-specific sentinel ... to contribute papers that address specific ... After Hospital Discharge.

http://www.maine.gov/dhhs/reports/sentinel_events_report.doc

Date added: November 29, 2012 - Views: 34

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Referral Enhancement Toolkit - American Association of ...

... on which the secretary checks off the appropriate box and fills in the blank of ... and position papers ... A hospital discharge summary or office ...

http://www.aacvpr.org/Portals/0/committeeresource/cac/Converted%20toolkit.doc

Date added: October 17, 2012 - Views: 59