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[PDF File]MISSOURI DEPARTMENT OF HEALTH AND SENIOR SERVICES …
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LEVEL ONE NURSING FACILITY PRE-ADMISSION SCREENING FOR MENTAL ILLNESS/MENTAL RETARDATION OR RELATED CONDITION Completion of this form is mandatory for all persons applying for admission to a Medicaid certified bed to determine appropriateness of the nursing facility placement. SECTION A. IDENTIFYING INFORMATION

[PDF File]VR-210 -210 (9 6b5-18) -18) 5-18)
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III or Class IV according to standards set by the American Heart. Association. 3. Is unable to walk 200 feet without stopping to rest. 4.Is unable to walk 200 feet without the use of, or the assistance from, a brace, cane, crutch, another person, prosthetic device, or other. assistance device. 5. Requires a wheelchair for mobility. 6.

[PDF File]Vaccine Information Statement: Inactivated Influenza Vaccine
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Influenza vaccine does not cause flu. Influenza vaccine may be given at the same time as other vaccines. 3 Talk with your health care provider Tell your vaccine provider if the person getting the vaccine: Has had an allergic reaction after a previous dose of influenza vaccine, or has any severe, life-threatening allergies.

[DOC File]Aid Codes Master Chart (aid codes) - Medi-Cal
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The Aid Codes Master Chart was developed for use in conjunction with the Medi-Cal Automated Eligibility Verification System (AEVS). Providers must submit an inquiry to AEVS to verify a recipient’s eligibility for

[PDF File]Medicare & You Handbook 2020
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4. Get started. If you’re new to Medicare: • Learn about your Medicare choices. There are 2 main ways to get your Medicare coverage—Original Medicare and Medicare Advantage.

[PDF File]Pneumococcal Vaccine Timing for Adults
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Including congestive heart failure and cardiomyopathies ... Pneumococcal Vaccine Timing for Adults to help make surepatients are up to date with pneumococcal vaccination. \r\nIncludes timing for adults 65 years or older and timing for adults with certain medical conditions\r\n

[PDF File]Clinical Opiate Withdrawl Scale
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For example, if heart rate is increased because the patient was jogging just prior to assessment, the increase pulse rate would not add to the score. Downloaded by [HSRL - Health Science Research Library] at 14:04 02 September 2015 Patient's Name: Date and Time _! _! _

[PDF File]Disability Report- Adult
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Form SSA-3368-BK (10-2015) UF (10-2015). DISABILITY REPORT - ADULT SSA-3368-BK PLEASE READ THIS INFORMATION BEFORE COMPLETING THIS REPORT. The information you give us on this report will be used by the office that makes the disability

[PDF File]NAME : MONTREAL COGNITIVE ASSESSMENT (MOCA) …
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POINTS TOTAL MEMORY NAMING VISUOSPATIAL / EXECUTIVE ATTENTION LANGUAGE ABSTRACTION DELAYED RECALL ORIENTATION Read list of words, subject must repeat them.

[PDF File]Patient Health Questionnaire (PHQ-9)
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PHQ-9 Patient Depression Questionnaire For initial diagnosis: 1. Patient completes PHQ-9 Quick Depression Assessment. 2. If there are at least 4 3s in the shaded section (including Questions #1 and #2), consider a depressive

A heart for seniors