Better word than things
[PDF File]Health Care Proxy
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Health Care Proxy Appointing Your Health Care Agent in New York State The New York Health Care Proxy Law allows you to appoint someone you trust — for example, a family member or close friend – to make health care decisions for you if you lose the ability to make decisions yourself. By appointing a health care agent, you can make sure
[PDF File]Patient Health Questionnaire (PHQ-9)
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Thoughts that you would be better off dead, or of hurting yourself 9. add columns + + (Healthcare professional: For interpretation of TOTAL, TOTAL: please refer to accompanying scoring card). If you checked off any problems, how difficult Not difficult at all have these problems made it for you to do your work, take care of things at home, or get
[DOC File]LEAVE REQUEST FORM/AUTHORIZATION - United States Navy
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periods of leave i certify that i have sufficient funds to cover the cost of round trip travel. i understand that should any portion of this leave, if approved, result in my taking more leave than i can earn on my current un-extended enlistment or current active duty obligation, my pay will be checked for such excess leave. 22.
[PDF File]Generalized Anxiety Disorder 7-item (GAD-7) scale
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Generalized Anxiety Disorder 7-item (GAD-7) scale Over the last 2 weeks, how often have you been bothered by the following problems? Not at all sure
[PDF File]Oswestry Low Back Disability Questionnaire
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Pain prevents me from walking more than 1 PLOH. Pain prevents me from walking more than \DUGV: I can only walk using a stick or crutches . I am in bed most of the time : Oswestry Low Back Disability Questionnaire . Section 5 – Sitting . I can sit in any chair as long as I like .
[PDF File]e-Notification of Application/Petition Acceptance
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USCIS Form G-1145 e-Notification of Application/Petition Acceptance Department of Homeland Security U.S. Citizenship and Immigration Services
Firearms Transaction Record - ATF Home Page
ATF E-Form 4473 (5300.9) Revised October 2016. U.S. Department of Justice . Bureau of Alcohol, Tobacco, Firearms and Explosives. Firearms Transaction Record. OMB No. 1140-0020. WARNING: You may not receive a firearm if prohibited by Federal or State law. The information you provide will be used to determine whether you are prohibited from ...
[PDF File]New York State • New York City • Yonkers
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Taxpayers with more than one job – If you have more than one job, file a separate IT-2104 certificate with each of your employers. Be sure to claim only the total number of allowances that you are entitled to. Your withholding will better match your total tax if you claim all of your allowances at your higher-paying job and zero allowances at
[PDF File]Physician's Order for Personal Care/Consumer Directed ...
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Examination conducted by other than a physician. If patient was examined, and the order form completed by a physician’s assistant, specialist’s assistant, or nurse practitioner, complete the required information. • Place of Examination. Indicate the location (office, clinic, home, etc) of the examination of the patient. •
[PDF File]Standard Form 86 - Questionnaire for National Security
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or security clearance are better if you answer all questions truthfully and completely. You will have adequate opportunity to explain any information you provide on this form and to make your comments part of the record. Penalties for Inaccurate or False Statements. The information you provide is for the purpose of investigating you for a ...
[PDF File]DRDP (2015) Preschool - Child Development (CA Dept of ...
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described in more detail to help teachers and service providers better understand and rate the measures of the DRDP (2015). Young Dual Language Learners and the DRDP (2015) Dual language learners are children learning two or more languages at the same time, as well as those children learning a second language while continuing to develop their first
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