School home page
[PDF File]2018 Form 1040
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Home address (number and street). If you have a P.O. box, see instructions. Apt. no. City, town or post office, state, and ZIP code. If you have a foreign address, attach Schedule 6. Full-year health care coverage or exempt (see inst.) Presidential Election Campaign (see inst.) You . Spouse. If more than four dependents, see inst. and here
[PDF File]Application for Social Security Card
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Page 1. Application for a Social Security Card. ... decree, or a school identity card, or other school record maintained by the school. If you are not a U.S. citizen, we must see your current U.S. immigration document(s) and your foreign passport with biographical information or photograph.
[PDF File]The Mood Disorder Questionnaire (MDQ) - Overview
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The Mood Disorder Questionnaire (MDQ) - Overview The Mood Disorder Questionnaire (MDQ) was developed by a team of psychiatrists, researchers and consumer advocates to address the need for timely and accurate evaluation
[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))
[PDF File]REQUEST AND AUTHORITY FOR LEAVE
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[PDF File]VAMC SLUMS Examination - School of Medicine
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She then stopped work and stayed at home to bring up her children. When they were teenagers, she went back to work. She and Jack lived happily ever after. What was the female’s name? What work did she do? When did she go back to work? What state did she live in? TOTAL SCORE SH Tariq, N Tumosa, JT Chibnall, HM Perry III, and JE Morley.
[PDF File]TINETTI BALANCE ASSESSMENT TOOL - Welcome to CHHD …
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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]Form 4506-T (Rev. 6-2019)
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Page 2 for additional information. 6 Transcript requested. Enter the tax form number here (1040, 1065, 1120, etc.) and check appropriate box below. only one tax number per request. a Return Transcript, which includes most of the line items of a tax return as filed with the IRS. A tax return transcript does not reflect
[PDF File]Patient Health Questionnaire (PHQ-9)
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home and bring them in at their next appointment for scoring or they may complete the questionnaire during each scheduled appointment. 2. Add up 3s by column. For every 3: Several days = 1 More than half the days = 2 Nearly every day = 3 3. Add together column scores to get a TOTAL score. 4.
[PDF File]FL-150 INCOME AND EXPENSE DECLARATION
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Income (For average monthly, add up all the income you received in each category in the last 12 months and divide the total by 12.) FL-150 [Rev. January 1, 2019]
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