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    • [PDF File]NAME : MONTREAL COGNITIVE ASSESSMENT (MOCA) …

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      POINTS TOTAL MEMORY NAMING VISUOSPATIAL / EXECUTIVE ATTENTION LANGUAGE ABSTRACTION DELAYED RECALL ORIENTATION Read list of words, subject must repeat them.

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    • [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

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    • [PDF File]Good Sleep Hygiene Handout Do - Counseling Service

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      Good Sleep Hygiene Handout The most common cause of insomnia is a change in your daily routine. For example, traveling, change in work hours, disruption of other behaviors (eating, exercise, leisure, etc.), and relationship conflicts can all cause sleep problems. Paying attention to good

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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]Adverse Childhood Experience (ACE) Questionnaire Finding ...

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      Adverse Childhood Experience (ACE) Questionnaire Finding your ACE Score ra hbr 10 24 06 While you were growing up, during your first 18 years of life: 1. Did a parent or other adult in the household often … Swear at you, insult you, put you down, or humiliate you?

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    • [PDF File]BRADEN SCALE For Predicting Pressure Sore Risk

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      BRADEN SCALE – For Predicting Pressure Sore Risk Use the form only for the approved purpose. Any use of the form in publications (other than internal policy manuals and training material) or for profit-making ventures requires additional permission and/or negotiation.

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    • [DOC File]Aid Codes Master Chart (aid codes) - Medi-Cal

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      Adults Eligible recipients age 19 through 65 years old. Provides full-scope, no-cost Medi-Cal coverage to adults with income at or below 138 percent of the FPL. M2 Restricted to pregnancy-related, postpartum, emergency and LTC services No Title XIX. ... Aid Codes Master Chart (aid codes) ...

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