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[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
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[PDF File]CLEAN COPY DWC Form RFA - California Department of ...
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journals that recommend the specific medical treatment or diagnostic services to justify your request. ... Warning: Private healthcare information is contained in the Request for Authorization for Medical Treatment, DWC Form RFA. The form can only go to other treating providers and to …
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[DOC File]LEAVE REQUEST FORM/AUTHORIZATION - United States Navy
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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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[PDF File]PTSD CheckList – Civilian Version (PCL-C)
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PTSD CheckList – Civilian Version (PCL-C) The PCL is a standardized self-report rating scale for PTSD comprising 17 items that correspond to the key symptoms of PTSD. Two versions of the PCL exist: 1) PCL-M is specific to PTSD caused by military experiences and …
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[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
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[PDF File]PLEASE READ CAREFULLY THE FOLLOWING INFORMATION …
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- medical evidence in support of efficacy of the proposed treatment or testing- may include relevant medical literature published in recognized peer reviewed journals. I sent or directed my office to send a copy of this request to the insurer, the Chair, the patient and the patient's legal representative, if any, on the same day, and sent or
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[PDF File]Timed Up and Go (TUG) Test - University of Nebraska ...
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Kristensen MT, Foss NB, Kehlet H. Timed "Up and Go" Test as a predictor of falls within 6 months after hip fracture surgery. Phys Ther. 2007.87(1):24 -30. Additional References . Bischoff HA, Stahelin HB, et al. Identifying a cut-off point for normal mobility: A comparison study of the
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[PDF File]Patient Safety Plan Template - Lifeline
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Safety Plan Template ©2008 Barbara Stanley and Gregory K. Brown, is reprinted with the express permission of the authors. No portion of the Safety Plan Template may be reproduced . without their express, written permission. You can contact the authors at bhs2@columbia.edu or gregbrow@mail.med.upenn.edu.
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[PDF File]Patient Health Questionnaire (PHQ-9)
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PHQ-9 Patient Depression Questionnaire For initial diagnosis: 1. Patient completes PHQ-9 Quick Depression Assessment. 2. If there are at least 4 3s in the shaded section (including Questions #1 and #2), consider a depressive
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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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