Highest grade completed 1 17
[PDF File]VA Form 40-1330, CLAIM FOR STANDARD GOVERNMENT …
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minimum of 24 months continuous active duty or be completed under special circumstances, e.g., death on active duty. Persons who have only limited active duty service for training while in the National Guard or Reserves are not eligible unless there are special circumstances, e.g., death while on active duty, or as a result of training.
[PDF File]Mini-Mental State Examination
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Abnormal for 8th grade education Abnormal for high school education Abnormal for college education Severity 24-30 18-23 0-17 No cognitive impairment Mild cognitive impairment Severe cognitive impairment Sources: • Crum RM, Anthony JC, Bassett SS, Folstein MF. Population-based norms for the mini-mental state
[PDF File]SUPERIOR COURT OF CALIFORNIA, COUNTY OF
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(2) INCIDENT means (insert your definition here or 1.0 Identity of Persons Answering These Interrogatories on a separate, attached sheet labeled “Sec. 4(a)(2)”): 1.1 State the name, ADDRESS, telephone number, and relationship to you of each PERSON who prepared or assisted in the preparation of the responses to these
[PDF File]Edinburgh Postnatal Depression Scale (EPDS)
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Edinburgh Postnatal Depression Scale 1 ... Here is an example, already completed. I have felt happy: Yes, all the time Yes, most of the time This would mean: “I have felt happy most of the time” during the past week. No, not very often Please complete the other questions in the same way.
[PDF File]FL-150 INCOME AND EXPENSE DECLARATION
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(If you have more than one job, attach an 8 1/2-by-11-inch sheet of paper and list the same information as above for your other jobs. Write "Question 1—Other Jobs" at the top.) 2. Age and education. a. My age is (specify): b. I have completed high school or the equivalent: Yes. No. If no, highest grade completed …
[PDF File]International Prostate Symptom Score (I-PSS)
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About the I-PSS The International Prostate Symptom Score (I-PSS) is based on the answers to seven questions concerning urinary symptoms and one question concerning quality of life.
[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.
[PDF File]BUPERSINST 1610.10D BUPERS INSTRUCTION 1610.10D ...
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traits are graded on a 5-point scale, from 1.0 (lowest) to 5.0 (highest), using performance standards printed on the forms. The performance trait grade of 3.0 represents performance to full Navy standards. Higher grades are reserved for performance which significantly exceeds standards. All 1…
[PDF File]Oswestry Low Back Disability Questionnaire - Rehabilitation
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The Oswestry Disability Index (also known as the Oswestry Low Back Pain Disability Questionnaire) is an extremely important tool that researchers and disability evaluators use to measure a patient's permanent functional disability. The test is considered the ‘gold standard’ of low back functional outcome tools [1]. Scoring instructions
[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 …
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