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    • [PDF File]Physician's Order for Personal Care/Consumer Directed ...

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      PHYSICIAN’S ORDER FOR PERSONAL CARE/CONSUMER DIRECTED PERSONAL ASSISTANCE SERVICES . INSTRUCTIONS . COMPLETE ALL ITEMS. (Attach additional sheets, if necessary). INCOMPLETE FORMS WILL BE RETURNED TO THE PHYSICIAN. INCOMPLETE OR MISSING INFORMATION MAY DELAY SERVICES TO THIS PATIENT. 1. Patient Identifying Information • Patient Name.

    • [PDF File]Enhanced Driver's License and ID Card Identification ...

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      445 Minnesota Street, Suite 175, Saint Paul, Minnesota 55101 (651) 297-3298 TTY/TDD: (651) 282-6555 dvs.dps.mn.gov DVSM10 (05/2019) MINNESOTA DEPARTMENT OF PUBLIC SAFETY Enhanced Driver’s License and Identification Card

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

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      Edinburgh Postnatal Depression Scale 1 (EPDS) Postpartum depression is the most common complication of childbearing. 2 The 10-question Edinburgh

    • [PDF File]Form W-9 (Rev. October 2018)

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      Form W-9 (Rev. 10-2018) Page . 2 By signing the filled-out form, you: 1. Certify that the TIN you are giving is correct (or you are waiting for a

    • [PDF File]Request for Leave or Approved Absence

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      Request for Leave or Approved Absence. 1. Name (Last, first, middle) 2. Employee or Social Security Number (Enter only the last 4 digits of the Social Security Number (SSN))

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