Easy health questions for kids

    • [PDF File]8862 Information To Claim Certain Credits After Disallowance

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      If the answer is “No” for questions 14, 15, 16, or 17, you cannot claim the CTC/ACTC/ODC for that child or other dependent. Only one person can claim the child as a qualifying child for the CTC/ACTC/ODC. If the child meets the conditions to be a qualifying child of any other person (other than your spouse if filing jointly), complete Part V.

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    • [PDF File]PHQ-9* Questionnaire for Depression Scoring and ...

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      PHQ-9* Questionnaire for Depression Scoring and Interpretation Guide For physician use only Scoring: Count the number (#) of boxes checked in a column. Multiply that number by the value indicated below, then add the subtotal to produce a total score. The possible range is 0-27. Use the table below to interpret the PHQ-9 score.

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    • [PDF File]Edinburgh Postnatal Depression Scale (EPDS)

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      The EPDS is easy to administer and has proven to be an effective screening tool. ... the National Women’s Health Information Center < www.4women.gov > and from groups such as Postpartum ... QUESTIONS 3, 5­10 (marked w ith an *) Are reverse scored, with the top box scor ed as a 3 and the bottom box scored as 0. ...

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    • [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,

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    • [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

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    • [PDF File]Application for Social Security Card

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      IF YOU HAVE ANY QUESTIONS. If you have any questions about this form or about the evidence documents you must provide, please visit our website at www.socialsecurity.gov for additional information as well as locations of our offices and Social Security Card Centers. You may also call Social Security at 1-800-772-1213. You can also find

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    • [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.

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    • [PDF File]Medicare’s Wheelchair & Scooter Benefit

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      deliver a cheaper scooter. Ask questions before you get a scooter or a wheelchair— you have a right to know everything about your medical care, including costs to Medicare. Also, some suppliers of medical equipment may call you without your permission, even though “cold calling” isn’t allowed. Help protect you and your family from fraud

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    • [PDF File]Clinical Opiate Withdrawl Scale - National Institute on ...

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      Clinical Opiate Withdrawal Scale Introduction The Clinical Opiate Withdrawal Scale (COWS) is an 11-item scale designed to be administered by a clinician. This tool can be used in both inpatient and outpatient settings to reproducibly rate common signs and symptoms of opiate withdrawal and monitor these symptoms over time. The summed

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    • [PDF File]Health Care Proxy

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      Frequently Asked Questions Why should I choose a health care agent? If you become unable, even temporarily, to make health care decisions, someone else must decide for you. Health care providers often look to family members for guidance. ... It is easy to cancel your Health Care Proxy, to change the person you have chosen as your health

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    • [PDF File]Berg Balance Scale - Brandeis University

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      Berg Balance Scale continued….. 8. REACHING FORWARD WITH OUTSTRETCHED ARM WHILE STANDING INSTRUCTIONS: Lift arm to 90 degrees. Stretch out your fingers and reach forward as far as you can. (Examiner places a ruler at the end of fingertips when arm is at 90 degrees. Fingers should not touch the ruler while reaching forward.

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