POLICY REGARDING LEGAL CASES AND TESTIMONY
|
|
- Leon Miles
- 5 years ago
- Views:
Transcription
1
2
3 POLICY REGARDING LEGAL CASES AND TESTIMONY JEFFERSON NEUROLOGY ASSOCIATES at The Jefferson Comprehensive Concussion Center 4050 South 26th Street, Suite 140 Philadelphia, PA Dear Patient: This statement is to acquaint you with our policy in regard to accepting cases with legal involvement requiring testimony. Because of our heavy clinical, research and teaching responsibilities and the ongoing requirements of good patient care, we find it impossible to accept any new patients with legal involvement where the case requires testimony. It is frequently impossible to predict which will not. It has been our decision to accept no cases of this nature and to refer patients to other physicians for their care. Our predominant reason for declining participation in any legal case requiring testimony is that it would ultimately mean that we would have to deny medical care to other patients. We feel that our primary obligation is to render medical care and treatment, rather than testimony and assistance in law suits. Your signature of this document states that you understand that any member of the Jefferson Neurology Department including physicians, midlevel providers, administrators, and support staff will treat you as a patient, but will not testify in court or do any type of testimony or depositions, nor will you or your attorney subpoena any member of the Neurology Department to provide any type of testimony or deposition. Date of Birth: Print Patient Name X Date: Signature of Patient
4
5 Neurology Concussion Intake Form Welcome to the Jefferson Comprehensive Concussion Center. In order for Dr. Serruya to provide you or your loved one with the most effective care, we ask that you fill out this health history form to the best of your ability. Patient s Name: Date: Name of the person filling out this form, if not the patient: Please provide your referring physician s contact information including NAME, CITY and STATE: Have you seen any other medical providers since your most recent concussion? Concussion History Did you suffer from headaches prior to your concussion? YES NO If yes, please explain. Have you ever had a concussion before? YES NO Please list the dates (approximate if needed) of your previous concussions. When was your most recent concussion? How did the concussion occur? What part of your head was hit? Was there a loss of consciousness? Did you have any seizures? Was alcohol involved? Have you been consuming alcohol since the concussion? Have your social habits changed? Are you having trouble in school or work? Have you been driving since the concussion? Do friends and family think that you are acting your usual self? Yes No N/A Comments
6
7 Medical History: If able, please answer the following: Yes No I Don t Know Were you the product of a normal pregnancy? Did you spend time in the neonatal intensive care unit? Did you hit major milestones at the same time as other children? Have you ever Yes No Comments Repeated a grade? Been placed in special education classes? Been diagnosed with learning disability or ADD? Had a significant childhood illness? Been in a car accident? Lost consciousness for any reason? Been exposed to fumes, radiation, or insecticides? Please list any medical conditions you have: Please list any surgeries you have had, including the year. Have you ever Yes No Comments Seen a psychologist? Seen a psychiatrist? Been admitted to a psychiatric hospital? Been in a rehab program? Family History: Has anyone in your family had any of the following conditions? (If yes, please list your relationship with them) Depression Diabetes Anxiety Parkinson s Disease Bipolar Disorder Alcoholism/Drug Abuse Schizophrenia Heart Condition Epilepsy High Blood Pressure Stroke High Cholesterol Migraines Asthma Alzheimer s Dementia Hypothyroidism Other Dementia Hyperthyroidism Liver Condition Cancer Kidney Condition Other Social History: Please list the other members of your household. Are there any pets in the home? If yes, are you allergic?
8 What school do or did you attend? Do you play sports? If yes, are they affiliated with the school or other organization? Do you have access to a Certified Athletic Trainer? (Please list contact information, if possible) Do you exercise? NEVER RARELY REGULAR, AEROBIC WALK A LOT What is the highest level of education you received? Are you working? How would you describe your work environment? SUPPORTIVE TOXIC UNPREDICTABLE OTHER Did you ever serve in the military? Do you wear glasses or contacts? Are you a smoker? YES NO PREVIOUS Do you consume alcohol? NEVER 1 3 DRINKS/WEEK 4 6 DRINKS/WEEK 7+ DRINKS/WEEK Did you ever use illicit drugs? YES NO PREFER NOT TO SAY Do you drink caffeinated drinks (coffee, tea, energy drinks, soda, etc.)? YES NO If yes, how many cups per day? Please list any allergies you have. Please list your current prescription medications and their doses. Please list your current over the counter medications and their doses. Please list any vitamins or supplements you are currently taking.
9
10
11
12
13
14
Adult Intake Form. Last Name: First Name: M.I.: City: State: Zip code: Name of emergency contact: Relationship to you: Address:
Well CENTERED Adult Intake Form 1911 Keller Andrews Road Sanford, NC 27330 919.777.9355 www.wellcenteredcounseling.com Personal Information Today s Date: Last Name: First Name: M.I.: Age: Date of Birth:
More informationMarlton Psychological Services 2001A Lincoln Drive West, Marlton, NJ 08053
Marlton Psychological Services 2001A Lincoln Drive West, Marlton, NJ 08053 Robert B. Haynes, Ph.D. Scott T. Parker, Ph.D. (609) 417-7300 (856) 266-2302 Intake Form Personal Information Date: Last Name:
More informationMindful Therapeutic Solutions
Mindful Therapeutic Solutions Maggie Minsk, LPC, NCC, CI, CHt 152 Capcom Drive Suite 101, Wake Forest NC 27616 Cell# 919-426-2924 Adult Intake Form Personal Information Today s Date: Last Name: First Name:
More informationCarol J. Gardner, D.O. 905 Roosevelt Hwy, Suite 210 Colchester, VT New Patient Profile. First Name: MI:.Last Name:. Emergency Contact Name:
Carol J Gardner, DO 905 Roosevelt Hwy, Suite 210 Colchester, VT 05446 New Patient Profile Date: First Name: MI: Last Name: Date of Birth: Age: Sex: M F Address (street, city, zip code): Home Phone #: Cell
More informationShannon Lee, LMFT. Licensed Marriage & Family Therapist MFT# Los Feliz Blvd Suite #106 Los Angeles, CA
1 Shannon Lee, LMFT Licensed Marriage & Family Therapist MFT#47482 3111 Los Feliz Blvd Suite #106 Los Angeles, CA 90039 661-208-5099 Although some questions here may seem unnecessary, they will help me
More informationADULT INTAKE FORM Dr. Kimberly Dawdy, B.A. (HONS), N.D Sunset Blvd. Ottawa, ON, K4P 1C5
PLEASE PRINT CLEARLY IN BLUE OR BLACK PEN Name: Date of birth: Age: (M/D/Y) Date: Sex: M F Address: Email: Phone number: Home: Work: Mobile: May we leave messages relating to your visits? Y / N If so which
More informationNew Patient Information:
New Patient Information: Patient Name: Date of Birth: / / Age: SEX: Male or Female SS# / / Home Address: City/State: ZIP: Home # Cell # Email Address Occupation: Work # Primary Language: Ethnicity: Guarantor
More informationContact Details. Date: First Name: Middle Name: Last Name: Date of Birth: / / Age: Country of Birth: Address: Street Number and Name
Contact Details Date: First Name: Middle Name: Last Name: Gender: Male Female Date of Birth: / / Age: Country of Birth: Address: Street Number and Name Suburb State Postcode Country Phone: Home: Work:
More informationTinnitus Intake Form
Tinnitus Intake Form NAME: AGE: DATE: / / REFERRED BY: DAYTIME PHONE: HOME PHONE: When did you first experience tinnitus? How long have you had tinnitus in its present form? years months Briefly describe
More informationTinnitus Case History Form
Tinnitus Case History Form Patient Name: Date of Completion: Date of Birth: Gender (circle one): Male Female Current Tinnitus Where do you perceive your tinnitus: (check one) Right ear Left ear Both ears
More informationPatient Profile. Patient Name: Today s Date: / / Date of Birth: / / Age: Gender: Female Male. Your Contact Information
Patient Profile Patient Name: Today s Date: / / Date of Birth: / / Age: Gender: Female Male Your Contact Information Phone Number Mobile Phone Number Email Address Mailing Address: Who should we contact
More informationWhat is the main reason why you are seeking integrative medical care? (please answer in the space provided) Name: Address: Phone:
SALUTOGENESIS QUESTIONAIRE (Please fill out the following to the best of your ability) What is the main reason why you are seeking integrative medical care? (please answer in the space provided) Personal
More informationAddress: City: State: Zip Code: Home Phone: ( ) Work Phone: ( ) Cell: ( ) Cell Phone Carrier: AT&T Sprint Verizon T-Mobile
In order to create a game plan for you to live life on your terms, its imperative that we get to know you on many different levels to help you overcome what is either holding you back or keeping you from
More informationPatient Encounter Structure
Checking Doorway Information Full Name Age Sex Chief Complaint Vital Signs Blood Pressure Body Temperature Respiratory Rate Heart Rate Patient Encounter Structure 1. Greeting & Introduction 2. Chief Complaint
More informationPerformance Information Band & Honors Solo Vocal
Performance Information Band & Honors Solo Vocal Student s name Current Grade (as of May 18) Instrument/Voice Type Jazz Ensemble instrument (Band Camps only) School Name School Band/Choir Director Years
More informationPERSONAL HEALTH SUMMARY NAME: DOB: APPOINTMENT DATE: What do you consider to be your main health problems? PAST MEDICAL HISTORY
Metropolitan Medical Associates Honeygo Professional Center 5009 Honeygo Center Drive, Suite 216 Perry Hall, MD 21128 Telephone 410-256-5858 Fax 410-529-2431 JEFFREY COOL, M.D. LISA SPEIGHT, M.D. ASHA
More informationAdult Initial Questionnaire
Troy Psychological Services PLLC Sarah Gates, Psy.D. Adult Initial Questionnaire Please complete as fully as possible and bring it to your first session. This information will help me get to know you and
More informationHIPAA Consent Form. Conduct normal healthcare operations such as quality assessments and physician certifications.
HIPAA Consent Form I understand that, under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), I have certain rights to privacy regarding my protected health information. I understand
More informationAUDIOLOGY CONSULTANTS, P.C.
Initial Tinnitus Questionnaire Patient Name: DOB: Date: Reason for today s appointment: Allergies to any medications, plastics, etc.? Current medications: Ear Health History Have you been exposed to loud
More informationGet ready 1 Talk about the pictures
Lesson A 1 Get ready 1 Talk about the pictures A What do you see? B What is happening? C What s the story? 2 SELF-STUDY SELF-STUDY 2 Listening A Listen and answer the questions 1 Who are the speakers?
More informationName: Birth Date: Weight: How long have you been at this weight: Height: Waist Size: What is the main reason you came to the doctor at this time?
KIRKPATRICK F A M I L Y C A R E 1706 Washington Way Longview, WA 98632 (360) 423-9580 Primary Care Provider: First Appointment Date: Today s Date: BACKGROUND: Name: Birth Date: Weight: How long have you
More informationWelcome to the University of Arizona Clinic for Adult Hearing Disorders
Welcome to the University of Arizona Clinic for Adult Hearing Disorders We look forward to seeing you during your upcoming appointment. At that time, we will have: a comprehensive discussion about your
More informationMusic Therapy An Alternative Medicine. Keith Brown. Northern Illinois University
Running Head: Music Therapy An Alternative Medicine 1 Music Therapy An Alternative Medicine Keith Brown Northern Illinois University 2 Today is any old regular day. You go down to the local drug store
More information8/26/2016. Coma Arousal. Practitioner. My playground
The Healing Powers of Music: Sound Choices for the Nurse Practitioner David Horvath, Ph.D, PMHNP-BC New York State Nurse Practitioner Association 2016 Annual Conference My playground Coma Arousal Comatose
More informationSue Shuttleworth Music Therapy Clinic
Dear : Sue Shuttleworth Music Therapy Clinic Thank you for your interest in the Sue Shuttleworth Music Therapy Clinic at Slippery Rock University of Pennsylvania. We are grateful to have your support in
More informationIntake Forms: NICoE Intrepid Spirit One. Not interested
Intake Forms: NICoE Intrepid Spirit One Name:Click here to enter text. DOB: Click here to enter text. Last four of SSN: Click here to enter text. Do you have any of the following?: Special Duty Clearances:
More informationJoyful Noises LLC Twin Cities Music Therapy Services LLC
Joyful Noises LLC Twin Cities Music Therapy Services LLC AMTA National Roster Internship Site Minneapolis, Minnesota Fact Sheet Dear Potential Intern, Thank you for your interest in our music therapy internship
More informationCase 3:01-cv CFD Document 30 Filed 06/04/2004 Page 1 of 13 IN THE UNITED STATES DISTRICT COURT FOR CONNECTICUT
Case 3:01-cv-02426-CFD Document 30 Filed 06/04/2004 Page 1 of 13 IN THE UNITED STATES DISTRICT COURT FOR CONNECTICUT IN RE: LATEX GLOVE PRODUCTS : LIABILITY LITIGATION : : ANDREA HOGAN : Civil Action No:
More informationAll of the following notes are included in our package:
(We are formerly known as BestFakeDoctorNotes.com) All of our notes: Work in all states and can be customized to any location. Can be set up with our Call Back Verification. Are modeled after real notes.
More informationConsulting Service: Webinar Series Music in Medicine: Enhancing the Healing Environment
Consulting Service: Webinar Series Music in Medicine: Enhancing the Healing Environment Presented by Cathy DeWitt and Ronna Kaplan 6.23.2010 The Society is grateful to the National Endowment of the Arts
More informationTherapy for Memory: A Music Activity and Educational Program for Cognitive Impairments
2 Evidence for Music Therapy Therapy for Memory: A Music Activity and Educational Program for Cognitive Impairments Richard S. Isaacson, MD Vice Chair of Education Associate Prof of Clinical Neurology
More informationHealth Questions 2012
Health Questions 2012 How do you spell my last name? A. Allberry B. Albury C. Aubrey D. Albery Answer: B. Albury What Health Risk Factors is Controllable? A.Heredity B. Age C. Physical Activity D. Gender
More informationDiscipleship Bible School Application
Discipleship Bible School Application We are currently in the process of updating our applications. Please print this application, fill it out, then email it back to dbs@ywamoxford.org. If you don t have
More informationReference ID:
1414 1415 Medication Guide 1416 PAXIL (PAX-il) 1417 (paroxetine hydrochloride) 1418 Tablets and Oral Suspension 1419 1420 Read the Medication Guide that comes with PAXIL before you start taking it and
More informationAPPLICATION FOR ADMISSION
APPLICATION FOR ADMISSION Name: Age: First Middle Last Have you ever applied to or lived at Next Step Recovery? When? Permanent Address: Street: City: State: Zip Code: Social Security #: DOB: Birthplace:
More informationWZT intake questionnaire
WZT intake questionnaire Name: Age: Date: Work 1. Are you employed? # of hours/week 2. What is your occupation? 3. Are you satisfied? 4. If t employed, is your unemployment due to tinnitus? Tinnitus characterization
More informationDemographics Information
Participant # Date:_ Demographics Information Please answer the following questions about your demographics and health-related behaviours. 1. Gender: Male / Female 2. Age: 3. Height (to the best of your
More informationThe Benefits of Laughter Yoga for People with Depression. Laughter is a subject that has been studying intensively. However, it is still a new area of
Francis 1 Milene Francis Laughter Yoga HLTH 1243 Delan Jensen Julie Pugmire Fall 2015 The Benefits of Laughter Yoga for People with Depression Laughter is a subject that has been studying intensively.
More informationEmergency Contact Name: Phone:
Name on Care Card Preferred Name Phone ( ) -- Home/Cell/Work Phone( ) -- Home/Cell/Work Email for appointment reminders/communication/newsletter: (by providing an email I consent to Parkway s use of that
More informationDance is the hidden language of the soul of the body. Martha Graham
Program Background for presenter review Dance is the hidden language of the soul of the body. Martha Graham What is dance therapy? Dance therapy uses movement to improve mental and physical well-being.
More informationSUMMER CELLO INTENSIVE APPLICATION July 16-21, 2018
SUMMER CELLO INTENSIVE APPLICATION July 16-21, 2018 The Pasadena Cello Institute began in 2017 as a comprehensive 6 day music program for young cellists. The schedule is filled with private lessons, monitored
More informationMusic Education (MUED)
Music Education (MUED) 1 Music Education (MUED) Courses MUED 1651. Percussion. 1 Credit Hour. Methods for teaching percussion skills to students in a school setting. Topics may include but are not limited
More informationEd Boudreaux Hi, I'm Ed Boudreaux. I'm a clinical psychologist and behavioral health consultant.
Discussing Positive Alcohol Screenings: A Moderately Resistant Role Play Edwin D. Boudreaux, PhD Behavioral Health Consultant Stacy Hall, LPC MAC Ed Boudreaux Hi, I'm Ed Boudreaux. I'm a clinical psychologist
More informationNAME OF PERSON THIS FORM IS ABOUT: TODAY S DATE: / / AGE: DATE OF BIRTH: / / SOCIAL SECURITY #: ADDRESS: TELEPHONE: CELL PHONE:
Center for Emotional Fitness and Shore Therapy This form is used both for an adult patient or child patient to fill out about himself/herself. It is also used by a parent, friend, teacher or guardian who
More informationWhy Do We Need To Laugh More Today
1 Introduction You re about to laugh like you have never laughed before! But before you begin to laugh, I want to share with you a breakthrough technology called Laughter Yoga, which I discovered in 1995.
More informationClinical Counseling Psychology Courses Descriptions
Clinical Counseling Psychology Courses Descriptions PSY 500: Abnormal Psychology Summer/Fall Doerfler, 3 credits This course provides a comprehensive overview of the main forms of emotional disorder, with
More informationYear 6 Questionnaire
Year 6 Questionnaire Hello, we would like to invite you to complete this questionnaire, the aim is to identify any support and advice you may need. A member of the school health team may contact you and
More informationJoyful Noises LLC Twin Cities Music Therapy Services LLC
Joyful Noises LLC Twin Cities Music Therapy Services LLC AMTA National Roster Internship Site Minneapolis, Minnesota Fact Sheet Dear Potential Intern, Thank you for your interest in our music therapy internship
More informationPreface. system has put emphasis on neuroscience, both in studies and in the treatment of tinnitus.
Tinnitus (ringing in the ears) has many forms, and the severity of tinnitus ranges widely from being a slight nuisance to affecting a person s daily life. How loud the tinnitus is perceived does not directly
More informationTelephone Messages: Evidences of Harvesting Organs from Live Falun Gong Practitioners in China
Telephone Messages: Evidences of Harvesting Organs from Live Practitioners in China MP3 Download 5.6 MB Download1/On-line Listening Download2/On-line Listening Telephon Message 1 Call time: March 15, 2006
More informationThe Effects of Humor Therapy on Older Adults. Mariah Stump
The Effects of Humor Therapy on Older Adults Mariah Stump Introduction Smiling, laughing, and humor is something that individuals come across everyday. People watch humorous videos, listen to comedians,
More informationTinnitus, Symtoms, Causes and Treatment
Tinnitus, Symtoms, Causes and Treatment Contents Introduction...2 What Is Tinnitus & Its Causes?...5 Alternative Tinnitus Remedies...8 Conclusion...10 ~ 2 ~ Introduction Do you hear sounds that no one
More informationDVI. Instructions. 3. I control the money in my home and how it is spent. 4. I have used drugs excessively or more than I should.
DVI Instructions You are completing this inventory to give the staff information that will help them understand your situation and needs. The statements are numbered. Each statement must be answered. Read
More informationWelcome to WILCOX s Extended Donor Profile
Welcome to WILCOX s Extended Donor Profile WILCOX voluntarily provided the following information which will be disclosed to future parents as an aid in their selection General information and characteristics
More informationCKSD Eastside Elementary Jazz Ensemble All 5 th and 6 th grade band/orchestra members are invited to try out for the CKSD Eastside Elementary Jazz
CKSD Eastside Elementary Jazz Ensemble All 5 th and 6 th grade band/orchestra members are invited to try out for the CKSD Eastside Elementary Jazz Ensemble. The group will rehearse once a week at Fairview
More informationApplication Instructions Please make sure to follow all instructions
The 20 th Annual Donald A. Dake Summer Music Academies Middle School Academy: June 19-22, 2017 9:00 a.m.-noon High School Academy: June 19-23, 2017 1:00-8:00 p.m. Location: Indiana University South Bend
More informationWelcome to FENRIR s Extended Donor Profile
Welcome to FENRIR s Extended Donor Profile FENRIR voluntarily provided the following information which will be disclosed to future parents as an aid in their selection General information and characteristics
More informationThe Future of Tinnitus Research and Treatment
Transcript Details This is a transcript of an educational program accessible on the ReachMD network. Details about the program and additional media formats for the program are accessible by visiting: https://reachmd.com/programs/clinicians-roundtable/the-future-of-tinnitus-research-and-treatment/3090/
More informationLe Moyne College Summer Arts Institute 2017 Application
Le Moyne College Summer Arts Institute 2017 Application Student s Name: male female Date of Birth (mo/day/year) Grade completed June 2017 School attended District Home Address City/State/Zip Home Telephone
More informationJNN. Instructions for Authors. I. General policy. II. Manuscript Preparation
pissn 2635-425X eissn 2635-43570 http://www.j-nn.org I. General policy The Journal of Neurosonology and Neuroimaging (J Neurosonol Neuroimag, JNN) is a regular academic journal of Korean Society of Neurosonology,
More informationHigh School and Collegey Level ADHD Questionnaire
1 High School and Collegey Level ADHD Questionnaire Rate EVERY statement by placing the appropriate number that most fits how you feel about the statement in the space to the left of each item. If an item
More informationSolicitors & Investigators Guide For Questioned Document Examination Page 1 of 5
Page 1 of 5 COLLECTING KNOWN DOCUMENTS FOR COMPARISON To help us support our opinion satisfactorily to the court, we recommend you provide us with as many valid known documents referred to as standards
More informationESL Podcast 227 Describing Symptoms to a Doctor
GLOSSARY stomachache a pain in the stomach * Jenny has a stomachache because she ate too much junk food this afternoon. to come and go to appear and disappear; to arrive and leave * Ella is tired because
More information(occasionally) This is a Topics Course with no prerequisites, open to and appropriate for first-year students.
Psychology Courses-1 PSY 096/Orientation to Psychology 0 course units This advising seminar is required for all freshman and external transfer students (including double majors) enrolled as Psychology
More informationRunning head: HEALING HARMONIES 1. Healing Harmonies. A Research of Music Therapy. Amit Ben-Eliyahu. Place Cartier Centre of Adult Education
Running head: HEALING HARMONIES 1 Healing Harmonies A Research of Music Therapy Amit Ben-Eliyahu Place Cartier Centre of Adult Education HEALING HARMONIES 2 Outline Thesis Statement: Despite having these
More informationWelcome to AHAB s Extended Donor Profile
Welcome to AHAB s Extended Donor Profile AHAB voluntarily provided the following information which will be disclosed to future parents as an aid in their selection General information and characteristics
More informationPsychology: Course Descriptions
Psychology Courses-1 Psychology: Course Descriptions PSY 096/Orientation to Psychology PSY 097/Exploring the Psychology Major PSY 098/Exploring the Psychology Profession PSY 099/Psychology Professional
More informationMEDICAL UNIVERSITY OF SOUTH CAROLINA DEPARTMENT OF PUBLIC SAFETY
MEDICAL UNIVERSITY OF SOUTH CAROLINA DEPARTMENT OF PUBLIC SAFETY POLICY AND PROCEDURE # 96 SUBJECT: Public Safety Courtesy Escort Program (CALEA 91.2.3.d) EFFECTIVE DATE: 22 May 2002 PAGE 1 OF 7 REVIEW
More information~ ~ (208)
www.musictherapyofidaho.com ~ musictherapyofidaho@gmail.com ~ (208) 740-3444 Welcome to Music Therapy of Idaho! We believe that you and your child are the most important part of the music therapy process.
More informationPREDICTING THE IMPACT OF CELEBRITY ENDORSEMENT. Copyright Phoenix Marketing International All rights reserved
PREDICTING THE IMPACT OF CELEBRITY ENDORSEMENT 1 HOW EFFECTIVE ARE CELEBRITY ENDORSEMENTS IN PHARMACEUTICAL MARKETING? 2 THE FACT IS THAT: Consumers pay more attention to an ad with a celebrity in it AWARENESS
More informationWed. June 20th 2pm 4pm SR 208, #6 Monroe, NY OPEN TO THE PUBLIC AND HEALTHCARE PROFESSIONALS FREE PLEASE RSVP AS SPACE IS LIMITED
WHAT IT IS & HOW TO TREAT IT Tinnitus that annoying noise in your ears. it can be treated you do not have to suffer anymore. OPEN TO THE PUBLIC AND HEALTHCARE PROFESSIONALS FREE PLEASE RSVP AS SPACE IS
More informationWelcome to NIKO s Extended Donor Profile
Welcome to NIKO s Extended Donor Profile NIKO voluntarily provided the following information which will be disclosed to future parents as an aid in their selection General Information and characteristics
More informationPreparing for a Transition from an FI/Carrier to a Medicare Administrative Contractor (MAC) Provider Types Affected
News Flash - November is American Diabetes Month ~ The American Diabetes Association has designated American Diabetes Month as a time to communicate the seriousness of diabetes and the importance of proper
More informationCHILD SUPPORT GUIDELINES CHART
CHILD SUPPORT GUIDELINES CHART Combined 650.00 74 75 75 76 77 78 700.00 119 120 121 123 124 125 750.00 164 166 167 169 171 173 800.00 190 211 213 216 218 220 850.00 202 257 259 262 265 268 900.00 213 302
More informationLets Go Green. for St. Patrick s Day
Loomis Chiropractic & Acupuncture March 2010 Lets Go Green. for St. Patrick s Day This St. Patrick s Day lets not only turn the world green but also turn your body Happy St. Patrick s Day!! gr March 3/17/10
More informationDeliberate Optimism: Reclaiming the Joy in Your Job and in your Life
Deliberate Optimism: Reclaiming the Joy in Your Job and in your Life Website: www.debbiesilver.com FB: www.facebook.com/drdebbiesil ver Twitter: @DrDebbieSilver Tough-Minded Optimists: Are seldom surprised
More informationDo Re Mi Cha Cha Cha Enriching Lives through Music & Dance
Do Re Mi Cha Cha Cha Enriching Lives through Music & Dance Janet Reed, District 4 Education Chair September 12, 2018 Educational programs of the Texas A&M AgriLife Extension Service are open to all people
More informationEnglish Language Lesson two Dr. S. Fiala
Grammar Verbs and tenses Past simple (actions that took place in the past and are completed) (~ed for regular verbs, irregular verbs change) Present simple (~s/ ~es for he/ she/ it) Future (actions that
More informationWelcome to JOSUE s Extended Donor Profile
Welcome to JOSUE s Extended Donor Profile JOSUE voluntarily provided the following information which will be disclosed to future parents as an aid in their selection General information and characteristics
More informationSociology 325: Departmental Seminar for Juniors Social Influences on the Experience of Health, Illness and Disability Spring 2009
Sociology 325: Departmental Seminar for Juniors Social Influences on the Experience of Health, Illness and Disability Spring 2009 Instructor: Dr. Jessica Kelley Moore Office: 230 Mather Memorial Hall Phone:
More informationACDI-CV II. If you have any questions, ask the supervisor for help. When you understand these instructions you may begin.
ACDI-CV II Instructions You are completing this inventory to give the staff information that will help them evaluate your situation and needs. Your honesty in completing this inventory is important. The
More informationHEARING SOLUTIONS JAN 2013 MONTHLY MEETING TINNITUS PRESENTED BY DR KUPPERMAN
HEARING SOLUTIONS JAN 2013 MONTHLY MEETING TINNITUS PRESENTED BY DR KUPPERMAN Before recently moving to Sun City and becoming a valuable asset to the Hearing Solutions SIG Dr. Kupperman, known as Jerry
More informationThomas Coleman Tinnitus Miracle Review (ebook PDF & Download System Program)
Thomas Coleman Tinnitus Miracle Review (ebook PDF & Download System Program) How to get rid of Tinnitus? Many people are suffering from tinnitus and not able to get rid of this problem permanently. Everyone
More informationWelcome to GABBA s Extended Donor Profile
Welcome to GABBA s Extended Donor Profile GABBA voluntarily provided the following information which will be disclosed to future parents as an aid in their selection General information and characteristics
More informationCaregiver s Questions and Answers April 2011
Caregiver s Questions and Answers April 2011 by Patricia Smith Founder, Compassion Fatigue Awareness Project Web: www.compassionfatigue.org www.facebook.com/compassionfatigue Media Contact for www.compassionfatigue.org:
More informationWelcome to STIG s (927) Extended Donor Profile
Welcome to STIG s (927) Extended Donor Profile STIG (927) voluntarily provided the following information which will be disclosed to future parents as an aid in their selection General Information and characteristics
More informationTinnitus can be helped. Let us help you.
What a relief. Tinnitus can be helped. Let us help you. What is tinnitus? Around 250 million people worldwide suffer Tinnitus is the perception of sounds or noise within the ears with no external sound
More informationWelcome to VISTI s Extended Donor Profile
Welcome to VISTI s Extended Donor Profile VISTI voluntarily provided the following information which will be disclosed to future parents as an aid in their selection General Information and characteristics
More informationWHAT IS MUSIC THERAPY? Akash Bhatia MA Student, Music Therapy & Counseling Drexel University
WHAT IS MUSIC THERAPY? Akash Bhatia MA Student, Music Therapy & Counseling Drexel University Definition Music Therapy is the clinical and evidence-based use of music interventions to accomplish individualized
More informationRequired Foundation Course(s) PSY 212/Biopsychology. PSY 218/ Psychology of Power, Oppression, and Privilege
Psychology-1 Psychology Faculty: Kirnan, Chair; Archer, Bireta, Chung, Dahling, Graham, Hall, Hohmuth, Howe, Kim-Prieto, Kirnan, Leynes, Martinetti, Paul, Ruddy, Ruscio, Vivona, Waterman The Bachelor of
More informationWelcome to MILTON s Extended Donor Profile
Welcome to MILTON s Extended Donor Profile MILTON voluntarily provided the following information which will be disclosed to future parents as an aid in their selection General information and characteristics
More informationDrug giant Merck loses negligence case
www.breaking News English.com Ready-to-use ESL / EFL Lessons Drug giant Merck loses negligence case URL: http://www.breakingnewsenglish.com/0508/050821-merck.html Today s contents The Article 2 Warm-ups
More information5405 Wilshire Blvd Suite 375 Los Angeles,CA
Usefulness You know the old notion that everything chock full of nutrition tastes bad and vice versa? Well, SingFit turns that notion on its head because it employs singing, an activity so valuable, engaging
More informationRequired Foundation Course(s) PSY 212/Biopsychology. PSY 218/Social Psychology of Power, Oppression, and Privilege
Psychology Faculty: Paul, Chair; Archer, Bledsoe, Brecher, Breland, Graham, Hall, Hohmuth, Howe, Kirnan, Leynes, Martinetti, Phillips, Ruddy, Vivona, Waterman The Bachelor of Arts in psychology program
More informationDoes Music Directly Affect a Person s Heart Rate?
Wright State University CORE Scholar Medical Education 2-4-2015 Does Music Directly Affect a Person s Heart Rate? David Sills Amber Todd Wright State University - Main Campus, amber.todd@wright.edu Follow
More informationWelcome to ARENA s Extended Donor Profile
Welcome to ARENA s Extended Donor Profile ARENA voluntarily provided the following information which will be disclosed to future parents as an aid in their selection General information and characteristics
More informationTinnitus causes and therapies
FACTSHEET Tinnitus Tinnitus causes and therapies You ll find this factsheet useful if you have tinnitus (noise in your ear(s) or head). It explains what tinnitus is, what it can be linked to, and what
More informationThe Bio Tuner. Model BT7 Manual
The Bio Tuner Model BT7 Manual CONTENTS WELCOME TO SOTA... 2 BEFORE USING... 2 LEARN MORE... 2 COMPLETE UNIT INCLUDES... 2 DO NOT USE... 3 CAUTIONS... 3 SUMMARY OF LIGHTS... 4 HOW TO USE THE BIO TUNER...
More informationWIFE GOES TO DOCTOR BECAUSE OF HER GROWING CONCERN OVER HER HUSBAND S UNUSUAL BEHAVIOUR.
SCRIPT ONE Intro: This is part one of a three series program which will cover information about dementia. The final session will allow for a talk back session where by listeners can ring in and ask questions
More informationWelcome to CALLUM s Extended Donor Profile
Welcome to CALLUM s Extended Donor Profile CALLUM voluntarily provided the following information which will be disclosed to future parents as an aid in their selection General information and characteristics
More information