Have or had
[PDF File]Vaccine Information Statement: Inactivated Influenza Vaccine
https://info.5y1.org/have-or-had_1_2ab478.html
Influenza vaccine does not cause flu. Influenza vaccine may be given at the same time as other vaccines. 3 Talk with your health care provider Tell your vaccine provider if the person getting the vaccine: Has had an allergic reaction after a previous dose of influenza vaccine, or …
[PDF File]PHQ-9* Questionnaire for Depression Scoring and ...
https://info.5y1.org/have-or-had_1_d9785d.html
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.
[PDF File]Patient Health Questionnaire (PHQ-9)
https://info.5y1.org/have-or-had_1_e7feef.html
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
[PDF File]POS-010 Proof of Service of Summons
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At the time of service I was at least 18 years of age and not a party to this action. Form Adopted for Mandatory Use PROOF OF SERVICE OF SUMMONS Judicial Council of California
[PDF File]The Mood Disorder Questionnaire (MDQ) - Overview
https://info.5y1.org/have-or-had_1_cd5e11.html
If you checked YES to more than one of the above, have several of these ever happened during the same period of time? 3. How much of a problem did any of these cause you - like being unable to work; ... you had more energy than usual?...you were much more active or did many more things than usual?...you were much more social or outgoing than ...
[PDF File]Application for Social Security Card
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have DHS work authorization, you must prove that you have a valid non-work reason for requesting a card. See page 2 for an explanation of acceptable documents. NOTE: If you are age 12 or older and have never received a Social Security number, you must apply in person. Replacement Social Security Card
[PDF File]Form W-9 (Rev. October 2018)
https://info.5y1.org/have-or-had_1_7ff93a.html
you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments ...
[PDF File]Disability Report- Adult
https://info.5y1.org/have-or-had_1_903899.html
If you have any of your medical records, send or bring them to our office with this completed report. Please tell us if you want to keep your records so we can return them to you. If you are having an interview in our office, bring your medical records, your prescription medicine containers (if available), and the completed report with you.
[PDF File]National Interagency Coordination Center 0530 MT National ...
https://info.5y1.org/have-or-had_1_b34877.html
National Interagency Coordination Center Incident Management Situation Report Monday, October 7, 2019 – 0530 MT National Preparedness Level 1 National Fire Activity
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