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    • [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

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    • [PDF File]Epworth Sleepiness Scale

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      Epworth Sleepiness Scale Name: _____ Today’s date: _____ Your age (Yrs): _____ Your sex (Male = M, Female = F): _____ How likely are you to doze off or fall asleep in the following situations, in contrast to feeling just tired? This refers to your usual way of life in recent times. Even if you haven’t done some of these things recently try ...

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    • [DOC File]LETTER ADVISING EMPLOYEE THEY HAVE EXHAUSTED THEIR FMLA

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      LETTER ADVISING EMPLOYEE THEY HAVE EXHAUSTED FMLA . Please note - this document should be placed on dept. letterhead. Date. Employee Name. Address, City, State Zip. Dear (name): I hope this letter finds you recuperating and getting your strength back ... LETTER ADVISING EMPLOYEE THEY HAVE EXHAUSTED THEIR FMLA ...

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    • [PDF File]Self-treatment of benign positional vertigo (right)

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      Self-treatment of benign positional vertigo (left) Start sitting on a bed and turn your head 45° to the left. Place a pillow behind you so that raising it) and on lying

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    • [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.

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    • [DOT File]ocfs.ny.gov

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      ocfs-6004 (08/2019) front. new york state. office of children and family services. staff, volunteer, and household member . medical statement. child care programs. i. nstructions

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    • [PDF File]Trail Making Test - USD

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      Trail Making Test (TMT) Parts A & B Instructions: Both parts of the Trail Making Test consist of 25 circles distributed over a sheet of paper. In Part A, the circles are numbered 1 – 25, and the patient should draw lines to connect the numbers in ascending order. In Part B, the circles include both numbers (1 – 13) and letters (A – L); as in

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    • [DOC File]LEAVE REQUEST FORM/AUTHORIZATION - United States Navy

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      10. type leave. regular sick . emergency. separation retirement other for use outus only 12. mode of travel. air bus. car train 11a. leaving area of permdusta. yes no 11b. taking leave inconus. yes no 13. days requested. 14. from (hour, date) (yymmdd) 15.

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    • [PDF File]STOP-BANG Sleep Apnea Questionnaire

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      www.sleepmedicine.com OHIOSLEEPMEDICINEINSTITUTE CENTER OF SLEEP MEDICINE EXCELLENCE TM 4975 Bradenton Avenue, Dublin Ohio 43017 T 614.766.0773

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