Broward health my page

    • [PDF File]CORPORATE INTEGRITY AGREEMENT BETWEEN THE

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      my supervision. My job responsibilities include ensuring compliance with regard to the [insert name ofdepartment] with all applicable Federal health care program requirements, obligations ofthe Corporate Integrity Agreement, and NBHD policies, and I have taken steps to promote such . Corporate Integrity Agreement North Broward Hospital District

    • [PDF File]Policy Maker Contact List

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      10100 Pines Blvd., 3rd Floor, Bldg. B 1512 East Broward Blvd., Suite 101 Pembroke Pines, FL 33026 Fort Lauderdale, FL 33301 Tel: (954) 450-6767 Tel: (954) 522-1800

    • [PDF File]Declaration of Domestic Partnership - Broward County, Florida

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      my health information reasonably necessary for my domestic partner to make decisions involving my health care to aut horize my admission to or transfer from a health care facility. While I have decision making capacity, my wishes are controlling, and my physicians and health care providers must clearly communicate to me the

    • [PDF File]Florida High School Athletic Association Consent and ...

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      writing to my school. By doing so, however, I understand that my child/ward will no longer be eligible for participation in interscholastic athletics. G. Please check the appropriate box(es): ____ My child/ward is covered under our family health insurance plan, which has limits of not less than $25,000.

    • [PDF File]DROP QUESTIONS AND ANSWERS - Broward County Public Schools ...

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      The School Board of Broward County does not have access to this information. Please ... Page 2 of 3 Would I be able to keep my insurance? ... Security, Health Care Exchange and Bencor. What is the Sick-Leave at Separation Pay-out? Please refer to Board Policy 4304. Please note, Contract requirements and or/ Board polices

    • [PDF File]Name Employee ID# Division Your Phone - Broward County

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      Page 2 of 2 FREQUENTLY ASKED QUESTIONS ABOUT HEALTH SAVINGS ACCOUNTS (HSA) How much can I contribute to my HSA within the calendar year? The maximum annual contribution is equal to the pre-defined amount updated by the federal government each year. Your maximum includes both yours and the ounty’s contributions being made to that account.

    • [PDF File]APPLICATION FOR CONFIDENTIAL LISTING

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      I hereby request my home address appearing in the records of the Broward County Property Appraiser’s Office be exempt from public disclosure, pursuant to Sections 119.071, 493.6122 and 633.408, Florida Statutes, because I belong to the following qualifying category (check applicable box below):

    • Retiree Benefits - Broward Health

      in both Medicare Part A and B and submit a copy of your Medicare Card to Broward Health. YOU will then be offered the opportunity to enroll in the Aon Retiree Health Exchange program. If YOU chose to remain enrolled in the Broward Health plan, your coverage becomes secondary to your Medicare Part A and B coverage. P-10712 B- 1 19035 - 10/2020

    • [PDF File]2009 Medical History Form HIM

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      use by the Health Science program unless written consent has been provided for release to other parties. Program _____ Page 2 of 4 Section 2: Physical Examination Examiner: Please examine this student as you would for a routine check-up. This student will be working closely with people in various health care settings.

    • [PDF File]BROWARD HEALTH DISCLOSURE FORM FOR PHYSICIAN OWNERSHIP ...

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      Broward Health means the North Broward Hospital District, d/b/a Broward Health. The term includes all employees of Broward Health and all Broward Health-affiliated entities including, but not limited to, hospitals, ambulatory surgery centers, home health centers, hospices, home health agencies, physician practices, outpatient imaging centers ...

    • [PDF File]Drive-thru COVID-19 Testing at Walgreens

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      •Walmart in partnership with Quest Diagnostics State* COVID-19 Information Alabama No-cost testing is available at select: • Kroger (eTrueNorth) • Local independent pharmacies (Health Mart and eTrueNorth) • Walgreens • Walmart (eTrueNorth or Quest Diagnostics ) For local testing information, visit the Alabama health department's website.

    • REQUEST TO AMEND MEDICAL INFORMATION

      It is Broward Health’s (BH) belief that an essential part of customer service is accurate and complete documentation of your care and diagnoses. You, therefore, have the right to request to amend any medical information that you feel is invalid.

    • [PDF File]o accine s As of 1/14/2021 - Florida Department of Health ...

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      The state is prioritizing persons 65 years of age and older and health care personnel with direct patient contact and residents and staff of long term care facilities. Please be aware that some locations are only serving very specific populations, such as frontline health care workers.

    • [PDF File]PATTERNS AND TRENDS OF SUBSTANCE USE

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      lowest rate observed inthe region served by the Broward Behavioral Health Coalition (1.3%) and the highest rate in Big Bend Community Based Care’s region (3.7%). However, the 2016 BRFSS data indicate that 15.5% of the adults in Florida were still smoking cigarettes.

    • [PDF File]Department of Health

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      County, Environmental Health. Department of Health in Broward. Broward (321) 633-2100. Building A 116, Viera, FL 32940 2725 Judge Fran Jamison Way, Government Center. Section. County, Environmental Health Department of Health in Brevard. Brevard. See Alachua. Bradford (850) 872-4660. City, FL 32401

    • [PDF File]Provider Directory 2021 - A Health Plan with a Medicare ...

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      Medical Center , Broward Health North Adkins, Lowell A, MD8,9, M Provider #00010002131 NPI #1518076009 1625 SE 3rd Ave Ste 209 Fort Lauderdale, FL 33316 (954) 970-3484 Provider Language(s): English Hours: M-F 8:00AM-5:00PM Medical Group: Lowell A Adkins Md Pa Hospital Affiliations: Broward Health Medical Center , Broward Health North

    • [PDF File]2020 PROVIDER DIRECTORY - A Health Plan with a Medicare ...

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      Hospital Affiliations: Broward Health Medical Center , Broward Health North Albites, Francisco A, MD8, M Provider #00010020395 NPI #1568687093 7189 Pembroke Rd Pembroke Pines, FL 33023 (954) 983-1220 Provider Language(s): English, Spanish Hours: M-F 9:00AM-5:00PM Alexander, Michael R, MD4,8, M Provider #00010006915 NPI #1467440842 7390 NW 5th ...

    • Web Email - Broward Health

      Updated 03/13/20 Web Email Using a Windows or MAC 1. Go to https://webmail.browardhealth.org OR 2. Go to https://browardhealth.org and select the Webmail Link under, “Employee Remote

    • Personal Representative Form - Broward Health

      designate a representative, Broward Health ("BH") recommends that you do if you wish for your health care providers to . communicate with another individual in the event that you are mentally or physically unable. SECTION II: DESIGNATION AND ROLE(S) OF PERSONAL REPRESENTATIVE .

    • [PDF File]www.browardhealth.org

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      BROWARD HEALTH AD: Patient]PersonaI Representative Signature Broward Health Authorized Signature Print Name Print Name Print Name Witness EDEMF2082 H-1007 ROI CONSENT AUTHORIZATION FOR RELEASE OF CONFIDENTIAL MEDICAL INFORMATION Page I of 1 Rev. Date 3/16/2020 EPI: Acct: DOB: ACCT#

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