Is of significance to

    • [PDF File]National Interagency Coordination Center Incident ...

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      linical ertificate (2/19) File No. 8. Explain in the space below the facts which lead you to believe that future conduct may result in (check applicable box) a. likelihood of injury to self.

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    • [PDF File]The Dizziness Handicap Inventory ( DHI )

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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

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    • [PDF File]PHQ-9* Questionnaire for Depression Scoring and ...

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      The patient can cope with most living activities. Usually no treatment is indicated apart from advice on lifting sitting and exercise.

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    • [PDF File]2018 Form 1041

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      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.

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    • significance - Dictionary Definition : Vocabulary.com

      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]Patient Health Questionnaire (PHQ-9)

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      report unless new information is received. Incident Name Unit Size % Ctn/ Comp Est Personnel Resources Strc Lost $$ CTD Origin Acres Chge Total Chge Crw Eng Heli Own Johnson AZ-PNF 166 --- 96 Ctn 10/6 50 --- 1 3 1 1 1.4M FS Large Fires Being Managed With a Strategy Other Than Full Suppression Without a Type 1 or 2 IMT Assigned

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    • [PDF File]Oswestry Low Back Disability Questionnaire

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      Please wait... If this message is not eventually replaced by the proper contents of the document, your PDF viewer may not be able to display this type of document.

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    • [PDF File]I am authorized by law to examine you for the purpose of ...

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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]Generalized Anxiety Disorder 7-item (GAD-7) scale

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      The Dizziness Handicap Inventory ( DHI ) P1.Does looking up increase your problem? o Yes o Sometimes o No E2.Because of your problem, do you feel frustrated?

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    • [PDF File]TINETTI BALANCE ASSESSMENT TOOL

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      Form 1041 Department of the Treasury—Internal Revenue Service . U.S. Income Tax Return for Estates and Trusts. 2018. OMB No. 1545-0092. For calendar year 2018 or fiscal year beginning

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