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[PDF File]TINETTI BALANCE ASSESSMENT TOOL
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TINETTI BALANCE ASSESSMENT TOOL GAIT SECTION Patient stands with therapist, walks across room (+/- aids), first at usual pace, then at rapid pace. Risk Indicators: Tinetti Tool Score Risk of Falls ≤18 High 19-23 Moderate ≥24 Low Date Indication of gait (Immediately after told to ‘go’.) Any hesitancy or multiple attempts = 0 No hesitancy = 1
[PDF File]Trail Making Test - USD
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Trail Making Test (TMT) Parts A & B Instructions: Both parts of the Trail Making Test consist of 25 circles distributed over a sheet of paper. In Part A, the circles are numbered 1 – 25, and the patient should draw lines to connect the numbers in ascending order. In Part B, the circles include both numbers (1 – 13) and letters (A – L); as in
[PDF File]VISA MERCHANT CATEGORY CLASSIFICATION (MCC) CODES DIRECTORY
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VISA MERCHANT CATEGORY CLASSIFICATION (MCC) CODES DIRECTORY MCC MERCHANT TYPE 0742 Veterinary Services 0763 Agricultural Co -operatives 0780 Horticultural Services ... 5045 Computers, Computer Peripheral Equipment, So ftware 5046 Commercial Equipment, Not Elsewhere Classified 5047 Medical, Dental Ophthalmic, Hospital Equipment and Supplies ...
[PDF File]2018 Publication 946 - Internal Revenue Service
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FormsPubs to download forms and publications. Other-wise, you can go to IRS.gov/OrderForms to order current and prior-year forms and instructions. Your order should arrive within 10 business days. Tax questions. If you have a tax question not an-swered by this publication, check IRS.gov and How To Get Tax Help at the end of this publication. 1.
[PDF File]Form W-9 (Rev. October 2018)
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than Form W-9 to request your TIN, you must use the requester’s form if it is substantially similar to this Form W-9. Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you are: • An individual who is a U.S. citizen or U.S. resident alien; • A partnership, corporation, company, or association created or
[PDF File]Commonwealth of Massachusetts Motor Vehicle Crash Operator ...
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Commonwealth of Massachusetts Motor Vehicle Crash Operator Report How To Complete This Form Please carefully complete all sections of this form that apply to your crash,circling the answer where appropriate.Illegible reports will be returned to you.
[PDF File]DIRECTV General Market Channel Lineups
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Channel lineups effective as of 1/28/16. Programming, pricing and offers are subject to change and may vary. In certain markets, a Regional Sports fee of up to $6.39/mo. will be assessed with CHOICE Package and above.
[PDF File]2018 Schedule C (Form 1040) - Internal Revenue Service
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Schedule C (Form 1040) 2018 . Schedule C (Form 1040) 2018. Page 2 Part III Cost of Goods Sold (see instructions) 33 . Method(s) used to value closing inventory: a . Cost b . Lower of cost or market c . Other (attach explanation) 34 . Was there any change in determining quantities, costs, or valuations between opening and closing inventory?
[DOC File]LEAVE REQUEST FORM/AUTHORIZATION - United States Navy
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navcompt form 3065 (3pt) (rev. 2-83) 1. date of request. 2. for . admin. use only. approval of this leave is . not valid . without control no,
[PDF File]RD-108 Application for Michigan Title & Registration
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Purchaser Warning: Do Not Sign a Blank Form. I am purchasing or leasing this vehicle and am applying for a Michigan certificate of title and registration or, if the lessee, applying for a registration.
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