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    • [PDF File]Lower Extremity Functional Index - TBI, Stroke, SCI Rehab

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      Pursuant to section 419 of the Social Services Law, any person, official, or institution participating in good faith in the making of a report of suspected child abuse or maltreatment, the taking of photographs, or the removal or keeping of a child pursuant to the relevant provisions of the Social Services Law shall have immunity from any liability, civil or criminal, that might otherwise ...

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      Yes, sometimes Yes, quite often Yes, very often Only occasionally No, never *5 I have felt scared or panicky for no very good reason Yes, quite a lot *10 The thought of harming myself has occurred to me Yes, sometimes Yes, quite often No, not much Sometimes No, not at all Hardly ever Never

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    • [PDF File]TC-123, Application For Utah Duplicate Title

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      Lower Extremity Functional Index We are interested in knowing whether you are having any difficulty at all with the activities listed below because of your lower limb problem for which you are currently seeking attention. Please provide an answer for each activity. Today, do you or would you have any difficulty at all with: Activities Extreme

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

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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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    • [DOC File]Sample Schedule A Letter - Veterans Benefits Administration

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      Colonoscopy Bowel Prep . Instructions . Miralax®/Gatorade™ Refer to this instruction sheet for the entire week before your colonoscopy. Colonoscopy prep instructions are extremely important for a successful colonoscopy. If you do not follow the instructions precisely, your bowels may

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    • [PDF File]Code of Ethics of the National Association of Social Workers

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      Sample Schedule A Letter from the Department of Labor’s Office of Disability and Employment Policy: Date . To Whom It May Concern: This letter serves as certification that (Veteran’s name) is a person with a severe disability that qualifies him/her for consideration under the Schedule A hiring authority.

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    • [PDF File]Uniform Conveyancing Blanks - Minnesota

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      Vehicle/Hull Identification Number (VIN/HIN) Year Make Model Section 3 - Owner(s) Signature Date of sale Sale price Enter odometer reading (no tenths) $ Reflects actual mileage for this vehicle I certify that the odometer reading: (check one) Reflects the mileage in excess of the odometer’s mechanical limits Is not the actual mileage.

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    • [DOC File]LEAVE REQUEST FORM/AUTHORIZATION - United States Navy

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    • [PDF File]Vaccine Excipient Summary-Excipients Included in U.S ...

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      Code of Ethics of the National Association of Social Workers OVERVIEW The NASW Code of Ethics is intended to serve as a guide to the everyday professional conduct of …

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