Free short bio templates
[PDF File]TINETTI BALANCE ASSESSMENT TOOL - Welcome to CHHD Home Page!
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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
[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,
[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 of bipolar disorder. Clinical Utility n The MDQ is a brief self-report instrument that takes about 5 minutes to complete.
[PDF File]Introduction to the Position Classification Standards
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Introduction to the Position Classification Standards TS-134 July 1995, TS-107 August 1991 Revised: August 2009 ⎯ Narrative ⎯ Standards describing the nature of work and level of responsibility for each grade covered by the standard.
[PDF File]Clinical Opiate Withdrawl Scale - National Institute on ...
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Clinical Opiate Withdrawal Scale Introduction The Clinical Opiate Withdrawal Scale (COWS) is an 11-item scale designed to be administered by a clinician. This tool can be used in both inpatient and outpatient settings to reproducibly rate common signs and symptoms of opiate withdrawal and monitor these symptoms over time. The summed
[PDF File]AOTA OCCUPATIONAL PROFILE TEMPLATE
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AOTA OCCUPATIONAL PROFILE TEMPLATE “The occupational profile is a summary of a client’s occupational history and experiences, patterns of daily living, interests, values, and needs” (AOTA, 2014, p. S13). The information is obtained from the client’s perspective through both formal interview techniques and casual conversation
[PDF File]BILL OF SALE
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BILL OF SALE VEHICLE INFORMATION Make: _____ Model: _____ Year: _____ Style: _____ Color: _____ VIN# _____
[PDF File]SOLDIER'S DATA SHEET - A FREE Online ...
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SOLDIER'S PERSONAL DATA SHEET. DATE . PRIVACY ACT OF 1974 COMPLIANCE INFORMATION . The following information is provided in accordance with 5 U.S.C. 552a(e)(3) and applies to this form.
[DOC File]Aid Codes Master Chart (aid codes) - Medi-Cal
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The Aid Codes Master Chart was developed for use in conjunction with the Medi-Cal Automated Eligibility Verification System (AEVS). Providers must submit an inquiry to AEVS to verify a recipient’s eligibility for
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