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    • [PDF File]Vaccine Information Statement: Inactivated Influenza Vaccine

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      fflce use only 4 Risks of a vaccine reaction Soreness, redness, and swelling where shot is given, fever, muscle aches, and headache can happen after influenza vaccine. There may be a very small increased risk of Guillain-Barré Syndrome (GBS) after inactivated influenza vaccine (the flu shot). Young children who get the flu shot along with

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

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      depression. The EPDS is easy to administer and has proven to be an effective screening tool. Mothers who score above 13 are likely to be suffering from a depressive illness of varying severity. The EPDS score should not override clinical judgment. A careful clinical assessment should be …

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    • [PDF File]RD-108 Application for Michigan Title & Registration

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      Purchaser Warning: Do Not Sign a Blank Form. I am purchasing or leasing this vehicle and am applying for a Michigan certificate of title and registration or, if the lessee, applying for a registration.

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    • [PDF File]Form 1040X Amended U.S. Individual Income Tax Return

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      Form 1040X (Rev. January 2019) Department of the Treasury—Internal Revenue Service. Amended U.S. Individual Income Tax Return ...

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    • [PDF File]EMPLOYEE’S WITHHOLDING ALLOWANCE CERTIFICATE

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      Use last year’s . FTB Form 540 as a model to calculate this year’s withholding amounts. Do not include deferred compensation, qualified pension payments, or flexible benefits, etc., that are deducted from your gross pay but are not . taxed on this worksheet.

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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]2018 Form 1040

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      Form 1040 Department of the Treasury—Internal Revenue Service . U.S. Individual Income Tax Return . 2018. OMB No. 1545-0074. IRS Use Only—Do not write or staple in this space.

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    • [PDF File]Clinical Opiate Withdrawl Scale

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      Wesson & Ling Clinical Opiate Withdrawal Scale APPENDIX 1 Clinical Opiate Withdrawal Scale For each item, circle the number that best describes the patient' s signs or symptom.

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    • [PDF File]BILL OF SALE

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      BILL OF SALE VEHICLE INFORMATION Make: _____ Model: _____ Year: _____ Style: _____ Color: _____ VIN# _____

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    • [PDF File]Patient Health Questionnaire (PHQ-9)

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      PATIENT HEALTH QUESTIONNAIRE (PHQ-9) NAME: DATE: Over the last 2 weeks, how often have you been bothered by any of the following problems? Not at all Several days More than half the days Nearly every day (use " ü " to indicate your answer) 1. Little interest or pleasure in doing things 0 1 2 3

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