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2018 Raising Hope Ticket Purchase Form
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Ticket purchase and sponsorship form for a fundraising dinner supporting youth aging out of foster care.
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Sponsorship form for a fundraising event with multiple sponsorship levels and benefits for supporting River Fields.
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2018 Auction Donation Form
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A donation form for an auction fundraiser by a non-profit organization, collecting details about donated items.
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REFERRAL FORM
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DIVING MEDICAL HISTORY FORM
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Medical screening form for assessing a diver's physical and mental fitness to participate in diving activities.
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Transfer Request Form
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A form for tenants to request a transfer to a different housing unit within a development or housing authority.
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NHTSA Speeding Study Information Collection Notice
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A federal notice about a voluntary study examining driver speeding behavior through questionnaires and naturalistic driving data collection.
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SCRIP PURCHASE FORM
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A form listing various retailers, their gift card denominations, and percentage earned from each purchase.
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Requisition Form
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Comprehensive medical form for patient demographics, insurance information, and diagnostic specimen collection details.
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ATA Annual Meeting Refund Request Form
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Official form for requesting refunds for the American Thyroid Association's 89th Annual Meeting registrations and associated events.
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AREMA 2019 Poster Competition Entry Form
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Official submission form for students to enter a poster competition at an annual conference.
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Form for collecting and processing donations for the Impact on Education Gala event
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APPENDIX 3 DIVING MEDICAL HISTORY FORM
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Comprehensive medical screening form for assessing an individual's fitness for scuba diving activities by documenting medical history and potential health risks.
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Sample Submission Form
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Form for submitting samples to BioNetwork Natural Products Laboratory for analysis with terms and conditions for sample processing and handling.
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2019 Sponsor Procurement Form
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Sponsorship and donation form for the 5th Annual Taking Flight Gala Dinner & Auction benefiting Edmonds Senior Center
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Journey To Justice TahirihS 22nd Annual Gala Sponsorship Form
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Donation and registration form for Tahirih Justice Center's annual gala supporting women and girls fleeing violence
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Genetics Referral Form
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A medical referral form for patients seeking genetic counseling and potential genetic testing services.
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Gift Contribution Form
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MEDICAL HISTORY
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Comprehensive medical history questionnaire to collect patient health information and potential medical conditions.
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Wake Forest College Birthplace Society Membership Form
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Invitation to join and support the Wake Forest Historical Museum as a member, with various membership levels and donation options.
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Comprehensive health examination form for students in New York State schools, covering medical history and current health status.
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Medical History Form
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Comprehensive medical history form capturing patient health details, previous treatments, and current medical conditions.
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USAV YOUTH JUNIOR VOLLEYBALL PLAYER MEDICAL RELEASE FORM
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Medical release and consent form for youth and junior volleyball players participating in USAV sanctioned competitions and practices.
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Sports In Schools Gala Auction Procurement Form
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A form for donors to provide details about their auction item donation for the Sports in Schools fundraising event.
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Application form for young investigators seeking financial support to present scientific work at the Society for Investigative Dermatology Annual Meeting.
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Rocky Mountain Biological Laboratory Acknowledgment And Assumption Of Risks Release And Indemnity A
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Legal document outlining risks, activities, and liability release for participants in Rocky Mountain Biological Laboratory programs and research activities.
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Sponsored Research Activities And Procedures
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Medical consent form for receiving COVID-19 vaccination, including patient screening questions and personal information collection.
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Indiana Housing And Community Development Authority Donor Contribution Form
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Medical release and health information form for youth and junior volleyball players participating in the 2020-2021 season.
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Payroll Deduction Form
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Health Insurance Cancellation Form
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New Patient Intake Form
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Comprehensive medical intake form collecting detailed patient health history, gynecological information, and personal background details.
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Medical History Form
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Comprehensive form for collecting detailed patient medical history, including past medical conditions and surgical procedures.
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Procurement Form For In Kind Donations
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Form for collecting donation details for a fundraising dinner and auction event by the Kidney Auxiliary of Puget Sound & Puget Sound Kidney Centers Foundation.
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New Patient Intake Form
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Comprehensive medical form for collecting new patient information, including personal details, contact information, medical history, and healthcare connections.
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New Patient Intake Form
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Comprehensive medical intake form for capturing patient personal, contact, and medical history information for dental practice.
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Membership Application
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Medical release and contact information form for minors participating in the Summit Music Festival seminar program and concert series.
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Indiana Housing And Community Development Authority Donor Contribution Form
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Form for donors to claim tax credits for contributions to neighborhood assistance organizations in Indiana.
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2020 States 4 H OB Medical Form (Non Japan)
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Medical evaluation form for 4-H international exchange program delegates to assess health and fitness for cross-cultural exchange.
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Monthly Payroll Contribution Form
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USAV YOUTH JUNIOR VOLLEYBALL PLAYER MEDICAL RELEASE FORM
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Medical release and consent form for youth and junior volleyball players participating in USAV sanctioned competitions and practices.
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USAV YOUTH JUNIOR VOLLEYBALL PLAYER MEDICAL RELEASE FORM
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Medical release and emergency contact form for youth and junior volleyball players participating in USAV sanctioned competitions and practices.
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2020 Sea Ice Outlook (SIO) Submission Form For The August Report
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Guidelines for submitting scientific sea ice prediction data and forecasts for the August 2020 Sea Ice Outlook report.
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Comprehensive health form for participants in Shenandoah University outdoor and adventure recreation programs, collecting medical history and emergency contact information.
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Wheelchair Initial Evaluation Form
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Annual Pre Participation Physical Evaluation
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Emergency Medical Form
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Comprehensive medical information and emergency contact form for school students with parent and emergency contact details.
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Inquiry Form For NSF Project Proposal Submission
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A form to help researchers determine the appropriate type of proposal for submitting a project to the National Science Foundation.
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A form for NARFE members to make voluntary political action committee contributions with various donation levels and pin recognition.
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Annual membership form for the Rockville High School Parent-Teacher-Student Association enabling community involvement and support for school programs.
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A form for school organizations to request approval for fundraising activities and events.
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POGS Sickness Benefit Application Form
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Application form for members of the Philippine Obstetrical and Gynecological Society to claim sickness benefits
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Online Auction Fundraiser Procurement Form
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A form for collecting item donations for an online charity auction fundraiser
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Form for submitting warranty claims for prosthetic products and detailing product and patient information.
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2021 Rules And Entry Forms Gingerbread House Challenge
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Annual competition for local businesses, nonprofits, and artists to create gingerbread houses around the theme 'Virginia is for Lovers', raising funds for affordable housing.
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2021 Rules And Entry Forms Gingerbread House Challenge
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Annual competition for local businesses, nonprofits, and artists to create gingerbread houses with a Virginia-themed design, raising funds for affordable housing.
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Grant application form for LHA Trust Funds members seeking funding for healthcare-related projects, with a maximum award of $25,000.
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Team Bike Booking Form
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Registration form for participating in a 6-hour stationary spin bike challenge to raise funds for Telethon during the Family Festival.
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Idaho Health Examination And Consent Form
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Required medical examination form for Idaho high school students participating in interscholastic athletics in 9th and 11th grades.
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Overwatch Contribution Form
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Contribution form for donating to the Helmets to Hardhats program supporting military service members' transition to civilian employment.
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Employee Medical Inquiry Form
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Medical form for employees requesting workplace accommodations, to be completed by both employee and healthcare provider to assess disability and potential workplace adaptations.
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Donation Or Membership Form
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Form for individual and organizational membership and donation to the ARCH National Respite Network, a nonprofit supporting respite care services.
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2021 States 4 H OB Medical Form (Non Japan)
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Medical history and health assessment form for participants in a cross-cultural youth exchange program.
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Cardiology Medical History Form
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Comprehensive medical history form for cardiology patients to document health conditions, medications, and allergies.
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Permission To Participate Medical Treatment Consent And Release, Waiver, And Indemnity Agreement
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A comprehensive form granting permission for a child to participate in church activities and providing medical treatment consent and liability release.
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Pre Authorized Donations
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A form allowing donors to set up recurring bank account donations to Freedom House charity organization.
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Documentation for a non-profit fundraising event supporting construction trade education through scholarships and school programs.
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Grant application for underrepresented researchers in biomedical research to attend RNATx2021 conference with career development opportunities.
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A registration form for a 6-hour stationary spin bike challenge to raise funds for Telethon in Western Australia.
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Solo Or Duo Bike Booking Form
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A registration form for a 6-hour stationary spin bike challenge to raise funds for Telethon in Western Australia.
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A medical release form for youth and junior volleyball players to document health information and parental consent for participation.
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Via West Participant Application
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Registration packet for participants with required forms for camp enrollment in 2021.
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Virtual Sponsorship Form
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Sponsorship form for supporting the Tahirih Justice Center's virtual event to help immigrant survivors of violence.
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Form CT 12 For Oregon Charities
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Annual reporting form for charitable organizations operating in Oregon, requiring financial and organizational details for regulatory compliance.
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A form for submitting pre-screened microscopy grid samples with guidelines for image and documentation requirements.
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Comprehensive patient registration and consent form for physical therapy services with contact, insurance, and treatment agreement details.
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Non Disclosure Agreement (NDA) PACTA Climate Test Switzerland 2022
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A non-disclosure agreement between West Partner AG, 2 Investing Initiative, Rocky Mountain Institute, and a participant for the PACTA 2022 Climate Test in Switzerland.
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Regulations For Governing The Management Of Research And Development Results Data Files
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Institutional regulations for managing, protecting, and documenting research and development results at National Sun Yat-sen University.
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Stevenson Wydler Gift (SWG) Program Request And Agreement Form
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Data Protection Consent Form For Providing Comments On The Preliminary Assessment Of The Financial S
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2021 2022 GASCCP Batch Payroll Deduction Form
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A comprehensive resource toolkit for coordinators managing the Georgia State Charitable Contributions Program campaign materials and processes.
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ParentGuardian Consent And Medical Release Form For 2022 23 JSMC Youth And Junior Youth Events
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A consent form for parents/guardians to authorize child participation in church youth events and provide medical information
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Privit Profile Instructions For Students
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Comprehensive guide for students to create and complete their digital health record using Privit Profile platform for Wilmington College.
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2022 23 SBHC Patient Intake Form
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Comprehensive medical intake form for patients at Generations Family Health Center, collecting personal, contact, and demographic information.
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Claim Form
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A comprehensive claim form for medical reimbursement from GlobeMed Qatar/SEIB insurance network covering various healthcare services.
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UNM Psychology Department Volunteer Program
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Departmental process and guidelines for using volunteers in psychology research labs at the University of New Mexico.
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AAES Hatch Proposal Review Feedback
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A document used to provide comprehensive feedback and assessment of agricultural research project proposals for the Alabama Agricultural Experiment Station (AAES)
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POGS MAP Sickness Benefit Application Form
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A form for members of the Philippine Obstetrical and Gynecological Society to apply for sickness benefits for medical and COVID-related conditions.
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2022 Tails At Twilight Auction Contribution Form
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Donation form for the Animal Protection Society of Durham's annual charity auction fundraising event.
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BHC Non Surgical Program Registration Form
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Registration form for patients seeking admission to a non-surgical program at Boone Hospital Center, collecting comprehensive personal and medical information.
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Donation form for collecting auction items to support the EvergreenHealth Monroe Foundation fundraising event.
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Caltech United Way Campaign 2022 One Time Contribution Form
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A form for making one-time charitable donations through the Caltech United Way Campaign for 2022, allowing contributors to allocate funds to various organizations.
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Chen Institute Science Writer Fellowship Application Form
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Scholarship program for early career investigators to attend RNATx2022 conference and write a scientific report about conference proceedings.
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A consent form documenting patient acknowledgment of privacy practices and permissions for health information disclosure and communication.
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2022 First Aid Kit Sales Unit Master Order Form
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Order form for purchasing first aid kits through Boy Scouts of America South Florida Council fundraising program.
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Adult Medical Release Form
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Medical information and emergency authorization form for adult participants of the Summit Music Festival
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GO For Catholic Schools Tax Credit Scholarship Fund Business Entity Contribution Form
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A business contribution form for supporting Catholic school scholarships with potential tax credits in Oklahoma.
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Auction Procurement Form
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A form for collecting donor and auction item information for a non-profit auction fundraising event.
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Roswell Park Summer Research Experience Program In Cancer Science Parental Consent Form
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Consent form for parents/guardians of minors applying to Roswell Park's summer research internship program in cancer science.
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International Rules Guidelines For Science And Engineering Fairs 20212022
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Official checklist for adult sponsors to review and validate student research projects for science and engineering fairs.
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2022 KAVLI NSI FELLOWSHIP APPLICATION FORM
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Application form for graduate students and postdocs seeking a fellowship at the Kavli Neural Systems Institute, collecting voluntary demographic data.
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Long Term Disability Claim Form Statement Of Employee
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A comprehensive form for employees to file a long-term disability claim with Lincoln Financial Group, detailing personal, employment, and medical information.
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MEDICAL HISTORY FORM
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Comprehensive medical form for documenting student's health history, childhood illnesses, current physical conditions, and immunization records.
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MUSC Faculty Global Health Impact Grant Application Form
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A grant application form for faculty seeking funding for global health projects, focusing on various areas of global health intervention.
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A grant application form for organizations seeking funding to support programs addressing hunger and homelessness.
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Comprehensive medical intake form for patient registration and insurance information at a podiatry medical practice.
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UWG FacultyStaff Gift By Payroll Deduction Form
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A form allowing University of West Georgia employees to make charitable contributions through automatic payroll deductions.
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An application form for the Pritchard Fellowship, requiring a project plan, supervisory training plan, and collaboration plan.
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2022 Raffle Moving Mountains Benefit Raffle Ticket Purchase Form
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A form for purchasing raffle tickets for a Diocese of Great Falls Billings charitable event with ticket details and submission instructions.
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RNA Therapeutics Inclusivity Grant Application Form
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Grant application for early career investigators from underrepresented groups in biomedical research to attend RNATx2022 conference.
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Rosa Franklin Legislative Internship Program Scholarship Donation Form
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A donation form for contributing to the Rosa Franklin Legislative Internship Program Scholarship in Washington State.
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Easter Seals Colorado Rocky Mountain Village Camper Medical Form
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A comprehensive medical form for documenting a camper's health status and medical history prior to attending camp.
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Medical Release Form
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Medical consent and emergency contact form for minors attending music camp programs at Sam Houston State University
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Form For Documenting Medical And Physical Disabilities
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A form for healthcare professionals to document student medical disabilities and support academic accommodation requests.
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Auction Procurement Form
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Form for collecting donated items and details for a fundraising auction by Yakima Valley College's Vineyard & Winery Program.
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Request For Proposals A Precision Medicine Approach To Improve The Prevention, Diagnosis, And Treatm
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A research funding proposal seeking innovative precision medicine projects focused on addressing depression, targeted at California nonprofit academic research institutions.
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2023 2024 MEMBERSHIP FORM
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Membership registration form for nonprofit organization with multiple membership tiers and volunteer opportunities
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2023 2024 Northside ISD Medical History
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Annual medical history form required for student participation in athletic activities at Northside Independent School District.
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2023 2024 Surgical History Fellowship
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Fellowship program offering research support and funding for scholars studying surgical history using American College of Surgeons archives.
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Annual Pre Participation Physical Evaluation
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A comprehensive medical screening form for student-athletes to assess their health and fitness for sports participation during the 2023-24 school year.
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4th Year IndependentResearch Elective Proposal Form
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A form for medical students to propose and document an independent research elective project with mentor supervision and approval.
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2023 Academic Exchange Support Program For North Korean And Unification Studies
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Fellowship program supporting international scholars and researchers studying North Korea, Korean unification, and peace studies for a 6-month research period.
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2023 Armenian Fellowship Application Form
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A comprehensive application form for individuals seeking fellowship grants from the H.Hovnanian Family Foundation to support academic and professional development.
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ASCVTS Bundang Thoracic Fellowship Program Application Form
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Application form for medical professionals seeking a fellowship in cardiovascular and thoracic surgery with the Asian Society for Cardiovascular and Thoracic Surgery.
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2023 Luing Family Internship Program Coastal Conservation Research Program Internship Application Fo
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Application form for a 10-week coastal conservation research internship at The Wetlands Institute during summer 2023.
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Donation Form
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A form for donors to submit item donations and sponsorship details for an event auction
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Evaluation Criteria U.S. Department Of Energy (DOE) 2023 Hydrogen Program Annual Merit Review
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Comprehensive evaluation form for assessing hydrogen and fuel cell technology projects across multiple categories of research and development.
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2023 Teen Expeditions Questionnaire And Medical Form
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Comprehensive medical questionnaire for participants of Lake Champlain Maritime Museum teen expeditions to ensure safety and proper medical support.
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Membership Form
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A membership form for joining the Friends of the Ayer Library with annual dues and optional volunteer opportunities.
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Preparticipation Physical Evaluation History Form
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Comprehensive medical history form for athletes to evaluate health status and potential medical concerns prior to sports participation
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PATIENT INTAKE FORM
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A comprehensive form for patients to complete and schedule appointments at various PanCare Health clinics in Florida counties.
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2023 Research Internships
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Paid summer research internships for undergraduate students in aquatic biology, ecology, environmental science, and field biology at Thomas More University.
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2023 JCC Maccabi Teen Medical Form
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Medical examination form for teens participating in JCC Maccabi sports and arts activities to verify physical fitness and health status.
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Student Medical Information
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A comprehensive medical form for collecting student health details, emergency contacts, and insurance information for educational program participation.
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2023 Rechelle Turner Basketball Camps Medical Release Form
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Medical release and consent form for participation in basketball camp, including emergency contact and insurance information.
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Amphibian Week Guidance Form For Short Video Recording
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Guidelines for creating and submitting short videos highlighting amphibian biologists during Amphibian Week 2023.
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William OFarrell Fellowship Application
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Fellowship for researchers studying moving image history and culture, with a focus on amateur and nontheatrical film collections.
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2023 FIU Summer Research Internship Program (SRI) Parental Consent Form
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Consent form for parents allowing their child to participate in Florida International University's Summer Research Internship program for students.
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UWG FacultyStaff Gift By Payroll Deduction Form
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A form for UWG employees to authorize charitable donations through payroll deduction, supporting university funds like Annual Fund or HelpWest.
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2023 Peach Purchase Form
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Fundraising form for purchasing peaches with optional food bank donation, benefiting Banner Hospice of Northern Colorado.
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Rotary Club Of Monroe Annual Barn Dance Auction Donor Information Form
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A form for collecting item and gift certificate donations for the Rotary Club of Monroe's annual fundraising event
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PW Hong Memorial Fellowship Program Application Form
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Application form for medical professionals seeking a fellowship with the Asian Society for Cardiovascular and Thoracic Surgery
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Raise Your Paw Auction Procurement Form
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Form for collecting donation details for a charitable auction fundraiser by the Humane Society for Tacoma & Pierce County.
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Royal Commission For The Exhibition Of 1851 Research Fellowships In Science Or Engineering
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Guidelines for early career scientists and engineers seeking research funding for exceptional research projects in physical and biological sciences, mathematics, applied science, or engineering.
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2023 AACPDM Fred P. Sage Award For The Best Multimedia Education Tool
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Annual award by AACPDM for the best multimedia educational resource in medical education, offering $500 and website recognition.
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2023 Pre Order Form
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A pre-order form for Smile Cookie fundraising campaign supporting local charities in Saskatoon, Canada.
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State BankPAC Contribution Form
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Political action committee (PAC) contribution form for banking industry professionals to support pro-banking candidates.
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Form CT 12 For Oregon Charities
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Annual report form for charitable organizations operating in Oregon, collected by the Oregon Department of Justice to track charitable activities and compliance.
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Instructions For Preparing A Proposal Of Strategic Basic Research Programs ACT X
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Guidelines for submitting research proposals for Strategic Basic Research Programs in fiscal year 2023, with detailed submission instructions and requirements.
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Pre Authorization Request Form
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A medical pre-authorization form for healthcare providers to request service approval from UHSM, detailing patient and provider information.
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Pre Authorization Request Form
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A form for healthcare providers to request pre-authorization for medical services from UHSM with detailed documentation requirements.
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Invoice Form For Morphology
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A detailed medical form for collecting patient morphological diagnostic information related to hematological conditions.
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2024 2025 Benefits Enrollment Form
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Form for employees to select health benefit plans, add or remove dependents, and update personal information for the upcoming benefits year.
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Group Medical Plan Waiver Form
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A form for employees to waive medical plan coverage by certifying alternative health insurance coverage and understanding ACA requirements.
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LAW IDR FAQs AND PROPOSAL FORM
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A comprehensive guide for University of Saskatchewan law students seeking to undertake an individually directed research project for academic credit.
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MISD Employee Giving Campaign Payroll Deduction Form
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Payroll deduction authorization form for employees to donate to the McKinney Education Foundation
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TAPPS MEDICAL HISTORY FORM
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Annual medical history form for students participating in TAPPS athletic and fine art activities to assess health risks.
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Annual Pre Participation Physical Evaluation
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Medical evaluation form for student-athletes to assess physical fitness and health conditions for sports participation.
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2024 2025 Surgical History Fellowship
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Fellowship program supporting research scholars in exploring surgical history using American College of Surgeons archival collections.
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2024 2025 Sports Qualifying Physical Examination Medical Eligibility Form
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Medical form for determining student athletes' medical eligibility and participation in high school sports
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Sports Physical Examination Form
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Comprehensive medical evaluation form for students participating in school sports, requiring parental authorization and medical provider assessment.
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MEDICAL EXAMINATION FORM
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Medical form to assess physical and mental fitness of individuals applying for motorcycle event participation licenses.
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MEDICAL HISTORY FORM
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Comprehensive medical history form for capturing individual health details, medical conditions, and consent for medical information sharing.
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MEDICAL EXAMINATION FORM
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A comprehensive medical examination form to assess physical and mental fitness for participating in motorcycle events.
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Stanford University Research Consent Form
PDF template
Consent form for participants to donate tissue samples to Stanford's Neuromuscular Biobank for research purposes on neuromuscular and neurodegenerative disorders.
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Blue Jeans Boots Gala Auction Donation Form
PDF template
A form for donors to submit auction items for the Blue Jeans & Boots Gala fundraising event hosted by EvergreenHealth Monroe Foundation.
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Presbytery Of Carlisle Contribution Form
PDF template
A form for submitting financial contributions to the Presbytery of Carlisle, including per capita, shared giving, and designated project donations.
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Auction Donation Form
PDF template
A form for donors to submit auction item donations and view sponsorship levels for a fundraising event.
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2024 CONTRIBUTION FORM
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A form for collecting annual membership contributions and optional charitable donations for various organizations in the Holy Land.
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FIDA Application Form
PDF template
Application form for submitting project proposals to the Fund for the International Development of Archives (FIDA), an initiative of the International Council on Archives (ICA).
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Auction Contribution Form
PDF template
A form for organizations and individuals to contribute auction items to support Winterfest, Inc.
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Patient Demographic Form
PDF template
A comprehensive form for collecting patient personal, contact, and insurance information for medical services.
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Grant Application Form
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A comprehensive grant application form for nonprofit organizations seeking funding from the St. Dunstan's Foundation to support community-based projects aligned with their mission.
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Ascension Illinois Influenza Vaccination Billing Form
PDF template
Medical form for collecting patient information for influenza vaccination and billing purposes.
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Genealogy Project Guidelines
PDF template
Comprehensive instructions for youth participating in a genealogical research project with specific notebook and documentation requirements.
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Child Medical Disclosure Form
PDF template
Medical information and emergency contact form for children attending summer camp, including health history and parental consent for medical treatment.
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Jersey Shore School Education Foundation Student Scholarship Form
PDF template
A scholarship opportunity for Jersey Shore Area High School graduating seniors pursuing healthcare-related college programs with awards of $1000 for one four-year and one two-year program recipient.
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Kamehameha Schools Summer Programs Medical Forms
PDF template
Medical evaluation and health history form for children participating in Kamehameha Schools Summer Programs, requiring physical examination and immunization documentation.
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HPU Incoming Student Health Information And Immunization
PDF template
Comprehensive health form for incoming students at High Point University, including immunization records and medical consent.
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HSA Payroll Deduction Form 2024
PDF template
A form for employees to authorize payroll deductions for Health Savings Account contributions with IRS contribution limits and University contribution details.
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Pre Employment Health Clearance Requirements
PDF template
Comprehensive health screening requirements for new medical residents and fellows, including medical history, immunizations, and occupational health screenings.
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Incoming Trainee Timeline August 1, 2024
PDF template
Comprehensive timeline and requirements for incoming medical trainees, detailing necessary documentation and submission processes for licensing and staff appointment.
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2024 UNC Soccer Camp MEDICAL FORM
PDF template
Medical history and health screening form for participants of UNC Soccer Camp, required for camp participation.
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Medical History And Physical Examination Form
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Medical history and physical examination document for racing car drivers to assess fitness and health conditions for licensing.
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Eugene Metro Futbol Club Medical Release Release Of Liability Form
PDF template
Medical and liability consent form for youth soccer player registration and participation in soccer programs.
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Jr All American Of Southern California Conference Mandatory Medical Release Form
PDF template
Medical history and physical examination form required for youth athletes participating in Jr All American of Southern California Conference sports programs
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2024 PROCUREMENT FORM
PDF template
Form for collecting donor and item information for donations to Native Action Network, a non-profit organization supporting Native women's leadership.
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2024 PROCUREMENT FORM
PDF template
A form for collecting donor and item details for procurement and donation purposes for Native Action Network.
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North Carolina Merchants Political Action Committee, Inc. INDIVIDUAL CONTRIBUTION FORM
PDF template
A form for individuals to make political contributions to the North Carolina Merchants Political Action Committee with required personal and payment information.
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GENERAL MEDICALPHYSICAL EXAM FORM
PDF template
Medical examination form for veterans participating in the National Veterans Summer Sports Clinic, to be completed by a clinician.
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2024 Auction DonationProcurement Form
PDF template
Form for collecting item donations for the 12th Annual Celebrate! Gala fundraising auction.
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2024 FIU Cardiovascular Summer Research Internship Program (CV SRI) Parental Consent Form
PDF template
Consent form for parents allowing their child to participate in a summer research internship program at Florida International University.
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Contribution Form
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A contribution form for making financial donations to support the New York City Police Foundation
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20232024 Season
PDF template
Registration and medical information form for volleyball team participants, including contact details, medical history, and insurance information
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ARK Institute Of Learning Procurement Form
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A form for collecting donor information and details about donated items for a nonprofit organization
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Procurement Form 2024
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Official submission form for the 32nd Annual Museum of Northwest Art (MoNA) Art Auction, collecting artwork donation details and artist information.
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2024 Research Day Abstract Submission Form
PDF template
A form for researchers to submit abstracts for an academic research day event at a university.
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2024 Ohio Super CaH Bonanza Charity Campaign Shipping Form
PDF template
Form for submitting ticket sales and payments for the Ohio State Council Knights of Columbus charity fundraising campaign.
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2024 North Texas Soccer Tournament Of Champions Team Medical Release Confirmation Form
PDF template
A form confirming that medical release forms for players have been collected and will be available during tournament games.
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2024 TREE DESIGNER HANDBOOK
PDF template
A comprehensive guide for tree designers participating in the Festival of Trees event benefiting MultiCare Mary Bridge Children's Hospital & Health Network.
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2024 Auction Procurement Form
PDF template
A form for collecting item, service, or cash donations for a fundraising auction event organized by Tacoma Youth Symphony Association.
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Trunk Or Treat Vehicle Registration Form
PDF template
Community Halloween event where children trick-or-treat from decorated car trunks in a safe environment hosted by local emergency services.
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2024 Donation Submission Form
PDF template
Form for submitting donations to support a fundraising walk event for the PKD Foundation.
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FY2024 Instructions For Preparing A Proposal Of Strategic Basic Research Programs ACT X
PDF template
Guidelines for submitting research proposals for the FY2024 Strategic Basic Research Programs, providing detailed submission requirements and instructions.
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2025 Provider Referral Form
PDF template
A medical referral form for patients seeking enrollment in weight management or diabetes management programs through the Florida Department of Management Services.
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Combined Giving, Contribution Election Agreement
PDF template
A form for employees to authorize charitable contributions through payroll deductions for selected agencies.
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2025 ABC Travelling Fellowship Application Form
PDF template
Application for Canadian orthopaedic surgeons to participate in an international medical exchange fellowship program in the United Kingdom, Australia/New Zealand, or South Africa.
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2025 Application Form SPARobert Lemelson Foundation Student Fellowship
PDF template
Fellowship application form for graduate students seeking funding for research projects from the Robert Lemelson Foundation.
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WHF Solventum Fellowship Application Form
PDF template
A comprehensive application form for research fellowship funding from WHF Solventum, requiring detailed academic and research background information.
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2025 Auction Procurement Form
PDF template
A form for collecting item, service, or cash donations for a fundraising auction event hosted by Tacoma Youth Symphony Association.
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Disability Insurance Claim Packet Instructions
PDF template
Comprehensive guide for applying for disability insurance benefits through Standard Insurance Company, detailing claim submission process and requirements.
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Health Services Referral Form
PDF template
A comprehensive referral form for various health services targeting children, youth, and pregnant women in Mississippi.
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SoonerCareInsure Oklahoma Referral Form
PDF template
A referral form for healthcare providers to refer patients for medical services within the SoonerCare/Insure Oklahoma program.
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Alabama First Class Pre K Program Appendix F DECE Incident Report Form
PDF template
A standardized form for reporting serious accidents, injuries, medical situations, or behavior incidents in the Alabama First Class Pre-K Program.
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2020 Eve Gene Black Summer Medical Career Program FAQs
PDF template
Comprehensive guide for a medical mentor/internship program for students in Los Angeles and adjacent counties
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Everence HSA Contribution Form
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A form for making individual contributions to a Health Savings Account through Everence Federal Credit Union with tax year specification options.
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University SystemEmployee Intellectual Property Joint Participation MUSP 407
PDF template
A form for submitting intellectual property developed by an employee for Board of Regents approval, focusing on a malware-resistant computing hardware technology.
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2021 Auction Contribution Form
PDF template
Form for donors to contribute items for a charity auction fundraising event supporting animal protection.
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Apricus Referral Form
PDF template
A comprehensive medical referral form for patient discharge planning and facility care management services.
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TBTAK TWAS Postgraduate And Postdoctoral Fellowship Programmes
PDF template
A fellowship program supporting international researchers from developing countries to advance scientific cooperation through financial support for doctoral and postdoctoral research in Trkiye.
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Physician Examination Form
PDF template
A comprehensive medical form required for students to provide health information and undergo physical examination prior to campus arrival.
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USA Volleyball Incident Report Form
PDF template
Comprehensive form for documenting injuries or property damage during USA Volleyball events
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Monthly Grant Funding (MGF) Payment Inquiry Form
PDF template
Form for community partner clinics to inquire about missing grant funding payments for enrolled participants.
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PATIENT FEEDBACK FORM
PDF template
A form designed for patients to provide feedback or file complaints with Big Island Healthcare, allowing anonymous submission and formal review process.
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NEW PATIENT INTAKE FORM
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Comprehensive medical intake form for collecting new patient health information, medical history, and family health background.
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Gift Aid Donation Form
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A donation form for UK taxpayers to authorize Gift Aid for charitable contributions to Kidney Research UK
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Enrollment Form
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A comprehensive form for collecting student and family details, including contact information, family history, and hearing loss information.
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Student Medical Form
PDF template
Comprehensive medical form for collecting student health information, medical history, and emergency contact details.
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C SC PLAZA BRICK ORDER FORM
PDF template
A form for ordering personalized commemorative bricks to be placed in campus plazas at Culver-Stockton College
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Notice Of Serious Incident
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Official documentation of a medical incident involving a resident at a behavioral health facility who experienced seizures and required medical transport.
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Emergency Contact Form
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A comprehensive emergency contact and medical information form for high school band and dance students in Fort Bend Independent School District.
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24 25 Physical Examination Form
PDF template
Medical form for student athletes to document physical fitness and health status for school sports participation.
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Trustee Resignation Letter Sample
PDF template
A guide and template for writing a professional resignation letter when stepping down from a charity board or trustee position.
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2024 Nomination Form
PDF template
A comprehensive nomination form for an award, requiring detailed nominee information and supporting documentation.
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Accommodation Request EmployeeS Serious Health Condition Medical Form
PDF template
A form for employees to request workplace accommodations due to serious health conditions, requiring medical provider verification and details.
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DSS Form 2901 Medical Statement
PDF template
Medical health form for staff, volunteers, and emergency personnel working in child care services, documenting health history and tuberculosis status.
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Medical Statement
PDF template
A medical health screening form for staff, volunteers, and emergency personnel working in child care settings in South Carolina.
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Medical Statement
PDF template
Medical health screening form for staff, volunteers, and emergency personnel in child care services in South Carolina.
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GSDCA DM Research Sample Volunteer Form
PDF template
A research form for collecting cheek-swab DNA samples from purebred German Shepherd Dogs to study degenerative myelopathy genetic factors.
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CLAIM FORM FOR HEALTH DEPENDENT CARE EXPENSES
PDF template
A form for employees to request reimbursement for health and dependent care expenses through their Flexible Spending Account (FSA)
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University Of Kentucky Medical Inquiry Form In Response To An Accommodation Request
PDF template
Medical form used to assess an employee's disability status and potential accommodations under the Americans with Disabilities Act (ADA)
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PATIENT MEDICAL HISTORY FORM
PDF template
Comprehensive medical form capturing patient personal information, current medications, allergies, and past medical history details.
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NICR 2021 Request For Proposals
PDF template
A research funding request from a university transportation consortium seeking proposals for congestion reduction research across three key transportation topics.
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NARFE PAC CONTRIBUTION FORM
PDF template
A donation form for members of the National Active and Retired Federal Employees Association to contribute to NARFE-PAC
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New Patient Intake Form
PDF template
Comprehensive medical intake form for new patients seeking holistic healthcare at the Riordan Clinic, collecting detailed personal and medical information.
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Laboratory Supply Order Form
PDF template
Form for ordering laboratory specimen collection and shipping supplies for various medical testing needs.
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State Employees Charitable Campaign Contribution Form
PDF template
A form for Michigan state employees to make charitable contributions through payroll deduction, check, credit card, or direct bill.
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Search For A Service Request Form
PDF template
A step-by-step guide for locating and searching Service Request Forms on the MSU procurement website.
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Camp Blue Spruce Medical Form 2016
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A comprehensive medical form for campers to provide health and emergency contact information for Camp Blue Spruce summer camp.
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PIP Checklist
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A comprehensive checklist for healthcare providers to ensure complete documentation and submission of required forms for personal injury protection insurance claims.
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Rotation Assessment Form
PDF template
A medical assessment form for evaluating thoracic spine mobility and potential biomechanical issues.
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AAOS CME SKILLS COURSE REGISTRATION FORM
PDF template
Registration form for AAOS Fundamentals of Knee & Shoulder Arthroscopy course for orthopaedic residents in September 2024.
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Ohio Administrative Code Rule 3344 94 03 Policy
PDF template
Administrative policy outlining safety and communication protocols for university programs involving minors, including emergency procedures and medical considerations.
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Standardized Application For Pathology Fellowships
PDF template
Comprehensive application form for physicians seeking pathology fellowship training at the University of Texas Southwestern Medical Center.
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Donor Advised Funds Additional Contribution Form
PDF template
A form for making additional contributions to an existing Donor-Advised Fund Account, detailing contribution methods including checks, wire transfers, and securities.
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FMU IT Grant Application Form
PDF template
A comprehensive application form for faculty to request IT funding for technology projects and research at Francis Marion University.
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Incident Report Form
PDF template
A comprehensive form for documenting workplace or program-related incidents, including details about the incident, individuals involved, and follow-up actions.
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Risk Assessment Form
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A form for students to document potential risks and safety precautions for science fair research projects involving animals and equipment.
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MEDICAL HISTORY FORM
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Comprehensive medical form collecting patient personal health information, medical history, family history, and COVID-19 screening details.
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United NationsJapan Long Term Fellowship Programme Nomination Form
PDF template
Nomination form for post-graduate study fellowship program on nano-satellite technologies sponsored by United Nations and Japan.
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Third Party Event Proposal Agreement Form
PDF template
A form for individuals or organizations to propose and get approval for fundraising events benefiting Mercy Medical Center or Johnson Memorial Hospital.
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REENTRY (REPS) SERVICE REQUEST FORM
PDF template
A form used by healthcare providers to request medical services for patients in the California Department of Corrections and Rehabilitation system.
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Risk Assessment Form
PDF template
A form for evaluating potential risks and safety precautions for science fair research projects involving hazardous materials or biological agents.
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400 MHz NMR Spectrometer Service Request Form
PDF template
Form for requesting nuclear magnetic resonance (NMR) spectroscopy analysis and data collection for scientific research.
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PAXLOVID ORDER FORM FOR OUTPATIENT ORDER SET PER FDA EUA
PDF template
Medical order form for prescribing Paxlovid, an emergency use authorization (EUA) medication for treating mild-to-moderate COVID-19 in eligible patients.
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HIPAA 404P Authorization To Release Or Obtain Health Information
PDF template
A form for authorizing the release or obtaining of protected health information under HIPAA guidelines.
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KirschsteinNRSA Individual Fellowship Application Checklist
PDF template
Comprehensive application form for National Research Service Award (NRSA) individual fellowship from the Public Health Service (PHS)
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Consent Form For Parents Of Deceased Children
PDF template
Consent form for parents to provide permission for a child's stored biological sample to be used in a research study about neuroblastoma epidemiology.
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Parental Permission For A Minor Child To Participate In A Research Study
PDF template
Consent form for parents to allow minor children to participate in a research study about neuroblastoma epidemiology.
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Consulting PhysicianS Compliance Form
PDF template
Medical form for documenting terminal illness assessment, patient competency, and informed decision-making for end-of-life care.
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DOH 422 066 PsychiatricPsychological ConsultantS Compliance Form
PDF template
A medical form for documenting psychiatric evaluation and patient mental health status compliance assessment.
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Intellectual Property Policy
PDF template
Policy defining ownership, protection, and licensing of intellectual property created by university personnel using university resources.
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Medical Service Request Form
PDF template
A form for healthcare providers to request medical services for South Country Health Alliance members with detailed service and patient information.
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Youth Member Health History Information
PDF template
A comprehensive health information form for youth members participating in 4-H programs, collecting medical history, medications, and special needs information.
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ECON 480 Research Project Form
PDF template
Form for students to register and obtain approval for an economics research project course with specific academic requirements.
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OSA Risk Assessment Form
PDF template
A comprehensive form for students to assess potential safety risks in scientific research projects and experiments.
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SI 2047 Your Disability Benefit Claim
PDF template
Comprehensive guide and forms for applying for disability insurance benefits, including instructions for claim submission and potential benefit reductions.
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Out Of Network Reimbursement Form
PDF template
A form for employees to submit out-of-network healthcare service reimbursement claims with detailed patient and service information.
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Data Assurances Agreement
PDF template
Agreement between NAACCR, Inc. and a cancer registry outlining data confidentiality and usage terms for cancer incidence research.
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Authorization To Disclose Confidential Information
PDF template
A form authorizing the release of personal medical information to specified parties with details on the type and purpose of disclosure.
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4 H Enrollment Scholarship Form
PDF template
Scholarship application for youth seeking financial assistance to participate in the Crook County 4-H Program with various fundraising opportunities.
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Health Requirements For Matriculation
PDF template
Comprehensive health documentation requirements for students, detailing mandatory vaccinations and immunization guidelines.
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Suburban Law Enforcement Academy Medical Examination Package
PDF template
Medical examination and approval form for police recruit candidates to assess fitness for law enforcement training program
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Patient Intake Form
PDF template
Comprehensive form for collecting patient personal, medical, insurance, and contact information for healthcare providers.
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M TIBA OUTPATIENT CLAIM AND PRE AUTHORIZATION FORM
PDF template
A comprehensive healthcare claim form for submitting outpatient medical treatment details and seeking pre-authorization for medical services.
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Research Grant Application Checklist
PDF template
A comprehensive checklist for submitting a Public Health Service (PHS) research grant application with various application type options and administrative details.
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Human Informed Consent Form
PDF template
A template form for obtaining informed consent from research participants in science fair projects, covering voluntary participation and study details.
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Middlesex School TB Risk Assessment Form
PDF template
A medical form to assess tuberculosis risk for students by evaluating travel history, exposure, and potential testing requirements.
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Research Involving Decisionally Impaired Participants
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Establishes guidelines and protections for conducting research involving participants who cannot provide voluntary informed consent due to decisional impairment.
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500 MHz NMR Service Request Form
PDF template
Form for requesting nuclear magnetic resonance spectroscopy services with experimental configuration options.
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Research Authorization Form
PDF template
Guidelines for preparing a research authorization form for using protected health information in research studies at Yale University.
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Surrey School District 5050 Monthly Lottery Cancellation Form
PDF template
A form for participants to opt out of the Surrey School District monthly lottery program by cancelling their lottery participation.
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Weekly Disability Claim Form
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A comprehensive form for reporting disability status and medical information for the Greater St. Louis Construction Laborers' Welfare Fund.
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ILR Emergency Medical Form
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A comprehensive form for participants to acknowledge risks, provide emergency medical information, and grant permissions for Institute for Learning in Retirement activities.
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Disability Claim Application Forms
PDF template
Comprehensive documentation requirements for submitting a disability insurance claim with multiple form and document submission instructions.
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Required NYS School Health Examination Form
PDF template
Comprehensive health examination form for New York State school students, capturing medical history and current health status.
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Form To Be Filled By Appointee On Stipendiary Assignments Of DJST
PDF template
Application form for candidates seeking stipendiary assignments at Seth G.S. Medical College & K.E.M. Hospital Diamond Jubilee Society Trust
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Chronic Illness Benefit Application Form 2013
PDF template
Medical application form for registering chronic illness benefits with Discovery Health Medical Scheme for the year 2013
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UMKC School Of Dentistry Patient Referrals
PDF template
A comprehensive form for referring patients to various dental specialty clinics at the UMKC School of Dentistry.
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Aflac Continuing Disability Claim Form
PDF template
A form for submitting continuing disability claims with Aflac insurance, providing instructions for online form completion and submission.
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Seasonal Survey On Influenza Vaccination Programs For Healthcare Personnel
PDF template
A survey collecting information about influenza vaccination programs and practices for healthcare personnel across different employment groups.
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Fair Play Barnet Job Application Form
PDF template
A comprehensive employment application form for Fair Play Barnet, a registered charity in London seeking new staff members.
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Fund Contribution Form
PDF template
A form for making financial contributions to a fund through the Community Foundation of Greater Des Moines.
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A Resolution Authorizing Selection Of Before ItS Too Late For The Public Art Mural At Vogel Park
PDF template
A resolution to select Before It's Too Late as the artist for a public art mural project at Vogel Park in North Bay Village.
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Primary Research Advisor Approval For Final Defense Form
PDF template
Official form for research advisor approval of a master's project defense in Diagnostic Genetics and Genomics program.
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F.249 (6 18) Funds Transfer Request Form
PDF template
A form for requesting fund transfers by commercial, non-commercial, and third-party organizations through the United Nations payment system.
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Medical Form
PDF template
A medical form for applicants to Notre Dame Seminary's Graduate School of Theology Priestly Formation Program, collecting health and insurance information.
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Personal Medical History
PDF template
Comprehensive medical history form for collecting patient health information, medical conditions, family history, and current health status.
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Sponsored Program Purchasing Policy
PDF template
Policy governing the acquisition of goods and services for sponsored programs at Howard University, outlining purchasing mechanisms and compliance requirements.
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FMLA Leave Request Form
PDF template
A form for employees to request leave under the Family and Medical Leave Act for various personal and family medical reasons.
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EURAMET Project Form Report
PDF template
A progress report on collaborative research projects for advanced RF and Microwave metrology technologies across European national measurement institutes.
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Data Processing Agreement
PDF template
Legal agreement outlining data processing terms between Jasper AI and its customers for handling personal data.
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Chair Assessment And Delivery Environmental Questionnaire
PDF template
A comprehensive form for evaluating chair specifications, sizing, and delivery requirements for personalized seating solutions.
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Cambridge Global Perspectives Research Report Submission Guidance
PDF template
Guidance for teachers on preparing and submitting student research reports and associated documentation for Cambridge International A Level Global Perspectives examination.
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Purchase Form
PDF template
Form for investors to request additional unit purchases in the Circle Fund, including details about the source of investment funds.
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Gibraltar Residency Application
PDF template
A comprehensive overview of letters of intent for residency applications, explaining their purpose, benefits, and strategic writing approach.
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Potentially Hazardous Biological Agents Risk Assessment Form (6A)
PDF template
A form for assessing potential biological hazards and risks in student science research projects involving microorganisms and biological materials.
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Potentially Hazardous Biological Agents Risk Assessment Form (6A)
PDF template
A comprehensive form for assessing potential biological hazards in student science fair research projects involving microorganisms and biological materials.
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Student Health Information Form
PDF template
Comprehensive health information form for collecting student medical and contact details at a university
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Valley ChildrenS Healthcare Outpatient Referral Form
PDF template
A comprehensive medical referral form for patients being referred to Valley Children's Healthcare for specialized medical services.
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Medical Referral Form
PDF template
A form for reporting an individual's medical conditions that may impact their ability to safely operate a motor vehicle.
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MSDH Motivated To Live A Better Life Referral Form
PDF template
A comprehensive referral form for patients seeking health management support through the Mississippi State Department of Health's lifestyle program.
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NEH Budget Form
PDF template
Budget form for documenting project costs and funding from the National Endowment for the Humanities for an educational project.
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Smedley Fund Contribution Form
PDF template
A donation form for contributing to the Toastmasters International Smedley Fund with multiple contribution options and payment methods.
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Athletic Injury Report (AIR) Form Information And Procedures
PDF template
Comprehensive guidelines for documenting and reporting athletic injuries in high school and middle school athletic programs.
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Medical History Form
PDF template
Comprehensive medical form for students to provide health history and undergo medical screening for enrollment.
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SSU Admission And Discharge Form
PDF template
Medical intake and release document for detainees in immigration health services facilities, tracking health status and disposition.
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Pyxis Access Request Form
PDF template
Form for healthcare professionals to request access to Pyxis medication management system in specific work areas.
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Silent Auction Procurement Form
PDF template
Donation form for collecting item details for the 84th Annual MTRWestern Sports Star of the Year Silent Auction.
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Security Incident Report
PDF template
Official form for documenting security incidents at the Mississippi State Department of Health's Office of Health Informatics.
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2019 Jijak Youth Camp Medical Release Form
PDF template
A comprehensive medical form for youth camp participants to provide health information, allergies, immunization status, and medical details.
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Medical History Form
PDF template
A comprehensive medical history form for sports participation, requiring detailed health information and consent statements.
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WakeMed Urgent Care Patient Intake Form
PDF template
Medical form for collecting patient health information, medical history, and current health status at urgent care facility.
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Survey Procedure
PDF template
Comprehensive policy defining survey protocols, data collection guidelines, and administrative processes for conducting surveys at the college.
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Grantee Budget Form
PDF template
Detailed budget form for documenting research grant expenses and personnel allocations across various cost categories.
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Contracts And Grants Policy
PDF template
Policy governing the management of sponsored funds, award administration, and expenditure guidelines for university grants and contracts.
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Refund Process Policy
PDF template
A policy outlining procedures for processing refunds, credit balances, and overpayments for UCR Health patients and third-party payors.
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WakeMed Urgent Care Patient Intake Form
PDF template
Comprehensive medical form for collecting patient medical history, past surgical history, family history, and social history at an urgent care facility.
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DOT Physical Examination Form
PDF template
Medical examination form for commercial vehicle drivers to assess physical fitness for driving.
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Advancing Access Patient Information Form
PDF template
Comprehensive form for collecting patient personal information, contact preferences, and insurance details for medical services.
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Subscriber Claim Form
PDF template
A comprehensive insurance claim form for submitting medical service reimbursements to Blue Cross Blue Shield of Massachusetts.
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Medical History Form
PDF template
A comprehensive form for collecting patient medical history, current health conditions, medications, and allergies.
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GASLINI INTERNATIONAL PEDIATRIC FELLOWSHIP PROGRAM APPLICATION FORM
PDF template
Application form for medical professionals seeking a fellowship at IRCCS Istituto Giannina Gaslini's pediatric program.
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Radionuclide Use Permit Cancellation Form
PDF template
Form used to document the final disposition of radioactive materials and closure of a radiation use permit at Indiana University.
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SPECIAL MEETING HOD COMMITTEE VOLUNTEER FORM
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A form for volunteers to indicate interest in serving on various committees for a Special Meeting of the House of Delegates.
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A8.930 Service Orders To The Research Corporation Of The University Of Hawaii
PDF template
Administrative procedure outlining guidelines for service orders to the Research Corporation of the University of Hawaii for extramural and intramural funded projects.
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AZA Standardized Research Application Form
PDF template
A comprehensive form for facilitating research proposal submissions by AZA accredited zoos and aquariums, designed to streamline the application and review process.
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Preparticipation Physical Evaluation Physical Examination Form
PDF template
Medical evaluation form used to assess an athlete's physical fitness and eligibility to participate in sports activities.
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Preparticipation Physical Evaluation Physical Examination Form
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A comprehensive medical evaluation form for athletes to assess physical fitness and clearance for sports participation.
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Initial Approval Request Application
PDF template
Application form for obtaining institutional review board approval for research involving human subjects at the Fashion Institute of Technology.
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Amino Acid Laboratory Sample Submission Form
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A comprehensive form for submitting animal medical samples to the Amino Acid Laboratory at UC Davis for testing.
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Submission Form
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A form for authors submitting manuscripts to Acta Anaesthesiologica Scandinavica, including conflict of interest disclosure requirements.
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UNPLANNED ADMISSIONAAU BOOKING FORM
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A form for booking unplanned hospital admission to the Acute Admissions Unit with comprehensive patient and clinical details.
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AAUS Medical Evaluation Of Fitness For Scuba Diving Report
PDF template
A comprehensive medical evaluation form to assess an individual's fitness for scientific scuba diving, including required medical tests and physician's assessment.
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Alberta Accident Benefits Initial Claims Process
PDF template
A comprehensive guide for filing insurance claims and accessing medical benefits after an automobile accident in Alberta, Canada.
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2024 BankPac Contribution Form
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Form for making voluntary political contributions to the American Bankers Association's political action committee (PAC)
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A Basic Guide To Grants, Program Design, Grant Writing For Grant Seekers
PDF template
A comprehensive guide to understanding grant types, funding sources, program design, and grant writing for higher education institutions.
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Ronald McDonald House Charities Grant Application Form
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A comprehensive grant application form for organizations seeking funding from Ronald McDonald House Charities
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Directions For Completing An ABPN Feedback Module
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Instructions for psychiatry and neurology professionals to complete a peer or patient feedback module for continuous certification.
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AAPS VOLUNTEER FORM
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A volunteer form for physicians to indicate interest in committee participation and specialty opportunities within the AAPS organization.
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ABWH 2020 21 Membership Form
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Annual membership registration form for the Association of Black Women Historians with membership tiers and donation options for the 2020-2021 period.
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Histology Submission Form
PDF template
A detailed form for submitting tissue samples to the UConn Comparative Veterinary Medicine Diagnostic Laboratory for histological processing and analysis.
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Patient Intake Form
PDF template
Comprehensive form for collecting patient personal, medical, insurance, and contact information for healthcare services.
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Group Insurance Accelerated Benefit Option Claim Form
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A form for employees or members to claim an accelerated benefit option for terminal illness life insurance claims.
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Grant Application Form
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A grant application for Canadian charities seeking funding to improve healthcare access for marginalized populations, with a focus on Ontario communities.
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Research Proposal Form (For Projects Using CentRIC Datasets)
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A proposal form for researchers seeking to use datasets from the Centre for Psychosocial Research in Cancer (CentRIC+)
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Preliminary Research Proposal Form (For Projects Using CentRIC Datasets)
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A form for researchers to submit preliminary research proposals using datasets from the Centre for Psychosocial Research in Cancer.
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Graduate Student Progress Evaluation
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A form for documenting and evaluating a graduate student's academic progress, research achievements, and future expectations.
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Accessible Parking Form
PDF template
Application form for individuals with disabilities seeking an accessible parking permit at Eastern Kentucky University
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RESEARCH GRANT APPICATION FORM
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Guidelines and application procedures for research grants at Cameron University for faculty, staff, and faculty-sponsored students.
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ERAIDER REQUEST FORM
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Form for non-TTUHSC employees to request an eRaider account, specifying access requirements and responsibilities.
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AMERICAN CERAMIC CIRCLE RESEARCH GRANT APPLICATION FORM
PDF template
A comprehensive application form for research grants offered by the American Ceramic Circle to support scholarly research projects.
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Group Accident Insurance Claim Form
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A comprehensive claim form for reporting and documenting accident-related insurance claims with detailed instructions and submission guidelines.
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Accidental Injury Claim Form
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Insurance claim form for documenting details of an accidental injury and related medical information for potential insurance coverage.
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Credit Disability Claim Form
PDF template
Instructions for submitting a disability insurance claim for loan protection coverage through American National Insurance Company.
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Club Sports Accident Report Form
PDF template
A comprehensive form for documenting sports-related accidents and injuries for recreational sports participants
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IADT Accident Report Form
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Comprehensive form for documenting workplace accidents, injuries, and subsequent medical treatment with GDPR compliance notice.
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AccidentIncident Reporting Form
PDF template
Comprehensive guidelines for reporting accidents, incidents, and hazards on university premises, detailing reporting processes and medical response protocols.
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Accident Wellness Benefit Claim Form
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Insurance claim form for submitting wellness screening benefits and personal health information to Guardian Life Insurance.
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Accommodation Request Assessment Form
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A medical form used to assess an employee's request for workplace accommodation due to disability or pregnancy-related needs.
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Accommodation Inquiry Form
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A form to collect details about research study requirements and preferences for MRI scanning services.
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Accounting Service Request Form (ASR)
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A form used for researching and documenting financial activity within an organization, with specific instructions for submission and processing.
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2021 2022 Accounting Scholarship Form
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A scholarship donation form for contributing to the California State University San Marcos Accounting Scholarship fund.
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2022 2023 Accounting Scholarship Form
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A scholarship donation form for contributing to the California State University San Marcos Accounting Scholarship program.
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MEDICAL RELEASE FORM
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A form granting permission for medical treatment of a student during official academy participation with emergency contact and medical information.
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ACHA NFSHA Survey Order Form
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Order form for purchasing a campus health and wellness survey from the American College Health Association
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Student Inquiry Form
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A form for students seeking internships, clinical rotations, and other experiential learning opportunities with the Allegheny County Health Department.
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ACH Pre Authorization Form
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A form authorizing automatic payment deductions for medical consultations and services from a bank account.
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ACH Auto Draft Contribution Pre Authorization Form
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A form allowing church members to set up automatic monthly financial contributions via bank draft.
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CLAIM FORM
PDF template
A comprehensive insurance claim form for collecting detailed policyholder and incident information for processing an insurance claim.
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Patient Medical History Form
PDF template
Comprehensive medical history form for collecting patient health information, symptoms, and medical conditions.
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Medical Information
PDF template
A comprehensive medical form collecting personal health details for emergency preparedness at an event or track setting.
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Schedule 1 Intellectual Property And Confidentiality Agreement
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A legal agreement defining intellectual property and confidentiality terms between a higher education institution and a delivery entity for a scientific or technological project.
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Patient Intake Form Holistic Health Assessment
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Confidential questionnaire for determining patient treatment plan and collecting comprehensive medical and personal information.
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Patient Intake Form
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Comprehensive form for collecting patient personal, contact, medical, and insurance information for chiropractic services.
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New Patient Intake Form
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Comprehensive medical intake form for new patients at Joyanne Kohler Acupuncture, collecting personal and health information.
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Acute Inpatient Hospital Assessment Form
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Form for requesting authorization for hospital admissions and stay extensions for Blue Cross and Blue Care Network commercial plans
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Americans With Disabilities Act Accommodation Request Assessment Form
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A form for employees to request workplace accommodations under the Americans with Disabilities Act, requiring medical provider documentation of work restrictions or limitations.
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Guide To Sponsored Projects Development
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A comprehensive guide for faculty and staff on university research policies, grant funding procedures, and proposal management at Youngstown State University.
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Kids Tag Art Order Form
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Order form for purchasing custom license plate tags that support art education in Volusia County.
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Medical Inquiry Form In Response To An Accommodation Request
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A medical form used to evaluate an employee's disability and potential workplace accommodations under the Americans with Disabilities Act (ADA).
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Student Intellectual Property Agreement Form
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Agreement outlining student responsibilities for intellectual property created during university research projects and sponsored research.
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Guide To Sponsored Projects Development
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A comprehensive guide for faculty and staff on research grant funding, proposal development, and award management at Youngstown State University.
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DOH 3608 Uninsured Care Programs Medical Eligibility Form
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A medical form used to determine patient eligibility for HIV-related care programs in New York State
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ADA Job Accommodation Request And Medical Inquiry Form
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A confidential form to help determine reasonable workplace accommodations for employees with disabilities under ADA guidelines.
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Diagnostic Imaging Referral Form
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Comprehensive medical imaging request form for various ultrasound, x-ray, and pain therapy procedures with detailed anatomical options.
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Pre Authorization Form Instructions
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Detailed instructions for completing a medical pre-authorization request form, including required documentation and submission process.
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Medical Form Instructions For TeamSnap
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Step-by-step guide for team managers to upload player medical forms to TeamSnap profiles
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Required NYS School Health Examination Form
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A comprehensive health examination form for students in New York State, documenting medical history and current health status
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Additional Shifts Approval Form
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Form for documenting and approving additional paid shifts for medical residents and fellows beyond their normal program requirements.
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Private Hospitals Discharge Form (ADF96)
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A comprehensive form for collecting detailed patient discharge data from private hospitals for statistical reporting purposes.
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MS Culminating Project Proposal Form
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Form for Master's students to propose their final statistical research project in the Ad Hoc MS in Applied Statistics program.
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Vermont Advance Directive For Health Care
PDF template
A legal document allowing individuals to specify their health care preferences and designate a health care decision-maker if they become unable to make decisions for themselves.
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AdjustmentVoid Request Form
PDF template
A form used by healthcare providers to request adjustments or void payments for medical services.
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Analytical And Diagnostics Laboratory (ADL) Application For Small Grants To Cover User Fees
PDF template
Grant application for faculty research support to cover user fees at the Analytical and Diagnostics Laboratory, offering up to $2,500 for research-related expenses.
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Admission Agreement And Health Assessment
PDF template
Comprehensive form for child enrollment, medical history, emergency contacts, and health assessment for childcare or educational settings.
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Adobe Generative AI Additional Terms
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Supplemental legal terms governing the use of Adobe's generative AI features, including guidelines for content input and output.
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Adolescent Vaccination Consent Form (TdapTd, HPV, Meningococcal ACWY)
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A consent form for parents/guardians to authorize vaccination of adolescents for Tdap/Td, HPV, and Meningococcal ACWY vaccines.
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Hospice Volunteer Application Form
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A comprehensive application form for individuals interested in becoming hospice volunteers, collecting personal, contact, and background information.
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Administrative Directive 17 04 Research And Program Evaluation
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Policy governing research and program evaluation activities for the Arkansas Parole Board, including guidelines for research proposals and cooperation with researchers.
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MINOR PARTICIPANT EMERGENCY CONTACT AND MEDICAL RELEASE FORM
PDF template
A comprehensive form for collecting emergency contact, medical information, and release authorization for a minor participant.
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FMLA Adult Child Disability Medical Inquiry Form
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A medical form used by the New Mexico Taxation & Revenue Department to determine disability status for FMLA leave to care for an adult child.
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Informed Consent Document Template
PDF template
A template for creating an informed consent document for research study participants explaining study details, procedures, risks, and benefits.
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Girl Scouts Of Greater Los Angeles Adult Emergency Information And Authorization For Treatment
PDF template
Emergency contact and medical authorization form for Girl Scouts of Greater Los Angeles adult participants
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Adult Registration Form
PDF template
A comprehensive form for collecting patient personal and demographic information for healthcare services.
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Adult HIV Confidential Case Report Form
PDF template
Confidential medical reporting form for adult HIV patients in Rhode Island, used for surveillance and epidemiological tracking.
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New Patient Intake Form
PDF template
Comprehensive intake form for new patients to collect personal and medical contact details at a healthcare practice.
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Adult Legal Form
PDF template
A legal form for adult participants in CISV international programs covering medical guardianship, release, and program consent.
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Emergency Medical Form ADULT
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Comprehensive medical authorization and emergency contact form for adult participants in MUMC trips.
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Oklahoma 4 H Youth Development Participant Information Form
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A comprehensive form for collecting participant health, emergency contact, and medical information for 4-H youth programs and events.
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Adult Confidential Medical Information And Emergency Notification Form
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Comprehensive medical information and emergency contact form for participants in the 2007 Big Sky Regional Science Bowl
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Adult Medical Release Form
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Medical and liability release form for participants in Diocese of Little Rock youth ministry events
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Adult Medical Release Form
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Medical release and consent form for adult participants in environmental education program activities, capturing health information and emergency contact details.
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Adult Specialist Request
PDF template
Medical referral form for requesting an adult specialist appointment with patient and insurance details.
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Adult Registration Form
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Comprehensive form for collecting patient personal and insurance information for healthcare purposes.
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Community Practice Referral Form Adult Services
PDF template
A referral form for occupational therapy and physical therapy services for adult patients with various health conditions and treatment needs.
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Volunteer Application Form
PDF template
Comprehensive form for individuals seeking to volunteer at Cape Fear Valley Health System medical facilities.
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ONE YEAR ADVANCED ENDOSCOPY FELLOWSHIP APPLICATION
PDF template
Comprehensive application form for medical professionals seeking a one-year advanced endoscopy fellowship at the University of Missouri's Division of Gastroenterology & Hepatology.
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Provider Appeal Request
PDF template
A form for healthcare providers to submit appeals for denied claims or authorizations with Advanced Health.
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Provider Appeal Request
PDF template
A form for healthcare providers to request an appeal of a denied claim or authorization with Advanced Health.
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Advanced Illness Benefit Application Form
PDF template
Application form for palliative care through the Advanced Illness Benefit for advanced cancer/oncology care by Anglovaal Group Medical Scheme.
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Advance Directive Information Document
PDF template
A comprehensive guide explaining advance directives, their purpose, importance, and how to designate a healthcare agent.
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Service Request Form
PDF template
Medical form for requesting sleep-related diagnostic services and documenting patient sleep disorder symptoms.
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ADVISOR AGREEMENT FORM
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A formal document outlining an advisor's responsibilities for supervising a PhD student in Molecular, Cellular and Developmental Biology, including academic guidance and financial support commitments.
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Family Leader Evaluation Form
PDF template
A survey form for evaluating the grant proposal review process and providing feedback on scientific proposals.
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College Advisory Board Undergraduate Grant Application Form
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A grant application for undergraduate students in the Dorothy F. Schmidt College of Arts and Letters to support research and creative projects.
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GUIDING PRINCIPLES CHECKLIST For Evaluating Evaluations
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A systematic tool to help evaluators apply the American Evaluation Association's Guiding Principles for Evaluators in meta-evaluations.
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Medical Information And Physician Release
PDF template
A medical form for documenting participant health status and physician clearance for exercise participation at Oregon State University's Adaptive Exercise Clinic.
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AEDBleed Kit Inspection Form
PDF template
A comprehensive inspection form for checking the operational readiness and condition of an AED and associated emergency medical supplies.
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Automated External Defibrillator (AED) Post Incident Report Form
PDF template
A comprehensive form for documenting events involving the use or attempted use of an Automated External Defibrillator at Middle Georgia State University.
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AED Incident Report Form
PDF template
A comprehensive form for documenting and reporting incidents involving the use or attempted use of an Automated External Defibrillator (AED)
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Barton Community College Foundation Contribution Form
PDF template
A donation form for contributing to the Barton Community College Foundation's academic enrichment fund campaign.
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Child Find Referral Form
PDF template
Comprehensive referral form for collecting infant/toddler medical and demographic information for early intervention services.
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REFERRAL FORM
PDF template
Medical referral form for eye-related consultations and treatments in Edmonton, Alberta.
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AEP 4910 Independent Study For Honors Research Proposal
PDF template
A form for students in Applied and Engineering Physics to propose an independent research or honors thesis project.
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PATIENT INTAKE FORM
PDF template
A comprehensive form for collecting client and pet information for veterinary emergency and specialty care services.
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Prescription Drug Claim Form
PDF template
A comprehensive form for submitting prescription drug claims to Aetna Pharmacy Management for reimbursement or processing.
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LSOCA Archive Inventory Form (AF)
PDF template
A document for recording contents and location of archived study documents for the LSOCA study during study closeout.
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Academic Federation Excellence In Research Award Nomination Form
PDF template
A nomination form for recognizing excellence in academic research at UC Davis
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Affymetrix Array Service Request Form
PDF template
A form for requesting genomic array services at the University of Pittsburgh's High-throughput Genome Center, covering gene expression and genotyping analysis.
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Active Duty Tour (ADT) Order Request For Military Medical Rotations
PDF template
Official form for military personnel to request and document active duty tour assignments for medical rotations
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Accidental Injury Claim Form
PDF template
Insurance claim form for documenting details of an accidental injury for potential insurance benefits and reimbursement.
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Continuing Disability Claim Form
PDF template
A claim form for filing a continuing disability insurance claim with Aflac, requiring detailed patient and policyholder information.
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Initial Disability Claim Form
PDF template
Insurance claim form for reporting disability due to sickness or injury, used by Aflac for processing disability claims.
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M0272B Flexible Spending Account Claim Form
PDF template
Form for requesting reimbursement from a Flexible Spending Account for medical and dependent care expenses.
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Initial Disability Claim Form
PDF template
Comprehensive form for filing a disability insurance claim covering various types of disability including accidents, sickness, pregnancy, and cancer.
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Sickness Claim Form
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A comprehensive form for filing insurance claims related to sickness, disability, hospitalization, and other health events with Aflac.
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CONTRIBUTION FORM
PDF template
A form for making financial contributions to the Mississippi State University Foundation with multiple donation and payment options.
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Introduction Of The Digital Highway Measurement (DHM) System For Highway Safety And Operations
PDF template
A conference briefing on the Digital Highway Measurement system capabilities hosted by the Federal Highway Administration's Turner-Fairbank Highway Research Center.
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Services Agreement
PDF template
Agreement for individuals to perform data collection tasks for Datoid's AI research and development, involving text, speech, and media labeling and processing.
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SubcontractConsultant Invoice Approval Form
PDF template
A form used to approve and verify subcontractor or consultant invoices for research projects, requiring Principal Investigator certification and review.
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Agriculture Research Animal Transfer Request Form
PDF template
A form for transferring research animals between research protocols and departments, requiring multiple signatures.
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Medical Reimbursement Form
PDF template
Form for members to request reimbursement for medical services covered under their health plan
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High Adventure Activity Medical Form
PDF template
A medical form for certifying individual fitness for high-risk adventure activities for youth organizations.
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New Patient Intake Form
PDF template
Comprehensive medical intake form for new patients seeking plastic, reconstructive, or pediatric head and neck surgical services.
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AHN Employee Giving Payroll Deduction Form
PDF template
Form for AHN employees to set up charitable contributions through automatic payroll deductions
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Instructions For Completion Of Application For Specified Service Authority Allied Health Professiona
PDF template
Detailed guidelines for completing an application for medical staff service authority for allied health professionals at Eaton Rapids Medical Center.
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AHRS ProjectInvestigation Form Instructions
PDF template
Instructions for completing the Alaska Office of History and Archaeology's cultural resources project documentation form for reporting investigations.
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Surgical Booking Request Office Reference Guide
PDF template
A guide for completing the Provincial Surgical Booking Request form to facilitate consistent surgical scheduling and resource allocation.
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Arizona Interscholastic Association Annual Preparticipation Physical Evaluation
PDF template
A comprehensive medical screening form for student-athletes to assess their health and fitness for sports participation.
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HYPERSENSITIVITY PNEUMONITIS (HP) PANEL
PDF template
Medical diagnostic form for testing hypersensitivity pneumonitis and avian panel allergens from the Medical College of Wisconsin.
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PATIENT MEDICAL HISTORY FORM
PDF template
Comprehensive medical history form for collecting patient's personal and family health information, past medical conditions, and surgical history.
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Patient Intake Form
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A comprehensive form for new patients to provide medical history and contact information for a naturopathic wellness center.
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Resident Assessment
PDF template
Comprehensive intake form for documenting a resident's medical history, health status, functional capabilities, and personal information for care facilities.
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Astronomical League Sales Order Form
PDF template
A form for tracking astronomical observations and purchasing astronomy-related items from the Astronomical League.
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Authorization To Purchase Alcohol
PDF template
A form for authorized university personnel to order and track alcohol purchases for research, educational, or medicinal purposes.
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Alexandria Library Foundation Contribution Form
PDF template
A donation form for contributing financial support to the Alexandria Library Foundation with various contribution level options.
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Preparticipation Physical Evaluation (Interim Guidance) Physical Examination Form
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A comprehensive medical examination form for athletes to assess physical fitness and health status prior to participation in sports activities.
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Allegations Contained In The StateS Complaint Against Dr. Sun
PDF template
Legal document detailing allegations of inappropriate pain medication prescriptions by Dr. Sun for multiple patients with questionable medical necessity.
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Alfred State Workshop AllergyMedical Form
PDF template
A comprehensive medical form for documenting a camper's allergies, medical conditions, and emergency contact information.
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Springfield Platteview Community Schools Health Examination Form
PDF template
A comprehensive health and immunization form for students in kindergarten through 12th grade in Springfield Platteview Community Schools.
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NSERC Alliance Grants
PDF template
Funding program encouraging university researchers to collaborate with partner organizations across private, public, and not-for-profit sectors to generate new knowledge and create benefits for Canada.
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Allied, Therapeutic And Psychology Extender Benefit Application Form For 2024
PDF template
Application form for healthcare benefit coverage under the Retail Medical Scheme's Essential Plus Option for allied, therapeutic, and psychology services.
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TCNJ Faculty And Staff Campaign Payroll Deduction Form
PDF template
A form enabling TCNJ faculty and staff to set up or modify payroll deductions for charitable donations to various campus programs and departments.
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CANCELLATION REQUEST FORM
PDF template
A form used to request cancellation of medical laboratory tests with detailed documentation requirements.
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ALS Focus Consent Form
PDF template
Online survey platform consent form for people with ALS and their caregivers to participate in research studies about the disease.
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ALSPAC DATA ACCESS AGREEMENT
PDF template
A formal agreement for accessing research datasets from the Avon Longitudinal Study of Parents and Children (ALSPAC)
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Blue Cross Medical Travel Benefit Claim
PDF template
A claim form for medical travel expenses for members of the Arrow Lakes Teachers' Association submitted to Pacific Blue Cross.
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Transfer Or Discharge Form
PDF template
A form used to document and record the transfer or discharge of a resident from a healthcare facility, including essential transfer details and accompanying documentation.
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Bethel Alumni Association Faculty Grant Information
PDF template
Guidelines for Bethel University faculty members applying for alumni association research and professional development grants for the 2023-2024 academic year.
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SUSLA Alumni Association Chapter Membership Form
PDF template
Membership form for Southern University at Shreveport (SUSLA) alumni to join the alumni association with various membership levels and payment options.
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Baseline Electronic Case Report Form (ECRF) Packet
PDF template
A comprehensive medical research document tracking version history and updates for clinical case reporting forms
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AAO HNSF 2022 Annual Meeting OTO Experience Call For Science Submission Guidelines
PDF template
Guidelines for submitting scientific presentations to the AAO-HNSF Annual Meeting, including eligibility requirements and speaker responsibilities.
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Nomination For An AMA Award
PDF template
Official form for nominating medical professionals for various American Medical Association awards and recognitions.
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Sample Submission Form
PDF template
A form for submitting samples to AMCL for testing, including sample details, shipping, storage, and payment information.
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MultiCare Auburn Medical Center PGY1 Pharmacy Residency Application Information
PDF template
Application instructions and requirements for PGY1 pharmacy residency at MultiCare Auburn Medical Center
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Medical Examination Report For Bus Transit System Driver
PDF template
Comprehensive medical examination form for bus transit system drivers to assess health conditions and fitness for duty.
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AMERICAN CLUB PRE EMPLOYMENT MEDICAL EXAMINATION FORM2019
PDF template
Comprehensive medical examination form for seafarer pre-employment screening with multiple medical tests and assessments.
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Dental Claim Form
PDF template
A comprehensive form for submitting dental insurance claims, requiring patient and employee information, treatment details, and authorization signatures.
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AMG At Home Admission Check
PDF template
Comprehensive admission checklist and information for patients interested in AMG Senior Medical Group's at-home medical services.
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AMG Requisition Form
PDF template
A form used by surgeons to request amniotic membrane grafts (AMG) from Ramayamma International Eye Bank.
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AMI Insurance Application
PDF template
A comprehensive insurance application form for personal health coverage with options for individual or family plans.
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Student Health Examination Form
PDF template
Medical examination form for students, documenting health history, physical examination, and immunization status.
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A Survey Of The Present Status Of The Periodic Health Examination
PDF template
A research document exploring the historical development and current status of periodic health examinations in the United States.
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STANDARD RESEARCH EXCHANGE PROJECT FORM (SCORE Project Form 2015)
PDF template
A comprehensive form for documenting and proposing a research exchange project for students.
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AMS Simons Travel Grant Program Mentor Pre Authorization Form
PDF template
Form for mentors to pre-authorize travel expenses for AMS-Simons grant recipients
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AMS Simons Travel Grant Program Mentor Trip Approval Pre Authorization Form
PDF template
Form for mentors to pre-authorize travel funding and approve research-related travel for AMS-Simons grant recipients.
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MAR Research Project Award
PDF template
A research funding opportunity for MAR members to pursue studies advancing clinical, professional, or disciplinary knowledge with grants up to $2,000.
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Animal Housing User Contact Form
PDF template
Form for collecting contact details of personnel responsible for animal housing at Indiana University of Pennsylvania.
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Animal Incident Report Form
PDF template
A detailed form for reporting animal-related incidents involving bites, scratches, or other exposures to an animal.
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Animal Location Inventory
PDF template
A document for recording and tracking animal locations, species, and identification numbers across different rooms.
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Continuation Of Review Of Approved Project Form
PDF template
Annual review form for Institutional Biosafety Committee to assess ongoing research project status and personnel changes.
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Annual Fund Contribution Form
PDF template
A donation form for contributing financial support to St. Joseph School-Fullerton with various giving levels.
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Faculty And Staff Payroll Deduction Form
PDF template
A form for faculty and staff to set up recurring payroll donations to the Millsaps Annual Fund or other designations.
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Annual Health Evaluation Form
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A comprehensive health evaluation form for tracking medical history, lifestyle factors, and current health status.
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Restore Or Retreat Annual Meeting Attendance Form
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Registration form for nonprofit annual meeting with multiple sponsorship levels for Restore Or Retreat organization
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Annual Ph.D. Student Evaluation Form
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A comprehensive form for assessing annual academic and research progress of doctoral students, including performance evaluation and goal setting.
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Annual Professional Activity Report
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A comprehensive form for tracking faculty members' teaching, research, and service activities at Brandon University.
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Annual SAMD Student Evaluation (PhD)
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A comprehensive evaluation form for PhD students in the School of Advanced Materials Discovery (SAMD) to document academic and research progress.
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Annual Scholarship Form
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A form for donors to establish and define scholarship parameters at Santa Monica College, including funding details and student eligibility criteria.
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Template Informed Consent For Anonymous Surveys
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A comprehensive template providing guidelines for creating informed consent documents for research surveys with a focus on clear, accessible language.
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Submission Form
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A form for submitting samples to Anresco laboratory for analysis with contact and order details.
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PhD Student General Requirements
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Comprehensive guidelines for PhD students in Animal Sciences at University of Florida, covering academic and research expectations.
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Wenner Gren Foundation For Anthropological Research Dissertation Fieldwork Grant Application
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An application for research funding focusing on Indigenous sovereignty and self-governance in British Columbia, Canada.
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Member Claim Form
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Insurance claim form for submitting medical expenses and service details to Anthem Blue Cross health insurance.
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Medical Insurance Claim Form
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A standard medical insurance claim form for submitting patient information and medical service details to an insurance provider.
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Medical Claim Form
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A comprehensive medical claim form for submitting healthcare service details and patient information to Anthem Blue Cross insurance.
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Medical Claim Form
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A comprehensive form for submitting medical insurance claims, collecting patient, subscriber, and medical service information.
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Medical Claim Form
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A comprehensive medical claim form for submitting healthcare service reimbursement claims to Anthem Blue Cross and Blue Shield insurance.
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Medical Claim Form
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A standard medical insurance form for submitting healthcare service claims and patient information to an insurance provider.
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AO Alliance (AOA) ORP Fellowship Application Form
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Application form for medical professionals seeking a fellowship with the AO Alliance in orthopedic and trauma surgery
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AO Alliance (AOA) Surgeon Fellowship Application Form
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Application form for surgeons seeking a fellowship with the AO Alliance, requiring detailed professional and personal information.
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AOSC Thesis Submission Form
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A form for faculty research mentors to approve and sign a student's thesis prior to submission.
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2017 APAIS Atlantic Intercept Form
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A survey form for collecting information about saltwater sport fishing activities and locations.
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Doctoral Advisory Committee Membership
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A form for documenting and establishing the advisory committee membership for a doctoral student in the School of Applied Physiology.
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PARTICIPANT MEDICAL HISTORY FORM
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Confidential medical history form for collecting participant health information for trips and activities by APEX
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Procurement Form
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A form for collecting donation and auction item details for a non-profit organization's fundraising event.
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Medical Information Release Form
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A form allowing parents or legal guardians to specify who can receive medical information about their child from Angelina Pediatrics, PLLC.
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Institutional Review Board Proposal
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A comprehensive form for submitting research proposals to the Institutional Review Board at Elmhurst University for review and approval.
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Newcastle Ottawa Quality Assessment Form For Case Control Studies
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A standardized form for evaluating the quality and methodology of case-control research studies.
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Tuberculosis Case Management Manual
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A comprehensive manual providing guidelines, resources, and forms for tuberculosis case management in Missouri.
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Student Project Form And Hazard Assessment
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A safety assessment form for engineering students conducting research, design, or testing projects with potential health and safety risks.
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Appendix 5 Medical Release Form
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A medical release form for seniors participating in the Community Healthy Activities Model Program, allowing notification of primary care physician.
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NSW Health UndertakingDeclaration Form
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Form for health workers and students to declare compliance with infectious disease screening and vaccination requirements for NSW Health facilities.
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Scholarship Fund Contribution Form
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A form allowing faculty members to authorize payroll deductions for contributing to a university scholarship fund.
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NAPNAP Faculty Declaration Form
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A form for presenters to declare potential financial conflicts of interest and off-label drug or medical device discussions.
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Intellectual Property Disclosure Form
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A comprehensive form for documenting and disclosing intellectual property innovations at Abilene Christian University
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Appendix T San Diego Police Department Crime Laboratory Feedback Form
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A detailed evaluation form for forensic evidence collection and assessment during a medical forensic examination.
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Application For New Grants Under The Education Innovation And Research
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A grant application document from the U.S. Department of Education for the Education Innovation and Research program for fiscal year 2023.
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Applicant Mentor Information Agreement Form
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A form for research project applicants to provide personal and academic details, along with mentor/faculty advisor certification and approval.
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Charitable Trust Of The Auckland Faculty Royal New Zealand College Of General Practitioners Applicat
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Comprehensive assessment form for evaluating research grant applications from general practitioners in New Zealand.
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Travel Grant Application Form
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Application form for researchers seeking travel funding to access historical archives at Virginia Theological Seminary.
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Application For Cost Sharing Award (CSA) To Use LLU Basic Sciences Core Facilities
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A form for researchers to request cost-sharing support for research facility usage and explain potential research impact.
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INTERNATIONAL RESEARCH INTERNSHIP APPLICATION FORM
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Application form for an international research internship at UWI School of Nursing, requiring multiple supporting documents for submission.
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FHNO Institutional Fellowship Application Form
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Application form for fellowship in Head and Neck Oncology/Reconstructive Surgery with comprehensive applicant details collection.
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Chulabhorn Research Institute Fellowship Application Form
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A comprehensive application form for fellowship candidates at Chulabhorn Research Institute in Thailand, collecting personal, educational, and professional details.
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Fellowship Application Form
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Application form for becoming a fellow of the Royal Asiatic Society with various fellowship types and contact information collection.
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FORM AFULL RESEARCH REVIEW APPLICATION FORM (IRB)
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A comprehensive form for submitting research projects involving human subjects for institutional review and approval.
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APPLICATION FOR PERMIT FOR ARCHEOLOGICAL INVESTIGATIONS
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Formal document for obtaining permission to conduct archaeological research on federal lands under various preservation acts.
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Service Request Form
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A form for submitting and tracking information technology service requests within an organization.
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Post Doctoral Position Application Form
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Application form for post-doctoral positions at the Indian Institute of Science, covering personal and professional details.
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Medical Appeals And Reinstatements Sections 717273
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Comprehensive guide for NYC employees seeking medical reinstatement, detailing required documentation and submission procedures.
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STUDENT INCIDENT REPORT FORM
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A comprehensive form for documenting student incidents, including details of the event, student's account, and additional comments from faculty or preceptors.
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Applying For Travel Funds For Graduate Students
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A comprehensive guide for graduate students seeking travel funding from various sources including research mentors, department, college, and graduate school.
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Functional Medicine Clinic Appointment Time Agreement
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Agreement outlining fees and policies for patient appointments, including no-show and late cancellation charges.
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Approval Form (1B)
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A comprehensive approval form for student research projects requiring acknowledgment from student, parent/guardian, adult sponsor, and SRC/IRB chair.
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Specialized Studies In Advanced Economic Analysis DIS Approval Form
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A form for students to propose and obtain approval for an independent study project in advanced economic analysis from a professor and undergraduate director.
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Inter University PhD In Educational Studies Dissertation Proposal Approval Form
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A form used by academic committees to review and approve doctoral dissertation research proposals.
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Environmental Health And Radiation Safety Biological Materials Protocol Guidelines
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Guidelines for protocol approval involving biological materials research at Temple University, outlining the roles of various departments and committees.
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APPs In The Research Setting A Checklist For Researchers
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A comprehensive guide for researchers to evaluate legal and ethical considerations when developing or using mobile applications in research studies.
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APPLICATIONS Service Request Form
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Internal form for requesting IT service and system modifications within an organization's technology infrastructure.
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Observation And Interview Research Instruments
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A set of research forms for collecting qualitative data about artists' creative processes through observation, interviews, and document analysis.
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PTG E Board Meeting Minutes April 12, 2023
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Minutes from Parent Teacher Group e-board meeting covering school updates, fundraisers, and administrative discussions.
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APTA Technology Terms And Conditions White Paper
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A white paper discussing technology-related terms and conditions for IT procurement contracts in public transit agencies.
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OCCUPATIONAL MEDICAL SURVEILLANCE PROGRAM PHYSICAL EXAMINATION FORM
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A comprehensive medical examination form for documenting employee health status and physical condition for the United States Department of Agriculture.
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Arboretum Foundation Virtual Fundraising Gala Procurement Form
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A form for collecting item donations for a virtual fundraising gala hosted by the Arboretum Foundation.
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Belmont Forum Registration Form
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Registration form for research project proposals under the Belmont Forum ARC 2024 initiative, covering project details and submission guidelines.
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Archives User Registration Agreement Form
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Registration form for researchers accessing archives at Peters Township Public Library with detailed usage rules and regulations.
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Arc Job Application Form
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A comprehensive employment application form for Arc, a registered charity, collecting personal details, work history, education, and equal opportunities information.
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Payroll Donation Form
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A form allowing Ardent employees to donate to the Ardent Cares Foundation through payroll deductions to support team members in need.
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Remdesivir Prescribing DeclarationStreamlined IPU Application Form
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A form for healthcare professionals to request and prescribe Remdesivir for COVID-19 patients meeting specific criteria.
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ARMS User License Agreement
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Legal agreement governing the use of the Archaeological Resources Management System (ARMS) by researchers and users.
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Sponsor Invoicing
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Document describing types of sponsor invoices and their generation process in Oracle Grants Management module.
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Contribution Form
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A donation form for contributing to various scholarships and programs within the Emporia State University Art Department.
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Alexandria Soccer Association Medical Release Form
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A medical authorization form allowing team officials to obtain medical attention for a child during soccer activities.
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Consent Form For Participation In A Research Study
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Informed consent document for a research study involving a stressful computer task with potentially disturbing visual stimuli.
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Central Registry Referral Form
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A referral form for documenting spinal cord injury or disability cases for the Arkansas Spinal Cord Commission's central registry.
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ICARUS MEDICAL, LLC ORDER FORM
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Order form for custom knee braces with patient and measurement information.
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Referral Form
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Medical referral form for new patient intake and treatment evaluation at Ascend Health Center, focusing on mental health services.
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Fellowship Application Form
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Application for Fellowship membership in the Australian Society of Clinical and Experimental Pharmacologists and Toxicologists (ASCEPT)
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ASE Organizational Membership Application
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Organizational membership application for multiple members from the same institution to join or renew ASE membership with various professional categories and pricing tiers.
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ASE Membership Application Form
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Organizational membership application form for joining or renewing membership in the American Society of Echocardiography with various membership categories and pricing.
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Individual Research Tutorial Proposal Form
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A student research proposal exploring the role of fashion in Latina identity and cultural representation.
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Contribution Form
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A donation form for supporting Catholic school scholarships with potential state tax credit eligibility.
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Contribution Form
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Donation form for contributing to Catholic school scholarships with state tax credit options
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2024 Resource Limited Country Membership Form
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Membership application form for the American Society of Human Genetics with categories for various academic and professional levels in genetics.
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ASIIS Enrollment Application
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Application for organizations to enroll in the Arizona State Immunization Information System (ASIIS) for healthcare providers and facilities.
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Fund Raising Receipts Declaration Form
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A form for documenting and tracking fundraising activities and monetary collections by student clubs and organizations at Riverside Community College.
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ASRC Laser Safety Plan
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Comprehensive safety guidelines for working with high-powered Class 3B and Class 4 lasers in research environments.
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MEDICALVISION CLAIM FORM
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A comprehensive claim form for submitting medical and vision insurance claims, requiring detailed employee and patient information.
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Using Assessment For Developing Team Building Skills
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A research study exploring methods for developing and evaluating team building skills in educational settings, focusing on assessment techniques and student feedback.
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Asthma Assessment Form For School
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Comprehensive form to collect detailed medical information about a student's asthma symptoms, triggers, and management for Seattle Public Schools.
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Illumina Next Generation Sequencing Service SERVICE REQUEST FORM
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A comprehensive form for submitting genomic samples for next-generation sequencing analysis at a research laboratory.
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Athlete Emergency Contact Form
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A form for collecting student athlete emergency contact details and medical conditions for use by school athletic department personnel.
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Special Olympics Medical Form
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Comprehensive medical form for Special Olympics athletes documenting health history, conditions, and participation details.
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Special Olympics Medical Form
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Medical examination form for determining an athlete's fitness to participate in Special Olympics sports programs, requiring medical professional evaluation.
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Athletic Emergency Contact Form
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A comprehensive form collecting medical, contact, and emergency information for student athletes.
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Athletic Travel Form
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A comprehensive form for student-athletes detailing emergency contact information, medical details, and consent for medical treatment during athletic participation.
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Accessible Technology Purchase Form
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Form for requesting electronic and information technology purchases to ensure accessibility for students and users in academic settings.
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MedicalForensic Examination Form
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A detailed forensic medical examination form for documenting physical findings in sexual assault cases, covering body diagrams and genital examination for both female and male patients.
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Waiver Service Request Form (DP 1022)
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A form for requesting changes or new services in a waiver program, to be completed when team concurrence is not achieved.
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Bishop Canevin Attendance Notice
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Official school document for recording student absences, tardiness, early dismissals, and medical appointments.
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MINOR YOUTH EMERGENCY MEDICAL CONTACT, HEALTH HISTORY AND TREATMENT AUTHORIZATION
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A comprehensive medical contact and health authorization form for minors participating in a program, collecting emergency contacts, health information, and parental consent for medical treatment.
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Attending PhysicianS Compliance Form
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Medical form documenting physician compliance and patient consent for end-of-life medication request in the District of Columbia.
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Long Term Disability Claim Form
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A comprehensive medical form for documenting a patient's disability claim, including medical history, diagnosis, treatment, and current condition.
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2017 ASF Auction ItemWine Donation Information
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Instructions for donating items and wine to the Adaptive Sports Foundation's annual fundraising gala and auction supporting individuals with disabilities.
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Auction Item Procurement Form
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Form for collecting item donations for an annual banquet live auction fundraising event
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Easter Seals Washington Donation Procurement Form
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Form for collecting donated item details for Easter Seals Washington Golf Tournament fundraising event
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WCA Benefit Auction Procurement Form
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A form for collecting donation details for Wake Christian Academy's benefit auction, used to document and catalog donated items.
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WCA Benefit Auction Procurement Form
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Form for collecting donation details for Wake Christian Academy's benefit auction, including donor information and item specifics.
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Auction Procurement Form
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A form for collecting donation details for a school auction fundraising event, including item information and donor details.
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Auction Procurement Form
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A form for collecting item donations for a nonprofit dance organization's charity auction supporting cancer research.
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Auction Procurement Form
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Form for collecting donation details for a charitable auction to support hunger relief efforts.
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AudioVideo License Agreement FormInvoice For Commercial Use
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A form for licensing audio and video recordings from the Benson Ford Research Center for commercial use, with fee structure and payment details.
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Consent To Use Sound And Image Recordings That May Contain Identifying Information For Education
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A consent form allowing physicians to use patient images and sound recordings for educational purposes with patient's understanding of potential identification.
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IHS Diabetes Care And Outcomes Audit, 2024
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A comprehensive audit form for tracking diabetes patient health metrics, screenings, and examinations
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Butterfly Tile Purchase Form
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A form for purchasing commemorative butterfly tiles to support the Mercy Center for Women with multiple donation amount options.
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Patient Intake Form
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Comprehensive patient intake form for collecting personal, contact, and medical insurance information at Auburn University Clinical Health Services clinics.
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Universal Service Request Form
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Form for comprehensive employee medical examinations, drug testing, and workplace health screening documentation.
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AURA O Housing Policy
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Policy detailing housing responsibilities, assignments, and management for AURA Observatory expatriates and researchers in La Serena, Chile.
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Authorship Responsibility And License Agreement Form
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A form for authors to transfer copyright, confirm originality, and agree to publication standards for the Chiang Mai Journal of Science.
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AUTHOR FORM
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A form defining author contributions and responsibilities for a scientific publication according to ICMJE guidelines.
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AUTHOR CONTRIBUTION FORM
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A comprehensive form for documenting individual author contributions to a research manuscript according to specific criteria and guidelines.
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AUTHOR CONTRIBUTION FORM
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A comprehensive document outlining criteria and responsibilities for academic authorship in research publications.
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AuthorS Declaration Form
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A form for authors to declare originality and transfer copyright for a manuscript submitted to a music research journal.
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AUTHOR CONTRIBUTION FORM
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A comprehensive form defining authorship criteria and types of contributions in academic research publications.
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Authorization Form For The Use And Disclosure Of Patient Health Information For Research Purposes
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A consent form allowing researchers to use and disclose patient health information for a specific research study at the University of Wisconsin - Milwaukee.
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Williamson County Schools Procedure Authorization Form
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A form for authorizing medical procedures to be administered to a student during school hours, requiring physician and parental consent.
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HIV Related Information Release Authorization Form
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Legal form authorizing release of medical and HIV-related information under New York State confidentiality laws
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Authorship Agreement Form
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A form documenting individual contributions and authorship criteria for academic or medical research publications.
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Authorship Agreement Form
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A form defining authorship contributions and responsibilities for a research manuscript.
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Autism Emergency Contact Form
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A comprehensive emergency contact and personal information form for individuals with autism, designed to assist in case of emergencies or potential wandering incidents.
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Autism Emergency Contact Form
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A comprehensive form collecting critical personal and medical information for individuals with autism in case of emergency or potential wandering incidents.
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Autism Profile And Emergency Contact Form
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A comprehensive form for documenting critical medical, contact, and behavioral information for individuals with autism
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New PIP Patient Form
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Detailed form for documenting vehicle accident details and patient information for insurance or medical purposes.
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NSF Survey Of RD Expenditures At Universities And Colleges
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Instructions for using the Automated Survey Questionnaire (ASQ) system for collecting research and development expenditure data from universities and colleges.
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AV800 NMR Use Approval Form
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A form granting permission for research group members to use the Chemistry department's AV800 NMR spectrometer with specific usage precautions.
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Avera EConsult Assessment Form
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A comprehensive medical assessment form for telemedicine patient consultations, capturing patient information and physical examination details.
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Awards Night Purchase Form
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Registration form for purchasing event tickets, ad space, and sponsorship levels for Philadelphia Area Project on Occupational Safety and Health Awards Night.
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Hasselmeyer Award For Research Initiatives Nomination Form
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A form for nominating an individual for the Hasselmeyer Award recognizing research initiatives.
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The Society Of In Vitro Biology AWARD NOMINATION FORM
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Official form for nominating individuals for various awards in the Society of In Vitro Biology, including categories like Lifetime Achievement and Distinguished Scientist.
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RADM Faye G. Abdellah Publication Award Nomination Form
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A form for nominating an individual for the RADM Faye G. Abdellah Publication Award, collecting details about the nominee and nominator.
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Animal Workers Medical Surveillance Consent For Medical ScreeningEvaluation
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A consent form for medical screening and evaluation of individuals working with animals at the University of Idaho.
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Medical Expense Claim Form
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A form for employees to claim medical expenses through a Flexible Spending Account with detailed submission instructions.
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Alfond Youth Community Center New England Sports Camps Medical History Form 2023
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Comprehensive medical history and emergency contact form for children attending various sports camps in Maine.
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Patient Authorization Form
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A form authorizing AstraZeneca to use and share patient health information for support services and coordination of care.
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Member Request For Medical Reimbursement Form
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A form used by UnitedHealthcare Community Plan members to request reimbursement for medical services, co-payments, coinsurance, and deductibles.
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My Choice Wisconsin BadgerCare Plus Authorization Form
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A comprehensive form for requesting healthcare service authorizations under the BadgerCare Plus program in Wisconsin.
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Graduate Program Handbook
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Comprehensive handbook detailing graduate program requirements, academic policies, and procedures for master's and doctoral students.
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GRANT APPLICATION FORM
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A comprehensive grant application form for non-profit organizations seeking funding from the Sidney R. Baer, Jr. Foundation.
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Grant Application Form
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A comprehensive form for non-profit organizations seeking grant funding from the Sidney R. Baer, Jr. Foundation, detailing submission requirements and application process.
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Laurel High School Marching Band Medical Form
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Medical form for Laurel High School Marching Band students to provide health and emergency contact information for band activities.
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Medical History Form
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A comprehensive medical history form for collecting student health information, emergency contacts, and family medical history.
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Bangs Ambulance Events Request Form
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Form for requesting ambulance and medical support services for events with specific scheduling details.
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Chronic Appliance Benefit Application Form
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Medical application form for patients seeking insurance coverage for chronic medical appliances and equipment through Bankmed.
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BANNER UNIX ACCOUNT APPLICATION FOR EMPLOYEES
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Form for employees to request access to various Banner modules and Unix accounts at Texas Southern University
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BANNER UNIX ACCOUNT APPLICATION FOR EMPLOYEES
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Form for requesting access to Banner and Unix system modules for Texas Southern University employees
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Botulinum Neurotoxin Preclinical Testing Submission Form
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A comprehensive form for researchers to submit details about potential botulinum neurotoxin therapeutic candidates for preclinical testing and evaluation.
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Medical History Form
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Comprehensive medical history form for patients seeking weight loss treatment, collecting personal, medical, and insurance information.
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Health Is Wealth Patient Intake Form
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Comprehensive medical intake form collecting patient personal, employment, emergency contact, and insurance information.
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SoTL Grant Application Form (2018 2019)
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A grant application form for the Scholarship of Teaching and Learning (SoTL) research project focused on language learning assessment methodologies.
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Baseball Medical Release Form
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A medical authorization and consent form for baseball participants, allowing medical treatment and acknowledging potential risks of participation.
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Natural History Study Of The Development Of T1D Baseline Risk Assessment Form
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A screening form for participant eligibility in a Type 1 Diabetes research study, assessing family history, medical status, and consent for genetic testing.
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Health Care Personnel (HCP) Baseline Individual TB Risk Assessment
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A screening form to assess tuberculosis risk factors for healthcare personnel through a series of yes/no questions about travel, immunosuppression, and TB exposure.
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BASHH Education Fellowship 2023
PDF template
A funded educational fellowship for medical and non-medical professionals interested in conducting a research project on sexual health clinic workforce in the UK.
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Mapping Of The MCW Basic Study Binder Footprint
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A comprehensive guide for organizing and documenting research study information, covering subject details, IRB reviews, logs, and regulatory documentation.
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ACHD Bathing Place Incident Report Form
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A comprehensive form for reporting incidents and injuries at public bathing facilities, including water rescues and medical treatments.
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BBSRC Standard Research Grant
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Research funding opportunity for UK-based researchers in higher education, research institutes, and approved independent research organizations offering grants up to 2 million.
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BC3NP Enrollment Form
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Healthcare enrollment form for collecting patient contact, demographic, and service needs information.
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Sport Injury Accident Report Form
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A comprehensive form for documenting sports-related injuries or accidents during an event, capturing details about the injured person and medical response.
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Patient Insurance Information Form
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Comprehensive form for collecting patient medical insurance and health coverage details for claims processing.
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Claim Form To Pay InsuredSubscriber
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A comprehensive insurance claim form for documenting medical treatment, injury, or preventive care for reimbursement purposes.
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Claim Form To Pay InsuredSubscriber
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A comprehensive form for submitting medical insurance claims, capturing patient details, treatment information, and other coverage details.
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Claim Form To Pay InsuredSubscriber
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A comprehensive insurance claim form for submitting medical treatment claims with detailed patient and treatment information.
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Educators Health Alliance Medical And Dental Enrollment Form
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A medical and dental insurance enrollment form for Educators Health Alliance, allowing new applications and changes to existing coverage.
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Member Reimbursement
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A form for members to request reimbursement for healthcare expenses paid out-of-pocket directly to providers.
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SNFAcute IPR Assessment Form
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Prior authorization form for skilled nursing facility and inpatient rehabilitation services for Blue Cross Blue Shield of Michigan and Blue Care Network providers.
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Member Reimbursement
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A form for Blue Cross Blue Shield members to request reimbursement for healthcare expenses paid out of pocket.
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Medical Expense Claim
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A claim form for submitting medical expenses to Blue Cross and Blue Shield of Alabama for reimbursement.
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Member Reimbursement
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Form for members to request reimbursement for healthcare expenses paid out-of-pocket.
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Member Claim Form
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A form for filing healthcare claims with Blue Cross Blue Shield of North Carolina, detailing patient and insurance information for reimbursement of medical services.
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Western Carolina University Base Camp Cullowhee Health And Medical Form
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A health screening form for participants in outdoor activities, collecting medical history and emergency contact information.
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Batten College Of Engineering And Technology Diversity Graduate Fellowship
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Merit-based fellowship for underrepresented graduate students pursuing PhD programs in engineering, offering financial support and promoting diversity in academic research.
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2024 2025 Faculty Staff Campaign Payroll Deduction Form
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A form for Broward College employees to authorize charitable contributions via payroll deduction to support scholarships.
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My Benefit Plan Summary
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Comprehensive health benefits summary for full-time employees of Brant Community Healthcare System through Green Shield Canada.
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Frequently Asked Questions FY 2018 2019 Funding Opportunity Announcement (FOA)
PDF template
Detailed guidance on budget, costs, and financial requirements for research grant programs in Florida.
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ADPH F BCL 136 Alabama Department Of Public Health (ADPH) Bureau Of Clinical Laboratories (BCL) Requ
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A comprehensive laboratory testing request form used by healthcare providers to submit patient specimens for clinical testing in Alabama.
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BCMOS Membership Form
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A membership form for joining the British Columbia Mobility Opportunities Society with annual fee and membership benefits.
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Member Billing Form
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A form for submitting medical bills from non-participating healthcare providers for reimbursement or claim processing.
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Member Reimbursement Form
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A form for healthcare members to request reimbursement for out-of-pocket medical expenses they have paid directly.
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MEDICAL INFORMATION FORM
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A comprehensive medical form for participants of outdoor adventure trips, collecting health, emergency, and medical history information.
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LCA RA Procedures For Conducting Research And Surveys In City Schools And Obtaining Data
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Administrative regulation detailing procedures for vendors and researchers to request student and personnel data from City Schools, ensuring compliance with FERPA guidelines.
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BCS Fellow (FBCS) Application Guidance For OMs
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Comprehensive guidance for professionals applying to become a BCS Fellow, detailing application requirements and criteria.
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BDIAP Glasgow 2020 Educational Fellowship Application Form B
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Application form for medical or scientific professionals seeking an educational fellowship with the British Division of the IAP in Glasgow
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Society For Birth Defects Research And Prevention Conference Registration Form
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Registration form for conference with various fee options for members, nonmembers, students, and one-day attendees.
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BDSC Service Request Form
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A form for researchers to request data science and biostatistical services from the Biostatistics and Data Science Core at UT Southwestern.
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Physical Examination Form
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A comprehensive medical form for documenting a student's physical health assessment by a healthcare provider.
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Ancillary Order Form
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A medical form for ordering orthotic services, therapy, and documenting patient diagnostic information.
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MEDICAL HISTORY FORM
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Comprehensive form for collecting patient personal information, medical history, insurance details, and current health status.
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CSL Online Charity License Application Instructions
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Guide for completing an online charity license application with requirements for documentation, payment, and user registration.
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Belcher Journal Evaluation Form
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A comprehensive form for evaluating and assessing academic journal characteristics, quality, and publishing metrics.
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Beltane Public Engagement Fellowships Application Form
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Application form for researchers seeking public engagement fellowship opportunities with the Beltane Network in Edinburgh.
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Donation Agreement Form 2013
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A donation form for collecting details about charitable contributions for the Horace Mann School annual benefit event.
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M NCPPC BENEFITS ENROLLMENTCHANGE FORM
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Form for employees to enroll or change benefits, covering medical, dental, and prescription plans for new hires or those experiencing qualifying life events.
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Benefit Cost Analysis For Grant Applications
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A comprehensive form for evaluating and documenting grant proposal details, benefits, costs, and funding parameters.
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Gift Aid Declaration FormGeneral Data Protection Consent Form
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A form for UK taxpayers to declare gift aid donations and provide data protection consent for the Bexhill CAP Centre charity.
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BOISE FIRE DEPARTMENT MEDICAL RELEASE FORM
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Medical form for evaluating and releasing firefighters to full duty after injury or medical assessment.
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Health Savings Account Transfer Request Form
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A form for transferring health savings account assets from a previous trustee/custodian to Benefitfocus Account Services HSA.
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Discharge Form
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A form used to document and track patient discharge details for behavioral health clinical services.
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BHHS PTO Membership Form
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A form for parents to join the Bloomfield Hills High School Parent-Teacher Organization and support school activities.
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Patient Medical History Form
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Comprehensive medical history form collecting patient's personal health information, medical history, symptoms, and current health status.
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BHSORUK Research Fellowship Application Form 2022
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A comprehensive application form for research fellowship candidates in orthopaedic research, detailing project proposal and candidate qualifications.
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FederalDOT Testing Form
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Comprehensive medical screening and drug testing form for transportation workers requiring federal agency compliance.
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Controlled Substances Biennial Inventory Form
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A mandatory federal form for documenting the inventory of controlled substances in a research or medical facility.
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Billing FormResearch
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Form for requesting payment and invoicing for research-related expenses from a funding organization.
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APPLICATIONS FOR NORTHERN AFRICA POSTDOCTORAL WRITING FELLOWSHIPS
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Funding opportunity for early career scholars to support writing research on Northern Africa in humanities and social sciences.
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BIMA Bash Auction Procurement Form 2023
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A form for artists to donate artwork or experiences for the Bainbridge Island Museum of Art's 10th Anniversary fundraising auction.
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Histology Service Request Form
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A form for requesting histology services including tissue processing, embedding, staining, and immunohistochemistry for human or animal biospecimens.
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Biological Material Inventory Form
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Comprehensive form for documenting biological agents and hazardous materials used in research and laboratory settings.
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Biological Agent Inventory Form
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A comprehensive form for documenting Risk Group 2 and 3 biological agents and toxins in a research laboratory's possession.
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Biological Material Inventory Form
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A comprehensive form for documenting and tracking potentially biohazardous biological materials in research settings.
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BIOLOGY 479.3 Literature Research Proposal Form
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A form for students to propose and outline a research project in biology, including project details, assessment metrics, and supervisor approval.
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Oncology Prescription Referral Form
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A comprehensive form for submitting oncology patient prescription details, insurance information, and clinical data for medication authorization.
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Patient Intake Form
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Comprehensive medical form for collecting patient personal, contact, medical, and insurance information with consent authorization.
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Harvard University Biosafety Manual
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Comprehensive guide for laboratory safety protocols, biosafety levels, and procedures for handling biological materials at Harvard University.
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Institutional Biosafety Committee Risk Assessment Protocol
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A form used to report research activities involving biological agents, toxins, and genetically modified microorganisms to the Institutional Biosafety Committee.
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Release And Assumption Of Risk Form
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Legal document releasing the Bermuda Institute of Ocean Sciences from liability during scientific, research, or recreational activities.
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BL 2 Laboratory Inspection Form
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A comprehensive safety inspection form for biological laboratories, focusing on biosafety level 2 (BL-2) requirements and protocols.
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Credit Card Pre Authorization Form
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A form authorizing The Viva Center to charge credit card for services with pre-approved billing parameters.
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Indiana Housing And Community Development Authority Donor Contribution Form
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A form for donors to contribute to Neighborhood Assistance Programs with tax credit calculations and submission details.
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Donor Contribution Form
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A form for documenting donor contributions to the Neighborhood Assistance Program, including tax credit computation details.
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PATIENT INTAKE FORM
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Comprehensive medical intake form for collecting patient health information, medical history, and current health status.
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UCLA Biology Purchase Order Request Form
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Purchase order request form for UCLA Ecology & Evolutionary Biology department for procurement of items or services.
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Official Travel Request Form
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Comprehensive travel request form for participants, volunteers, and staff to provide travel details and personal information for a trip.
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Institutional Review Board Research Application Form
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A form for submitting research projects involving human participants to the Institutional Review Board for approval at Blinn College.
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Blood Body Fluid Exposure Report
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A form documenting blood or body fluid exposure incidents for students, tracking medical testing and follow-up procedures.
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Blood Drive
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Blood donation drive organized by American Red Cross at Mt. San Antonio College to collect blood donations.
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TEST REQUEST
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A comprehensive medical test request form for collecting patient information and specifying various laboratory tests to be performed.
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Health Insurance Claim Form
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Comprehensive form for collecting patient medical insurance information, health coverage details, and claim submission details.
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Blue Cross Blue Shield Insurance Claim Form
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A comprehensive medical insurance claim form for collecting patient and insurance information for medical service reimbursement.
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Member Claim Form
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A comprehensive medical claim form for submitting healthcare service expenses to Anthem Blue Cross insurance.
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Enrollment And Change Form
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Healthcare insurance enrollment and change form for selecting medical and dental coverage options through Blue Cross Blue Shield
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Santa Monica College Confidential Medical History
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A comprehensive medical history form for students to document personal health information and medical background.
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PAYROLL DEDUCTION AUTHORIZATION FORM
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A form for Boise State University employees to authorize recurring charitable donations through payroll deduction
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Boller Worcester Travel Grant Application Form
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Application form for graduate students seeking funding for academic travel, conferences, research, or job interviews.
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Termination Of Membership Form
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A form for members to officially resign from the Bonitas Medical Fund and terminate their medical scheme membership.
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Center For The Book Membership Form
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Membership form for supporting books and reading through the Center for the Book at the New Hampshire State Library
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Book Order Form
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Order form for a commemorative book about the Michigan Society of Thoracic and Cardiovascular Surgeons' history.
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Bornblum Travel Proposal Form
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A comprehensive travel request form for academic travel, documenting conference, research, and instructional commitments.
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Guidance For Working With Boston HealthNet Community Health Centers (CHCs) On INSPIR Studies
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Guidelines for conducting research studies involving Boston HealthNet Community Health Centers, detailing approval processes and collaboration requirements.
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BostonSight (HIPAA) MEDICAL RECORDS RELEASE FORM
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A form that allows patients to grant permission for BostonSight to share their medical information with specified individuals or organizations.
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Suspect Foodborne Or Unknown Etiology Botulism Case Interview Form
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A detailed medical form for collecting comprehensive information about a potential botulism case, including patient demographics, clinical information, and medical history.
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Suspect Foodborne Or Unknown Etiology Botulism Case Interview Form
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A detailed medical form for collecting comprehensive information about a potential botulism case, including patient demographics, clinical information, and medical history.
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License Authorization Form
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A form for medical facilities to authorize product ordering and certify licensing for prescription drugs, medical devices, and controlled substances.
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Sponsor Procurement Form
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Form for collecting lane sponsorships and prize donations to support youth programs in Yelm School district
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Payroll Deduction Form
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A form for faculty and staff to authorize monthly or one-time payroll deductions for charitable donations to the Northeast State Foundation.
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Camp Medical Form
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A medical form for parents/guardians to provide health information and medical history for children attending summer camp.
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AMWA Branch Annual Report Form
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Annual reporting form for branches of the American Medical Women's Association to document branch activities and leadership
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BRASSEl Pilar Program Medical Form
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Confidential medical history form for participants in an archaeological research program at El Pilar, collecting personal health information and emergency contact details.
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Bernard Ben Brenman Archaeology In Alexandria Award Nomination Form
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A nomination form for recognizing outstanding contributions to archaeological preservation and research in Alexandria, Virginia.
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Patient Medical Referral Form
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Comprehensive medical referral form capturing patient demographics, diagnostic information, and key health metrics
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Brick By Brick Program Order Form
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Fundraising form for purchasing commemorative bricks to support the Harper Woods Public Library.
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McLaren Lapeer Region Foundation Brick Paver Fundraiser Purchase Form
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A form for purchasing commemorative brick pavers to support the McLaren Lapeer Region Foundation fundraising effort.
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Patient Intake Form
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Comprehensive form for collecting patient and family medical contact information for pediatric medical practice.
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Indiana Housing And Community Development Authority Donor Contribution Form
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A form for contributors to donate to a qualified Neighborhood Assistance Organization and claim tax credits for their contribution.
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Indiana Housing And Community Development Authority Donor Contribution Form
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A form for documenting tax credit-eligible charitable contributions to neighborhood assistance organizations in Indiana.
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Cancellation Form
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A form for cancelling a contract or sales agreement with The Brooke Hospital for Animals.
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BRYC Elite Academy Medical Release Form
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A medical consent form allowing treatment for a youth athlete in case of injury or medical emergency during sports activities.
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Informed Consent, Release Agreement, And Authorization
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A comprehensive consent and medical authorization document for participating in Scouting activities, covering emergency medical treatment and risk acknowledgment.
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2023 DIRECTED RESEARCH PROPOSAL FORM
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A form for students to propose and obtain approval for an independent research project, including project details and required signatures.
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LOEWENBERG SCHOOL OF NURSING HEALTH EXAMINATION FORM (FORM 003)
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Comprehensive health history and screening form for nursing students to document medical background and potential health concerns.
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REQUISITION FORM
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A form for patient information, billing details, and physician consent for medical testing by BillionToOne.
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Credit Card Pre Authorization Form
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A form for setting up recurring monthly donations to Back to the Bible Canada via credit card.
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Individual Budget Form For The Year 2022
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A budget form for individual financial contributions with guidance from religious leadership about charitable giving and spiritual accountability.
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NOAA Sea Grant Program Budget Form
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Budget form for National Oceanic and Atmospheric Administration (NOAA) Sea Grant program research project funding
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Walter And Constance Burke Research Initiation Award Budget Form
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A comprehensive budget form for research funding that breaks down expenses across multiple categories including hardware, software, supplies, travel, and other expenses.
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Activity Budget
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A financial form for tracking school activity fund receipts and expenditures for a specific sport or activity
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Budget Form Training To Competence Externship
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A budget form for applicants seeking funding for an externship program, requiring detailed expense documentation and submission at least one month prior to start date.
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Budget Form Reproductive Health Externship Clinical Abortion Observation
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A form for medical students to document and request funding for expenses related to a reproductive health externship or clinical abortion observation program.
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Northwestern University InvestigatorS Budget Form
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A comprehensive budget form for research project direct costs and budget period details.
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Initial Budget Form
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A comprehensive budget form for research project funding allocations across various expense categories.
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INITIAL BUDGET FORM
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A form for modifying budget allocations for grant or contract awards at Southern University and A&M College.
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UIC InvestigatorS Budget Form
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A comprehensive budget form for documenting research project direct costs and personnel expenses.
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Budget Development
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A guide for preparing research grant proposals with tips on budget preparation, documentation, and submission process for the UW-L Office of Research & Sponsored Programs.
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AGREEMENT FOR USE OF CHURCH FACILITIES RECURRING USE
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A form for reserving church rooms and spaces for events with fee guidelines and usage agreement.
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BuildOn Medical Form
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A comprehensive medical form for participants traveling to do physical labor in a remote community, focusing on detailed health history and potential medical risks.
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Burton Elementary School PTA Check Requisition Form
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A form used by the Burton Elementary School PTA to request and document check payments for school events and expenses.
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BUS TRIP OVERNIGHT MEDICAL RELEASE FORM
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Medical and contact information form for student campus visit, including health insurance and emergency contact details.
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Play At Own Risk Waiver And Participant Consent To Treat Form
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Legal waiver and medical consent form for participants in a regional basketball championship tournament
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Export Shipping Form
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A form for documenting and obtaining compliance approval for shipping exported items from Wichita State University.
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Physical Examination Form For Driver Applicant
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Medical evaluation form for assessing a driver's physical fitness, particularly for school bus drivers in Florida.
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Charitable Organization Initial Registration Form
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Form for registering charitable organizations in Minnesota, detailing filing requirements and guidelines for solicitation of contributions.
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Independent Study Proposal Form
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A detailed form and guidelines for students seeking independent study opportunities at the College of Imaging Arts & Sciences at Rochester Institute of Technology.
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WEST VIRGINIA WESLEYAN COLLEGE CAFETERIA PLAN MEDICAL CARE EXPENSE CLAIM FORM
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A form for submitting medical expense reimbursement claims under a cafeteria plan with detailed certification and documentation requirements.
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ResidencyFellowship Non ERAS Common Application Form
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Comprehensive application form for medical residency and fellowship programs at the University of Connecticut School of Medicine
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IRAS Project Filter
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A comprehensive application form for research projects involving human participants or biological samples in the United Kingdom.
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Calorimetry Access Instructions
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Instructions for researchers to gain access to and use the Calorimetry instrument at the research facility.
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2017 CAL SMAC PAC AUCTION CONTRIBUTION FORM
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A form for making monetary or item contributions to the CAL SMAC PAC auction event in Santa Barbara, CA.
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Campaign Report Form
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A comprehensive form for tracking and reporting organizational campaign contributions, donations, and fundraising activities.
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Cornholes Flocking Information Sheet
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Information sheet and rental agreement for borrowing cornhole boards and rubber duck flocking supplies for fundraising campaigns.
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PatientS Information Form
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Comprehensive medical form for collecting patient personal, contact, insurance, and healthcare provider information.
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Camp Card Drive For 25 Achiever
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Tracking form for scouts participating in the Camp Card "Drive for 25" fundraising program
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Camp Cash Bracelet Order Form Church
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An order form for purchasing camp cash bracelets for church groups, allowing parents to prepay spending money for children at camp.
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Camp Dina Medical Form PhysicianS Page
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Medical form for physician documentation required for camp enrollment and health tracking.
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Camp Potlatch 2020 Medical Form
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A comprehensive medical form for parents/guardians to provide health information for children attending Camp Potlatch summer camp.
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Camp LMU Registration, Informed Consent, Student Medical Release Form
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A comprehensive registration form for Camp LMU that collects camper personal information, emergency contacts, medical details, and photo release consent.
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Camp Potlatch 2022 Medical Form
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A comprehensive medical form for parents to provide health details about their child attending Camp Potlatch summer camp.
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Can A Patient Edit Their Consent Form Before Signing
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Explores the legal and ethical considerations surrounding patient consent for tissue sample research and ownership rights.
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New Consultation Referral Form
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Medical referral form for new patient consultation at an oncology clinic, collecting patient diagnosis, referral details, and medical history.
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Cancer Claim Form
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Claim form for filing a cancer-related insurance claim with Aflac New York, requiring policyholder and patient details along with medical documentation.
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Patient Intake Form
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Comprehensive medical intake form for collecting patient health history, contact information, and current medical status.
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CLAIM FORM AND INSTRUCTIONS
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A comprehensive insurance claim form for filing wellness exam benefits with instructions for submission and processing.
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CANINE SUBMISSION FORM
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Legal form for submitting veterinary diagnostic specimens to Kansas State Veterinary Diagnostic Laboratory with billing and specimen information.
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CAOS Fellowship Application Form
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An application form for medical professionals seeking a fellowship in computer-assisted orthopaedic surgery with the International Society for Computer Assisted Orthopaedic Surgery.
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Standardized Application For Pathology Fellowships
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A comprehensive fellowship application form for pathology residency candidates covering personal, educational, and training details.
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Capital Equipment Evaluation Form
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A comprehensive form for evaluating and requesting capital equipment purchase, detailing funding, purpose, and usage.
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MEDICAL HISTORY FORM
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A comprehensive form for patients to provide detailed medical information relevant to dental treatment and health assessment.
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Proteomics Center Service Order Form (F003)
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A service order form for protein identification and analysis services offered by a proteomics research center.
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Release Of Information Authorization Form
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A form authorizing Counseling and Psychological Services (CAPS) to release protected clinical information to designated persons or agencies.
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Standardized Application For Pathology Fellowships
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Comprehensive application form for medical professionals seeking specialized pathology fellowship training across various subspecialties.
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Standardized Application For Pathology Fellowships
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Official application form for pathology fellowship candidates, covering personal information, education, and fellowship specialization preferences.
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Standardized Application For Pathology Fellowships
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Comprehensive application form for medical professionals seeking specialized fellowship training in various pathology subspecialties.
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Capsule Research Proposal Form
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A standardized form for capturing research proposal details at the University of Baguio Research and Development Center.
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FMLA InformationRequest Packet
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Comprehensive packet of forms and instructions for employees requesting Family and Medical Leave Act (FMLA) leave through Carbon County HR.
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Care Coordination Referral Form
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A form for requesting care coordination assistance for members with various health and support needs
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Caregiver Consent Act Affidavit
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An official form allowing non-guardian caregivers to consent to medical treatment for minors under specific circumstances in West Virginia.
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CAREGIVER CONTACT FORM
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A form for patients to provide details about a designated caregiver who can be contacted regarding their medical care and treatment.
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Caregiver Medical History Form
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A medical history form for caregivers to provide health background information for TNT staff review
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CaregiverS Authorization Affidavit
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A legal document authorizing a caregiver to enroll a minor in school, access medical care, and educational records
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Pre Authorisation Form Care
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A detailed medical insurance form for patients seeking cashless hospitalization, capturing personal, medical, and insurance details.
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Care Management Referral Form
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A referral form for recommending patients with complex medical or behavioral health conditions to care management programs.
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Mail Service Order Form
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A form for ordering prescriptions through mail service with health history and participant information collection.
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Prescription Reimbursement Claim Form
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A form for submitting prescription medication reimbursement claims with detailed patient and insurance information requirements.
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Prescription Reimbursement Claim Form
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A form for submitting prescription medication reimbursement claims to an insurance provider or healthcare plan.
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Industry Membership Agreement (Std)
PDF template
A cooperative research agreement between the University of Maryland and industry partners for the Center of Accelerated Real Time Analytics (CARTA)
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CASE EVALUATION FORM
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A comprehensive medical assessment form for evaluating patient seating needs and physical condition using a BRODA chair.
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CASE RESEARCH And DEVELOPMENT GRANT APPLICATION FORM
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A comprehensive grant application form for research funding at the University of North Alabama, requiring detailed budget and submission of supporting materials.
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Consent Form For Case Reports
PDF template
A consent form for patients to authorize publication of medical information in journals or theses while maintaining patient anonymity.
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Research Equipment Sales Tax Exemption Form
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A form to claim sales tax exemption for research and development equipment in South Carolina based on specific legal criteria.
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Safety Self Inspection Checklist For Laboratories
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A comprehensive checklist for conducting safety inspections in laboratory settings, covering training, documentation, and physical environment.
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CASL Medical Release Form
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A comprehensive medical release and liability waiver form for soccer players, allowing medical treatment and releasing organizations from liability.
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Medical History Form
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A comprehensive form for collecting medical information about a student's health conditions, medications, allergies, and parental consent for over-the-counter medication.
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Mary Louise Mussell Student Travel Fellowship Application Form
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Application form for a student travel fellowship in archaeological fieldwork, offering support for student research and academic development.
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Casualty Assessment Form
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Comprehensive medical assessment form for documenting patient condition, injuries, and treatment details.
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Catastrophic Sick Leave Request Form
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A form for employees to request catastrophic sick leave due to extended illness or injury as defined by Alabama state law.
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Catholic Charities Contribution Form
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A payroll form allowing University of Portland employees to initiate or terminate recurring charitable contributions to Catholic Charities.
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Animal Patient Medical Record
PDF template
Comprehensive medical intake form for documenting a veterinary patient's health status and physical examination details.
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Institutional Review Board (IRB) Policies And Procedures
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Comprehensive guidelines for protecting human research participants at Clark Atlanta University, outlining federal compliance and institutional review procedures.
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Patient Medical Information Form
PDF template
Comprehensive medical intake and tracking form for patient demographics, facility details, and medical specimen information.
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MONTREAT COLLEGE ATHLETIC DEPARTMENT SPORT PREPARTICIPATION EXAMINATION FORM
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A comprehensive medical screening form for college athletes to assess health conditions and potential risks before sports participation.
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University Of New Hampshire Template For Cayuse System Human Subjects
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A comprehensive template for submitting human subjects research protocols at the University of New Hampshire using the Cayuse IRB system.
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Proposal Budgets Module 6
PDF template
Training module on creating research proposal budgets using Cayuse S2S software, covering key budget concepts and budget management techniques.
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CBA Grants Application Checklist
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A comprehensive checklist for applicants seeking grants from the CBA, detailing required documents and submission guidelines.
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Consent Guidance And Sample ParentGuardian Consent Form
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A consent document providing guidance and template language for survey consent procedures for teachers and students.
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Program Health And Waiver Form
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A comprehensive health and emergency contact form for program participants to provide medical information and consent for field station activities.
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CEAT Travel Form Exemption Request For Essential Research And Extension During COVID 19 Travel Sus
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Form for requesting travel exemption for essential research and extension activities during COVID-19 travel restrictions
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CCCC Medical Sonography Program Volunteer Informed Consent
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Consent form for volunteer scan models participating in medical sonography student training at Central Carolina Community College.
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Canadian Civil Defence Museum Association Membership Application Form
PDF template
Membership application for joining the Canadian Civil Defence Museum Association, including individual and organizational membership options
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Emergency InformationUpdate Form
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A comprehensive form for collecting child's emergency contact, medical, and parental information for YMCA child care programs
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New Patient Intake Patient Medical History
PDF template
Comprehensive medical intake form for new patients collecting detailed personal and health information.
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CYTOGENETICS And GENOMICS RESEARCH SERVICE REQUEST FORM
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A form for requesting non-clinical cytogenetic and genomic research studies with various test options and sample types.
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Investigational Devices Policies
PDF template
Policy outlining procedures for managing investigational devices in clinical trials, including receipt, storage, use, and return processes.
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Pediatric Care Management Referral Form
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A comprehensive referral form for children aged 0-20 years to access care management and coordination services.
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The 14th Annual Celebration For ChildrenS Rights Sponsorship Ticket Purchase Form
PDF template
Sponsorship and ticket purchase form for the 14th Annual Celebration for Children's Rights event in Los Angeles.
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MEDICAL HISTORY FORM
PDF template
Comprehensive form for collecting patient personal information, medical history, lifestyle details, and emergency contacts.
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Cottonwood Crossing Summer Institute Health Information Form
PDF template
A comprehensive medical form for student participation in summer institute activities, collecting health insurance, medical history, and emergency treatment authorization.
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CCUK Resource Research Proposal Form
PDF template
A form for researchers seeking to use data from the Cleft Care UK (CCUK) research collection for their scientific studies.
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Copper Country United Way Contribution Form
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A form for making charitable donations to Copper Country United Way through various payment methods including cash, payroll deduction, or credit card.
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BC CAHS Sample Submission Form
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A comprehensive form for submitting scientific samples for various biological and chemical analyses in a research or clinical setting.
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Confidential Disclosure Agreement
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Legal agreement for protecting confidential technology information during potential technology licensing evaluation process.
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CDC 50.42A Adult HIV Confidential Case Report
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Comprehensive medical reporting form for documenting HIV cases for patients over 13 years of age, used by health departments and CDC for surveillance purposes.
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Authorization For Release Of Information
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A form authorizing the Federal Motor Carrier Safety Administration to disclose medical records related to a commercial vehicle operator's medical exemption application.
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Commonwealth Of Dominica Physical Examination Report
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A comprehensive medical screening form for seafarers detailing personal and medical history
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Pre Employment Medical Form
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Comprehensive medical assessment form for pre-employment screening including medical history, vital signs, and tuberculosis screening.
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Center For Drug Policy And Enforcement Graduate Fellowship Application
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Application for graduate students to become fellows at the Center for Drug Policy and Enforcement at the University of Baltimore.
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COVID 19 VACCINE CONSENT FORM
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Comprehensive consent form for receiving COVID-19 vaccination, collecting patient medical information and screening for potential vaccine contraindications.
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CDPHP Co Pay Reimbursement Form
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Form for employees to submit medical co-pay expenses for reimbursement through Hudson Valley Community College's healthcare program.
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CDSE Ph.D. Oral Examination Form
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Formal documentation of a Ph.D. student's oral examination performance in the CDSE doctoral program, recording exam results and committee assessments.
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Celiac Disease Diagnostic Testing Requisition Form
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Medical form for ordering celiac disease diagnostic tests, including patient and prescriber information and insurance details.
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PATIENT REGISTRATION MEDICAL HISTORY FORM
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Comprehensive medical registration form for patient intake, collecting personal, contact, and insurance information for medical services.
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Chamber Rental Application Form
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Application form for researchers seeking to rent controlled environment chambers for scientific experiments at UC Davis.
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Chamber Rental Application Form
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Application form for researchers to request controlled environment chamber space for plant experiments at UC Davis research facility.
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CEHS Undergraduate Student Research Grant Application Form
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Application form for undergraduate students seeking research funding through the College of Education and Human Sciences research grant program.
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Cell Line Testing Submission Form
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A form for submitting cell line and tumor samples for scientific research or testing purposes.
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VCU RCDI G CENC External Concussion Diagnostic Interview
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A medical interview form for documenting potential concussive events and detailed injury information
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Center For Law And Social Science Fellowship Application Form
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Application form for students seeking a fellowship in law and social science research at Emory University.
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Patient Referral Form
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A comprehensive healthcare referral document for patient intake, medical assessment, and service selection.
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Central States Pension Fund Retirement Declaration
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A document for declaring retirement date, employment status, and receiving pension benefits from the Central States Pension Fund.
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MEDICAL RELEASE FORM
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A legal form allowing medical treatment for a minor in the absence of a parent or guardian, including consent for medical procedures and documentation of medical history.
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Emergency Exam Cancellation Form
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Form for clinical research professionals to request fee waiver for exam cancellations due to emergencies or extenuating circumstances.
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Certification Of Need And Waiver Of Liability (Prescription Delivery)
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A form for patients without transportation to receive prescription medication delivery, including liability release and risk assumption.
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MEDICAL FORM
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Confidential medical history form for collecting patient personal and health information for medical examination purposes.
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Service Request Form
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Form for requesting statistical services and research consultation from the Center for Applied Statistics.
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Consent Form Checklist For Reliance On External IRBs
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Guidance for UCLA investigators creating site-specific consent forms when relying on external Institutional Review Board (IRB) approval.
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Completing A Risk Assessment Form For Projects Funded Through The Canada Foundation For InnovationS
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A document providing guidance for researchers and administrators on completing a Risk Assessment Form for CFI-funded projects involving private-sector partners with specific criteria.
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CFLeads Investment Contribution Form
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The Colorado Freedom Memorial Contribution Form
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A contribution form for making donations to the Colorado Freedom Memorial Foundation with options for donor privacy and communication preferences.
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FacultyStaff Payroll Deduction Gift Authorization (UFF R)
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A form allowing University of Florida employees to authorize recurring charitable donations through payroll deductions to the University of Florida Foundation.
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Call For Research Proposals
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Invitation for research proposals using Basel III monitoring data, aimed at supporting banking regulation standards.
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OCCUPATIONAL MEDICAL HISTORY AND EXAMINATION FORM
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A comprehensive medical examination form for U.S. Coast Guard employees covering personal and occupational health information and potential workplace exposures.
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Sample Submission Form
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Detailed guidelines for submitting genomic DNA samples to the Center for Genomics and Bioinformatics for DNA sequencing analysis.
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CGSProQuest Distinguished Dissertation Awards 2024 Nomination Form
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Nomination form for recognizing outstanding doctoral dissertations across mathematics, physical sciences, engineering, and social sciences disciplines.
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CGSProQuest Distinguished Dissertation Awards 2024 Nomination Form
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A nomination form for recognizing outstanding doctoral dissertations across two academic fields through the CGS/ProQuest Distinguished Dissertation Awards.
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MEDICAL INFORMATION AND RELEASE FORM
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A comprehensive medical form for participants in Hartwick College Challenge Programs, collecting health information and liability acknowledgment.
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CHAMP Assessment Medical History Form
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Comprehensive medical history form for fitness assessment program, collecting health and exercise background information from participants.
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ChancellorS Circle Society Membership
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A form for individuals or businesses to join the Chancellor's Circle Society through an annual membership donation.
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Changing A CharityS Legal Form
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Guidance for charities considering transitioning from an association to a company structure, including legal implications and registration requirements.
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2020 States 4 H OB Medical Form (Non Japan)
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Medical evaluation form for chaperones participating in a cross-cultural exchange program, assessing health status and medical conditions.
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Charitable Contribution Agreement
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A document allowing individuals to make tax-deductible charitable contributions to the University at Buffalo Graduate Student Association.
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Request For Charitable Contribution
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A form for student organizations to request and document charitable donations through agency accounts.
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Charitable Contribution Form
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A donation form for supporting the UC Santa Barbara's Santa Cruz Island Reserve through financial contributions.
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Charitable Contributions Program For Local Governments And School Districts Information On Drafting
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A guide providing information for local governments and school districts on establishing charitable gifts reserve funds and offering tax credits for charitable contributions.
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SUNY Charitable Giving Campaign Deduction Form
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Form for employees to authorize charitable contributions to SUNY campuses through payroll deductions
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Mercy Housing Charitable Partnership Proposal Form
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A form used for establishing cause-related marketing relationships and commercial partnerships with Mercy Housing to support their national programs.
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NonprofitCharity Complaint Form
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A formal complaint form for individuals to report issues with nonprofit or charitable organizations in Minnesota
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Charity Annual Report Extensions
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Guidelines for obtaining extensions for charitable organizations' annual reporting requirements in Illinois.
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Trustee Eligibility Declaration
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A form for documenting trustee eligibility, personal declarations, and organizational safeguarding compliance for charitable organizations.
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RESEARCH REQUISITION FORM
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Medical research screening form for collecting patient medical history and contact information for potential research studies.
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Faculty Of Science Sponsored Project Checklist
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A comprehensive checklist for submitting research project proposals within the Faculty of Science, detailing investigator, sponsor, and project information.
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Bridwell Library Fellowship Application Checklist
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A comprehensive application packet for fellowship opportunities at Bridwell Library, including details about application requirements and submission process.
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Research Proposal Documents Checklist
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Comprehensive checklist of mandatory documents required for submitting a research proposal to FAPESP research awards program.
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Research (Visa) Application Checklist
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Comprehensive checklist for research visa applications to Papua New Guinea, including required documents and COVID-19 related forms.
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Tarrant County College District Institutional Review Board Informed Consent Form Checklist
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A comprehensive checklist for reviewing research study informed consent documents to ensure proper ethical and procedural standards.
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Safety Inspection Form For Chemistry Laboratory, Chem CU
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A comprehensive safety inspection form for evaluating laboratory safety protocols, equipment, and documentation requirements.
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Graduate Student Check Out Form
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A mandatory checklist for graduate students to complete prior to graduation, involving key returns, space clearing, and administrative tasks.
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CHEM 3000 Undergraduate Research Grade Report Form
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A form for documenting undergraduate research project details and final grade for a chemistry research course.
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CHEM 4300 Senior Research Grade Report Form
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A formal document for submitting and grading a senior research project in a chemistry course.
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CHEMICAL HAZARD RISK ASSESSMENT FORM
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A comprehensive form for identifying and documenting potential chemical research hazards and safety control measures.
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Department Of Chemistry Requisition Form
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Internal purchase form for ordering laboratory supplies and equipment for chemistry department research and courses.
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Requisition Form
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A form for ordering and tracking chemical purchases for the Department of Chemistry at the University of Texas at Austin.
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IMPACT STORY PHOTO RELEASE AND CONSENT AGREEMENT FORM
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A legal agreement allowing the American Kennel Club Canine Health Foundation to use specified photographs for organizational purposes.
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NEW PATIENT INTAKE FORM
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Comprehensive form for collecting new patient personal, contact, and medical information for a medical practice.
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Contribution Form
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A donation form for contributing to Columbus House, a non-profit organization focused on ending homelessness.
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Health Care Provider Exam Form
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A comprehensive medical examination form for tracking patient vaccinations, health status, and provider details.
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Child Care General Health Examination Form
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A health examination form for children entering child care programs, documenting their general health status and medical information.
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Child Care General Health Examination Form
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A medical form documenting a child's health status and conditions for child care program enrollment.
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Child Care General Health Examination Form
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A medical form documenting a child's health status and conditions for child care enrollment.
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Child Comprehensive Medical Release Permission Form
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Medical release and permission form for children participating in parish or diocesan activities, capturing health information, emergency contacts, and medical history.
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Application For Child Life Internship
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Application guidelines and requirements for internship positions at Children's Hospitals and Clinics of Minnesota's Child Life Department.
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Child Patient Intake Form
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Comprehensive intake form for children with cancer, collecting patient and family information for Rock Cancer Care services.
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Child Registration Form
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A comprehensive form for registering a child, collecting personal and insurance information for medical or childcare purposes.
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MEDICAL HISTORY CHILD
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Comprehensive medical history questionnaire for collecting pediatric health information and previous medical conditions.
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Calvary Baptist Church ChildrenS Ministry Participant Permission Medical Release
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A comprehensive permission and medical release form for children participating in Calvary Baptist Church ministry activities during 2024.
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CHIMERA SOFTWARE LICENSE AGREEMENT
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Software license agreement for the UCSF Chimera molecular visualization and manipulation software system.
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UCSF Chimera Software License Agreement
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A software license agreement for UCSF Chimera, a molecular visualization and manipulation software system developed by UCSF's Computer Graphics Laboratory.
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CHIMERAX SOFTWARE LICENSE AGREEMENT
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A licensing agreement for ChimeraX software developed by UCSF for molecular model visualization and manipulation.
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Health Information Form
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Confidential health information form for participants in an international research program between Alabama A&M University and Nanjing Forestry University.
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CHI Poster Submission Form
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A form for submitting research posters to a conference, covering various healthcare and social topics.
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CHI Poster Submission Form
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A form for submitting research posters covering various healthcare and social topics for conference presentation.
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STUDENT HEALTH FORM
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Comprehensive health form for students to provide medical information and health status to an educational institution
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Department Of RadiologyImaging Services Pre Scheduling Evaluation Form
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Medical form used by physicians to request and evaluate imaging services, including patient details and medical history for CT or MRI scans.
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CLIENT REQUISITION FORM
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A comprehensive medical test requisition form for various health diagnostics including inflammation, lipids, metabolic, and other specialized tests.
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State Contribution Form
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A donation form for contributing to the California Hospital Association Political Action Committee (CHPAC)
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Chemical Hygiene Plan
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Comprehensive safety guide for chemical handling and laboratory procedures in the Biology Department at Hobart and William Smith Colleges.
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World Land Trust Christmas Card Competition Entry Form
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An entry form for participants submitting artwork to the World Land Trust's annual Christmas card competition.
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John Dolphin Fellowship Application Form
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Fellowship program supporting PhD researchers in separation science to attend international conferences, funded by the John Dolphin Trust.
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Chronic Illness Benefit Application Form
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An application form for patients seeking chronic illness benefits through the Glencore Medical Scheme, detailing submission requirements and contact information.
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Chronic Medical Condition Treatment Compliance Form
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Form documenting a patient's ongoing medical treatment and compliance with care standards for at least 6 months
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Form CIE 30, Guidelines For International Agreements
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Provides comprehensive guidelines for establishing formal international partnerships and agreements for Southern Illinois University Carbondale.
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Cigna Claim Form (Rev. 72015)
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A comprehensive form for submitting healthcare service reimbursement claims with patient, provider, and payment information.
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Medical Claim Form
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Form for submitting medical claims for fellows, trainees, and patients seeking international health insurance reimbursement.
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Veteran Engagement Council Interview Form
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Interview form for potential Veteran Engagement Council members to assess their interest and availability for research participation.
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CINS Facility Rules And Guidelines For Use
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Comprehensive guidelines for researchers using the Center for Integrative Nanotechnology Sciences (CINS) instrumentation and facilities.
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Lucille Stewart Beeson Law Library Newsletter
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A newsletter discussing resources and strategies for finding legal forms in Alabama jurisdictions.
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CIRCA Faculty Research Fellowship (CFRF) Call For Proposals
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A fellowship program for full-time, tenured and tenure-track faculty members in Arts disciplines to support research and creative projects at UMBC.
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TEST REQUISITION FORM
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A laboratory test request form for clinical immunodiagnostic testing with patient and specimen information collection fields.
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CIRP Freshman Survey Administration Checklist
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A comprehensive checklist for administering the Cooperative Institutional Research Program (CIRP) Freshman Survey for higher education institutions.
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Application Form Travel Fellowship
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Application form for academic travel fellowship to support research related to Spanish art and culture.
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CREATIVE INQUIRY SUMMER EXPERIENCE (CISE) QEP GRANT FORM
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A grant application form for students seeking funding for summer research experiences at Tennessee Technological University
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2021 CIVME Research Grant Program Grant Application Instructions
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Instructions and guidelines for applying to the Council on International Veterinary Medical Education research grant program.
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Indiana Housing And Community Development Authority Donor Contribution Form
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A form for donors to claim tax credits for contributions to neighborhood assistance organizations in Indiana
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Military Medical Intake And Deployment Assessment Form
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Comprehensive medical assessment form for active duty military personnel covering health status, deployment readiness, and substance abuse screening.
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MEDICAL EXPENSE CLAIM
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Form for filing medical expense claims with Blue Cross and Blue Shield of Alabama when a healthcare provider does not file a claim directly.
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First NIHR CLAHRC West Call For Research Proposals And Ideas
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Guidance document for submitting research proposals to NIHR CLAHRC West, focusing on applied health research to improve patient care and public health.
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CIEE Claim Form
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A comprehensive medical claim form for student health insurance reimbursement and documentation of medical conditions or treatments.
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Dental Insurance Claim Form
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Insurance claim form for submitting dental treatment and patient information for reimbursement or coverage verification.
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Student Insurance Claim Form
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Insurance claim form for students to report medical examinations, illnesses, prescriptions, or injuries for insurance coverage.
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Claim Form Finder And User Guide
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Comprehensive guide to help healthcare providers select the appropriate claim form for various submission scenarios and corrections.
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Claim Form Finder
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Comprehensive guide for healthcare providers detailing claim modification forms and processes for Neighborhood Health Plan of Rhode Island.
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Details Of Hospital Claim Form Part B
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A comprehensive medical claim form for documenting patient hospital admission, treatment, and insurance claim details.
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Member Reimbursement Form For Medical Claims
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A form for patients to submit medical claims for reimbursement, detailing patient, subscriber, and provider information.
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Claims Reimbursement Form
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A comprehensive form for submitting medical claims for reimbursement, used by patients or healthcare providers to request payment for medical services.
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Student Class Evaluation
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An evaluation form for students to provide feedback on educational programs and instructors in emergency medical services.
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PacificSource Enrollment Application
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A comprehensive group health insurance enrollment form for employees and their dependents to select medical and dental coverage.
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Patient Information Form
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Comprehensive patient intake form collecting personal, contact, medical, and insurance information for dermatology services.
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SCRS CLEAR White Paper
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Analyzes the time required to execute clinical trial agreements and its impact on patient outcomes, using melanoma as a case study.
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Contribution Form
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A donation form for making financial contributions to the Conservation Law Foundation with options for recurring or one-time gifts.
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ChicanaLatina Volunteer Form
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A volunteer registration form for individuals interested in supporting the Chicana/Latina Foundation through various volunteer opportunities.
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Cancer Services Client Intake Form
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Confidential intake form for cancer patients seeking free services in Erie, Huron, and Ottawa counties in Ohio.
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Cancer Services Client Intake Form
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Comprehensive intake form for cancer patients seeking free support services, collecting personal, medical, and financial information.
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CLIMBucknell MEDICAL FORM
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Medical history and emergency contact form for participants in a university climbing/ropes course activity
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CLINICAL BOOKING FORM
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A form for scheduling telehealth consultations and televisitation events for healthcare professionals.
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Behavioral Health Discharge Clinical Form
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A clinical form for documenting patient discharge details from behavioral health treatment, including care level, residence, and follow-up appointments.
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Clinical Incident Report Form 4.3
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A form documenting details of a clinical incident, including injury, location, witnesses, and actions taken.
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Nephrology Laboratory Test Requisition
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A clinical form for requesting laboratory tests related to complement system and nephrology research at Cincinnati Children's Hospital.
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KDQOL COMPLETE Clinic Contact Form
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A form for submitting kidney disease quality of life survey materials to Medical Education Institute for processing.
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HARKNESS CENTER FOR DANCE INJURIES PATIENT MEDICAL HISTORY FORM
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Comprehensive medical history form specifically designed for documenting dance-related injuries across multiple body regions.
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The Brody Family Medical Trust Fund Fellowship In Incurable Diseases
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A fellowship program supporting young scientists conducting research on incurable diseases, administered by The Philadelphia Foundation and The College of Physicians of Philadelphia.
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The Brody Family Medical Trust Fund Fellowship In Incurable Diseases
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A fellowship opportunity for medical researchers focusing on research in incurable diseases, administered by The Philadelphia Foundation and The College of Physicians of Philadelphia.
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Clubs Emergency Contact Information
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School emergency contact and medical information form for recording student and parent contact details and health information.
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CLUE STUDY ANCILLARY PROPOSAL FORM
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A comprehensive form for submitting a research study proposal, including investigator details, study type, and human subjects approval information.
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Medical History Form
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Comprehensive medical history form collecting patient's personal health details, family medical history, and lifestyle information.
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Population Assessment Of Tobacco And Health (PATH) Study Parent Consent And Permission For Youth Int
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A consent form for parents to allow their children aged 12-17 to participate in a national tobacco and health research study.
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Health And Emergency Contact Form
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A comprehensive form for collecting student medical history, emergency contact details, and healthcare consent at Central Maine Community College.
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PATIENT MEDICAL HISTORY FORM
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Comprehensive medical history form for collecting patient demographic, family medical history, and personal health information.
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Qualifying Examination Form
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Academic form for doctoral students to document their qualifying examination details and committee approval.
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LABORATORY ANIMAL ORDER FORM
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Form for ordering laboratory animals for research purposes, including species, quantity, and housing specifications.
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Centers For Medicare And Medicaid Services EDI Registration Form
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A registration form for healthcare providers to establish electronic data interchange (EDI) capabilities with the Centers for Medicare and Medicaid Services.
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Centers For Medicare And Medicaid Services EDI Registration Form
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Form for healthcare providers to register for Electronic Data Interchange (EDI) transactions with Centers for Medicare and Medicaid Services.
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Form CMS 116 (0324)
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Clinical Laboratory Improvement Amendments (CLIA) certification application for health laboratories seeking federal certification.
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HEALTH INSURANCE CLAIM FORM
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Standard medical insurance form for submitting healthcare claims and patient information for reimbursement purposes.
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Health Insurance Claim Form
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Official form for submitting medical insurance claims and capturing patient and insured party information.
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2019 Auction Donation Form
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A form for donors to contribute items or funds for a school fundraising auction event.
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2020 Auction Donation Form
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A donation form for contributing items or funds to a middle school PTA online auction fundraiser.
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CMSP 215 Supplemental Application
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Application form for individuals seeking medical services coverage through the County Medical Services Program with rights and responsibilities outlined.
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ANIMAL ORDER REQUEST FORM
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Form for requesting animal specimens for research or scientific investigation at an institution
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Form For Submission Of A Paper
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Official form for submitting a paper to the International Conference on Nuclear Security at IAEA Headquarters in Vienna, Austria.
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Adult Medical History Form
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Comprehensive medical history form for collecting patient health information, symptoms, and medical conditions.
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Infant Medical History Form
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Comprehensive medical history form for pediatric patients covering medical tests, therapies, medications, developmental milestones, and birth history.
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CNHS Insurance Requirements Proof Of Health Insurance Form
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Form for documenting student health insurance coverage for clinical and practicum rotations in the College of Nursing & Health Sciences.
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Membership Form Join CNPS
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Membership registration form for joining the California Native Plant Society with options for individual and organizational memberships.
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Policy On Independent Study
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Guidelines for students seeking to pursue independent research or directed reading for college credit under faculty supervision at Christopher Newport University.
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Auction Procurement Form
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Annual auction fundraising form for a non-profit organization seeking item donations to support wildlife conservation efforts.
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COAS Research And Development Grant Application Form
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Application form for research and development grants at the College of Arts and Sciences, detailing funding requirements and submission guidelines.
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Academic Conference Travel Approval Form
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Form for obtaining institutional approval and funding for academic conference travel with detailed expense tracking.
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ESAIM Control, Optimisation And Calculus Of Variations Manuscript Form
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A form for authors to submit their manuscript for open access publication in an academic journal under EDP Sciences' Subscribe to Open program.
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Referral Form
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A form for healthcare providers to request patient referrals and provide medical background information.
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San Antonio Medical Foundation Grant Application Form And Attachments For Collaborating Entities
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A comprehensive grant application form for collaborative healthcare and biomedical research projects seeking funding from the San Antonio Medical Foundation.
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College Sponsored Related Medical And Travel Form
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A medical and travel authorization form for students participating in college-sponsored activities with COVID-19 compliance and liability waiver provisions.
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Camp Medical Form, College Tennis Exposure Camp
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Medical form for participants of a college tennis exposure camp, capturing health history and emergency contact information.
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COLOGUARD ORDER REQUISITION FORM
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Medical order form for Cologuard, a stool-based DNA test used for colorectal cancer screening
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COLOGUARD ORDER REQUISITION FORM
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Medical order form for Cologuard, a stool-based DNA test for colorectal cancer screening
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Insurance Claim Processing Instructions
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Instructions for submitting an insurance claim, including required documentation and processing details for Colonial Life & Accident Insurance Company.
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New Patient Intake Form
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Comprehensive medical intake form for new patients to collect personal, contact, and health information for medical providers.
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AFI PRE AUTHORIZATION FORM FOR HOSPITALIZATION FROM PANEL NON PANEL HOSPITALS
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A form for obtaining pre-authorization for hospitalization from panel and non-panel hospitals for insurance coverage.
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CONTRIBUTION FORM
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Form for making charitable donations through payroll deduction in Washington State's Combined Fund Drive (CFD)
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Information Disclosure Consent Form For UN COVID 19 Medical Evacuation (MEDEVAC) Services
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Consent form for medical information disclosure and liability release for UN COVID-19 medical evacuation services.
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Combined Safety Inspection Form
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A comprehensive safety inspection checklist for laboratory environments at Dartmouth College to ensure compliance with safety protocols and regulations.
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NEW PATIENT REGISTRATION FORM
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Comprehensive form for new patient medical registration, including personal information, medical history, insurance details, and a physician-patient arbitration agreement.
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Tenth Annual Family Law Writing Competition
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Call for submissions for an academic writing competition focused on family law topics, sponsored by Hofstra Law and the Association of Family and Conciliation Courts.
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Consortium Of METabolomics Studies Study Publication Presentation (PP) Proposal Form
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A comprehensive form for researchers to propose and outline a research study within a metabolomics research consortium
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PRDL Commercial Poultry Submission Form
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A comprehensive form for submitting poultry specimens for laboratory diagnostic testing and analysis.
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Position Search Form
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Document template for tracking details of a job candidate search process within an organization
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Travel Reimbursement Form For Committee Travel
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A form for Quaker committee members to claim travel expenses and optionally donate reimbursements back to Canadian Yearly Meeting.
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Common Child And Adolescent Psychiatry Application
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An application form and procedure guide for medical professionals seeking child and adolescent psychiatry residency programs.
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ResidencyFellowship Non ERAS Common Application Form
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Comprehensive application form for medical residency and fellowship candidates seeking placement at the University of Connecticut School of Medicine.
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Standardized Application For Pathology Fellowships
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A comprehensive application form for medical professionals seeking pathology fellowship training in various subspecialties.
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Communicable Disease Report For Healthcare Providers
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A comprehensive medical reporting form for healthcare providers to document communicable disease cases in Arizona.
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Marquette University ComMUnity Physical Therapy Clinic Referral Form
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A referral form for patients seeking physical therapy services at Marquette University's Community Physical Therapy Clinic.
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Community Event Proposal Form Salt Wagon Clinic
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A comprehensive form for organizing community events in collaboration with Salt Wagon Clinic, covering event details, financial information, and organizational requirements.
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Community Fundraiser Guidelines
PDF template
Guidelines for individuals and organizations organizing fundraising activities to support the Mario Lemieux Foundation's cancer research and patient care efforts.
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Community Fundraising Proposal Form
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A form for proposing and seeking approval for community fundraising events to support a nonprofit organization's mission.
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Community Membership Form
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A medical history and liability waiver form for campus recreation membership at Lees-McRae College, requiring personal and medical information along with a hold harmless agreement.
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Health Care Provider Complaint Form
PDF template
Official form for filing a complaint against a healthcare provider in Florida with detailed information requirements for investigation.
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Complaint Report Form
PDF template
Form for reporting patient complaints and potential protected health information disclosure at UW-Milwaukee
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The Wellness Plan ComplaintResolution Form
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A form for documenting patient complaints, concerns, and their resolution within a medical center's wellness plan.
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STEPSFORMS TO SEE DR. SENIOR
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Detailed guidelines for students seeking to schedule and attend a psychiatric appointment with Dr. Senior at Landmark College.
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Emergency Contact Form
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A form for students to provide emergency contact details and medical authorization for University of Detroit Mercy.
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University Of Florida Award Compliance Form
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Form to identify potential compliance concerns before contract execution or fund release in research projects.
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Comprehensive Examination For Doctoral Students
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Guidelines for the comprehensive examination process for doctoral students, detailing examination procedures, requirements, and committee composition.
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Written Comprehensive Examination Format
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Detailed guidelines for conducting comprehensive written examinations for M.S. students in the Biological Science Program.
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Comprehensive Pain Assessment Form
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A detailed form for evaluating and documenting a patient's pain characteristics, intensity, and management goals.
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COM Prepaid Visa Card SOP
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Standard operating procedure for requesting and processing prepaid Visa cards for research participant compensation at the University of South Alabama College of Medicine.
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Authorization For Examination Or Treatment
PDF template
A medical authorization form for workplace-related medical examinations, testing, and treatment with comprehensive patient and service details.
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Research Agenda Inquiry
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A form for researchers to submit their research agenda, topics, and contact information for review.
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Concussion Incident Form
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A form for documenting and reporting concussion-related incidents in sports, specifically for Ringette Canada.
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Concussion Waiver Form
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A waiver form requiring student athletes to acknowledge and report concussion symptoms to medical staff.
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Concussion Waiver Form
PDF template
A waiver form for student athletes acknowledging their responsibility to report concussion symptoms and potential injuries.
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Concussion Waiver Form
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A waiver form requiring student athletes to acknowledge their responsibility in reporting concussion symptoms and understanding concussion risks.
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Montana Newborn Screening Program Condition Nomination Form
PDF template
A form used by healthcare professionals to nominate new medical conditions for inclusion in Montana's newborn screening panel.
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Conference Attendance Form
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Form for students to document conference participation and attendance details for research program requirements.
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Confidential Medical History Form
PDF template
Comprehensive medical symptoms and conditions checklist for patient intake, covering multiple body systems and health concerns.
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Conflict Of Interest Declaration Form
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A form for documenting potential conflicts of interest for individuals participating in the Canadian Frailty Network (CFN)
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Conflict Of Interest (COI) And Financial Conflicts Of Interest (FCOI) Project Form
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A form for researchers to disclose potential conflicts of interest related to research projects at George Washington University.
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Conquer Chiari Fundraiser Proposal Form
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A comprehensive form for organizing a fundraising event to support the Conquer Chiari patient education foundation.
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Informed Consent Form For Research Involving Human Subjects
PDF template
An informed consent document for a research study exploring perceptions of charismatic speech conducted by Claremont McKenna College.
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Informed Consent Agreement
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Consent document for a research project documenting African American community life in Albemarle County, Virginia from 1870-1940 through community interviews and archival collection.
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CONSENT INSURANCE FORM
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A comprehensive form for collecting medical insurance and consent information for a cadet or applicant, including parent/guardian details and insurance policy information.
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Authorization And License To Publish
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A publication rights agreement granting USENIX non-exclusive rights to publish an academic or research paper.
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Internet Based Survey Consent Form
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Guidelines for creating ethical and compliant consent forms for internet-based research surveys, focusing on participant rights and data protection.
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Filling In Submitting A Consent Form 101
PDF template
A detailed guide for creating and completing consent forms in RSS, explaining form configuration and submission process.
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Consent For The Release Of Police Information And Disclosure Of Personal Information
PDF template
A comprehensive form allowing consent for multiple types of personal information searches, including criminal records, driver records, and background checks.
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Adult Consent Form
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A comprehensive medical consent form for adults, collecting personal information and health history details prior to medical treatment or vaccination.
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Child Consent Form
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A comprehensive health screening form for children to assess medical history and vaccination readiness.
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Consent Form Guide
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Guide for creating informed consent forms for research studies, providing detailed instructions for researchers on preparing consent documentation.
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Human Subject Informed Consent
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Research project consent form for parents/guardians regarding a study on lexical-phonological profiling of speech sound normalization by the Department of Communication Sciences and Disorders at Northern Arizona University.
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ATTACHMENT ADULT CONSENT FORM (EXAMPLE)
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Research consent form for a study exploring participants' experiences related to child abuse and religious contexts.
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Consent Form For Research Participation
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A comprehensive guide and template for creating a consent form for research participation at Oakland City University.
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SUNY ONEONTA INSTITUTIONAL REVIEW BOARD CONSENT FORM HELP
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A comprehensive guide and checklist for researchers developing consent forms for research studies at SUNY Oneonta.
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Consent Form Instructions And Samples
PDF template
Comprehensive guide for creating ethical research consent forms, outlining required elements and IRB considerations for participant informed consent.
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CONSENT FORM Adults
PDF template
Comprehensive instructions for creating clear and understandable consent forms for research studies involving human subjects.
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Options For The Consent Form Key Information Section
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Federal guidelines for presenting key information in human research consent forms, focusing on clarity and comprehension for prospective research subjects.
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Sample Consent Forms Individual Interviews
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A consent form for a research study exploring services and barriers for crime victims with disabilities through individual interviews.
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Consent Form Standards And Language For Non Medical Research
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Comprehensive guidance for creating consent forms for research involving Virginia Department of Social Services clients, focusing on clear formatting and participant understanding.
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Making Your Consent Forms Readable
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A webinar discussing the principles, requirements, and best practices for creating readable informed consent documents in medical research.
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Consent For Publication Form
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A form granting permission for personal information or medical details to be published in a journal or article while acknowledging potential public exposure.
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Consent Short Form Instructions
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Guidelines for obtaining informed consent from non-English speaking research participants using a short form and interpreter process.
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Informed Consent Form For Identity Inclusive Computing Tenets Incorporation In K 16 CS
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Research study consent form for collecting data on identity-inclusive computing practices among K-16 educators with optional participation and confidentiality assurances.
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Consent To Treat Form
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Parental consent form for chiropractic evaluation and treatment of a child, with specific limitations on diagnostic scope.
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Consent For Treatment
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Comprehensive patient consent document covering treatment, benefits assignment, privacy practices, and telemedicine consent for Kentucky Cardiology medical services.
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Authorization For Medical Treatment Of Child
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A form allowing school representatives to consent to medical treatment for a student when parents cannot be reached during an emergency.
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Providence Mountain Emergency Services Consent To Treat Form
PDF template
Medical release and emergency treatment authorization form for participants in Providence Mountain program from December to May.
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Consent To Treat Release Form
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A form authorizing Woodward School to secure medical treatment for a student in emergency situations when parents cannot be immediately contacted.
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USA Hockey National Championships Consent To TreatMedical History Form
PDF template
A comprehensive medical history and consent to treat form for USA Hockey participants, covering emergency contact, medical history, and insurance information.
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CONSENT TO TREAT MINOR CHILDREN
PDF template
A legal form allowing parents or guardians to provide medical treatment consent for a minor child when the parent is not immediately available.
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USA Hockey National Championships Consent To TreatMedical History Form
PDF template
Medical consent and history form for USA Hockey participants, allowing medical treatment and collecting health information for emergency purposes.
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Medical Release Form (For Students Under The Age Of 18)
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A consent form allowing medical treatment for students under 18 when parents/guardians cannot be immediately contacted.
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Consent, Waiver, Release And Indemnity Agreement
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Legal document outlining participant consent, risk assumption, and liability waiver for international medical exchange programs.
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ConsultantHonorarium Reimbursement Form
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A form for documenting consultant payments, honorariums, and reimbursements for research-related services at Old Dominion University Research Foundation.
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Pathology Consult Request Form
PDF template
A form for requesting pathology consultation and case review between medical institutions.
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Contact Information And Medical Form
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A comprehensive medical form collecting participant's personal information, emergency contacts, medical history, and health conditions for University of Maine at Presque Isle program participation.
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Content And Style Request Form
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Policy document outlining requirements for including previously published or co-authored material in electronic theses and dissertations (ETDs) at the University of Oregon.
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Contribution Form
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A donation form for making financial contributions to Manna House, Inc., a non-profit organization located in Baltimore, Maryland.
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Corporation And Foundation Contact Approval Form
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A form for obtaining approval to contact corporations or foundations for potential funding or partnership opportunities.
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Grants And Sponsored Research Development Contract Authorization Form
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A form used to summarize internal contract details for research and sponsored projects, requiring review and authorization before project commencement.
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MVC Honors Program Contact Project Form
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A form for students to outline and document additional academic contract work within the Honors Program curriculum.
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Contract Request Form (CRF)
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Form for healthcare providers to request a contract and credentialing with Molina Healthcare
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Contract Details Register
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Compilation of multiple IT, services, and procurement contracts with details of suppliers, dates, and values.
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Contribution Confirmation Form
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A donation form for supporting Warren Village's family services and early learning center through tax-deductible contributions.
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Alumni News Update Submission Form
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A form for alumni to update personal and professional information and make voluntary contributions to the Jackson School of Geosciences.
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Contribution Form
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A form for making financial contributions to various programs and funds at College of Marin
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Contribution Form
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A donation form for contributing financial support to the Guy Harvey Foundation, with options for specifying gift amount and designation.
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Contribution Form
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A form for making tax-deductible contributions to support the Saint Paul Conservatory for Performing Artists
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Napa Valley College Foundation Gift Form
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A donation form for making financial contributions to Napa Valley College Foundation with various giving options and recognition levels.
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Contribution Form
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A donation form for contributing to various scholarship and research funds managed by the Texas Business and Professional Women's Foundation.
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McLaren Flint Foundation Contribution Form
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Fundraising form for making charitable donations to McLaren Flint Foundation with multiple designated giving options.
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Contribution Form
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A donation form for supporting Donate Life North Carolina's mission of promoting organ, eye, and tissue donation awareness.
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Seventh Tradition Contribution Form
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A donation form for individuals, groups, or events to contribute to S-Anon International Family Groups, Inc.
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Truman State University Contribution Form
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A detailed form for making financial contributions to various Truman State University funds and programs.
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Contribution Form
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Donation form for collecting financial contributions to support the New York Landmarks Conservancy, a non-profit organization.
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Contribution Form
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A donation form for making financial contributions to the Society of Biblical Literature through various payment methods and gift designations.
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Annual Controlled Substance Inventory Form
PDF template
A form for tracking and documenting annual physical inventory of controlled substances as required by state and federal regulations.
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Authorized User Requisition Form
PDF template
A form for authorized investigators to request controlled substances for research purposes, requiring approvals from institutional committees.
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Author Contribution Form
PDF template
A form detailing authorship criteria and contribution types for academic manuscript submissions.
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Auction Procurement Form
PDF template
Form for collecting item donations for a school charity auction fundraising event.
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Lights Of HOPE
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Donation and membership form for the American Cancer Society Cancer Action Network supporting cancer research and policy advocacy.
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FORM TT 1 Technology Transfer Copyright Agreement Form
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A form for documenting copyright ownership and royalty distribution for research work created at State University of New York at Binghamton.
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COPYRIGHT DISCLOSURE AND AGREEMENT FORM
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A form for documenting and disclosing copyright details for works created by university faculty, staff, or researchers.
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Consent Form Collaborative On Line Research And Learning (CORAL)
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A consent form for a university research study investigating collaborative online learning effectiveness using questionnaires and communication tools.
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Consent Form Collaborative On Line Research And Learning (CORAL)
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A consent form for a university research study investigating collaborative online learning effectiveness using senior seminar and social psychology courses.
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Good Samaritan Foundation Auction Donation Form
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A form for collecting item donations for a charitable auction event hosted by MultiCare Foundations
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The Cornerstone Society Confidential Membership Form
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A confidential form for individuals who have included Cure HHT in their estate plans, documenting various types of charitable gifts and bequests.
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Corporate Contribution Form
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A form for corporate donations to support various social services and community programs in New York.
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Corporate Council Membership Form
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Membership form for corporate sponsors to join the Western Museum of Flight's Corporate Council at various contribution levels.
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Sponsored Research Choices
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Overview of research collaboration options between Marquette University and companies, including service centers, internships, consulting, and sponsored research.
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Corps Of Cadets Preparticipation Physical Evaluation Medical History
PDF template
Medical history and health evaluation form required for admission to the Texas A&M Corps of Cadets, verifying medical fitness for cadet program participation.
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Contribution Form
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A donation form for contributing to various funds of the Order of the Daughters of the King organization
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Corrected (Replacement)Voided Claim Request Form
PDF template
A form used to correct or void previously processed healthcare claims with specific submission requirements.
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New Volunteer Form
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Application form for volunteers interested in supporting foster families by providing resources and assistance at a local community foster closet.
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Cost ShareMatching FundsIn Kind Contribution Policy
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Policy defining cost sharing, matching funds, and in-kind contributions for sponsored research projects at San Francisco State University.
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Cost ShareMatching FundsIn Kind Contribution Procedure
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Procedure for managing cost sharing, matching funds, and in-kind contributions for sponsored research projects at a university.
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Cost Transfer Request Form
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A form for requesting transfer of non-payroll or payroll costs over 90 calendar days between different awards or sponsors.
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RPCI.GEN.LAB.PATH.Frm.0023.00 Delivery Form
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A form for tracking and delivering medical laboratory samples between locations.
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COVID 19 Domestic Travel Form
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A form for documenting and obtaining approval for domestic travel during the COVID-19 pandemic for Texas A&M AgriLife Research personnel.
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COVID 19 Case Interview Form
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A detailed medical form used by the Florida Department of Health to collect information about COVID-19 cases and patient symptoms.
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COVID 19 DISABILITY FORM
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A comprehensive medical information form designed to help healthcare providers understand and support patients with disabilities during COVID-19 related medical treatment.
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Medical Information Request Form For COVID 19 Temporary Reasonable Accommodation For Faculty, Admini
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Form for Fordham University employees to request workplace accommodations related to COVID-19 high-risk medical conditions
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COVID 19 OTC Test Reimbursement Form
PDF template
Form for submitting reimbursement claims for personally purchased FDA-approved COVID-19 over-the-counter tests.
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COVID 19 PERSONAL HEALTH RISK ASSESSMENT FORM
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A comprehensive form to assess individual health risks and COVID-19 exposure for meeting participation and travel to Italy.
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DOH COVID 19 Vaccination Consent Form
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A comprehensive form for collecting patient information and screening for COVID-19 vaccination eligibility.
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COVID 19 Relief Fund Contribution Form
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A contribution form for donating to Broward Health Foundation's COVID-19 Relief Fund to support healthcare workers and patient care.
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COVID 19 SPECIMEN SUBMISSION FORM
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Form for submitting COVID-19 test specimens to the Massachusetts State Public Health Laboratory for PCR testing.
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COVID 19 TESTING PATIENT INTAKE FORM
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Demographic and medical intake form for COVID-19 testing in compliance with CARES Act reporting requirements.
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COVID 19 Order Form
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Medical form for collecting patient information and COVID-19 specimen details for testing purposes.
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Vaccine Recipient Information And Consent Form
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A medical consent form for receiving COVID-19 vaccines, capturing patient information and legal authorization for vaccination services.
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COVID 19 Vaccine Consent And Waiver Form
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A legal consent form for receiving the COVID-19 vaccine, detailing risks, acknowledgements, and patient agreements.
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NEW PATIENT INTAKE FORM
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Comprehensive medical intake form for new patients at a women's wellness practice, collecting personal and medical information.
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Medical Form For Volunteers
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A comprehensive medical screening form for volunteers to assess health status and eligibility for participation in Camp Promise/Jett Foundation programs.
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Medical Form For Campers
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A comprehensive medical form for documenting a camper's health status, medical history, and physical examination details for participation in Camp Promise/Jett Foundation programs.
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The National Cancer Institute Cancer Prevention Clinical Trials Network (CP CTNet) Program Guideline
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Guidelines detailing the organizational structure, governance, and operational protocols for the National Cancer Institute's Cancer Prevention Clinical Trials Network.
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Test Item Submission Form
PDF template
A form for submitting test items for scientific or laboratory study with sponsor and test item details.
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Capstone Project Proposal Form
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A formal document for submitting a capstone project proposal for MSE-PD or M.S.-C&I degree programs.
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Center For Public Safety Innovation Graduate Fellowship Application
PDF template
Application details for graduate students seeking a fellowship at the Center for Public Safety Innovation at the University of Baltimore.
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Center For Pediatric Therapies Volunteer Application Form
PDF template
A comprehensive application form for potential volunteers at the Center for Pediatric Therapies, including medical and contact information.
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CRAFFTN Interview Form
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A confidential medical screening form for assessing substance use and potential risks among adolescents or young adults.
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Physical Examination Form
PDF template
Comprehensive medical examination form for assessing physical fitness, likely for occupational certification purposes.
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Patient Medical Intake Form
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Medical intake and financial responsibility form for orthopedic patient evaluation, specifically for injury-related medical treatment.
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Tabor College Contribution Form
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A form for making financial contributions to Tabor College through credit card or electronic funds transfer.
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Credit Card Payment Authorization Form
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A form for donors to authorize one-time or recurring credit card payments for charitable contributions
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Credit Card Pre Authorization Form
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A form authorizing Creekside Counseling + Wellness to charge client's credit card for services, copayments, and fees.
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Credit Card Pre Authorization Form
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Form authorizing Valleycare Gastroenterology Medical Group to charge credit card for patient balances and medical services
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Clinical Research Education Training Program (CRETP) Application Student Evaluation Form
PDF template
A form used to evaluate student characteristics and potential for participation in a clinical research training program.
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Clinical Research Fellowship Application Form 2023
PDF template
A comprehensive application form for researchers seeking a clinical research fellowship focused on lung cancer research.
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PhysicianS Mammography Evaluation Form
PDF template
Detailed assessment form for evaluating mammography image quality and technical standards.
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DMMA Critical Incident Form
PDF template
A comprehensive form for documenting and reporting critical incidents involving healthcare members or patients.
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Crowdfunding Approval Form
PDF template
A formal request and approval process for crowdfunding campaigns initiated by individuals associated with Montgomery College, designed to ensure compliance with institutional guidelines.
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Crowdfunding Toolkit
PDF template
A comprehensive guide for creating and managing crowdfunding campaigns at Louisiana State University, providing best practices and approval processes.
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Fellowship Awards Programme Call For Applications For Funding In 2025 Application Guidelines And Con
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Guidelines for researchers seeking fellowship funding from the OECD Co-operative Research Programme for scientific research in food, agriculture, forests, and fisheries.
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CRS Funding Report Form
PDF template
A form for reporting on the utilization and outcomes of research funding from CRS.
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Informed Consent Self Assessment Form
PDF template
An electronically fillable PDF version of the Informed Consent Self-Assessment tool to help study teams evaluate their informed consent process.
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CLINICAL GENETICS PROGRAM REFERRAL FORM (GENERALPRENATAL)
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A medical referral form for genetic consultation and testing services, used by healthcare providers to submit patient referrals for genetic assessment.
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Contribution Form
PDF template
A form for making financial contributions to the Center for Strategic and Budgetary Assessments (CSBA), a non-profit organization focused on national security strategy.
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Cleveland State Community College Institutional Review Board Procedure
PDF template
Guidelines for research review and approval process at Cleveland State Community College, detailing IRB composition, responsibilities, and research protocol requirements.
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Hepatitis C Virus (HCV) Treatment Procedure
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Montana Department of Corrections clinical procedure for monitoring and treating Hepatitis C Virus among offenders in secure care facilities.
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Committee For Specialist International Medical Graduate Education (CSIMGE) Area Of Need Ongoing Asse
PDF template
Comprehensive evaluation form for assessing international medical graduates' clinical performance, professional skills, and competencies in a medical setting.
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Employer Support Declaration Form
PDF template
A form documenting employer support for an international medical graduate's pathway to fellowship with the Royal Australian and New Zealand College of Psychiatrists (RANZCP)
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Required Consent For Release Of Information
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A consent form for releasing a child's medical, mental health, and treatment information for intensive mental health services coordination in New York City.
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POLICY ON CONTROLLED SUBSTANCES AND LIST I CHEMICALS FOR RESEARCH, TEACHING AND VETERINARY CARE AT U
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Comprehensive policy governing the management, handling, and regulatory compliance of controlled substances and list I chemicals in research, teaching, and veterinary care at the University of Alabama at Birmingham.
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Controlled Substances Procedure
PDF template
Procedure for managing and handling controlled substances at Boise State University in compliance with state and federal regulations.
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Fundraising Event Approval Form
PDF template
A comprehensive form for planning and obtaining approval for fundraising events at a university foundation.
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Colorado State University Pueblo Event ParticipationMedical Form
PDF template
Comprehensive medical form for capturing participant health information, emergency contacts, and medical history for Colorado State University Pueblo events.
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CT 302 Study Start Up Procedures
PDF template
Procedures for initiating clinical trials, covering requirements from initial sponsor contact to trial activation and enrollment readiness.
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Circulating Tumor Cell Core Laboratory Requisition Form
PDF template
A requisition form for submitting samples to the Circulating Tumor Cell Core Laboratory for enumeration and profile analysis.
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CTE Hospital Occupations Internship Class Application Form
PDF template
Application for high school students to participate in a medical internship program at UCI Medical Center, involving job shadowing and clinical skills training.
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CT, MRI And MRA Order Pre Authorization Form
PDF template
A comprehensive form for ordering CT, MRI, and MRA medical imaging exams with detailed patient and clinical information requirements.
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CPT Codes List
PDF template
Comprehensive list of Current Procedural Terminology (CPT) codes for various CT and diagnostic imaging procedures.
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Abstract Submission Form
PDF template
Form for submitting scientific abstracts for the 2019 Annual Meeting, including presenter details, research information, and consent requirements.
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CTSI Pilot Award To Advance Translational Science Grant Application
PDF template
Grant application form for researchers seeking pilot funding to advance translational science research projects at Medical College of Wisconsin.
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Nebraska Career Student Organization Medical Release Form
PDF template
A medical consent and emergency contact form for student organization members, allowing medical treatment authorization in parent/guardian's absence.
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Cub Scout Activity Waiver Form
PDF template
A waiver form for youth and adult participation in Cub Scout activities, addressing medical and safety requirements.
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Attending Physician Statement
PDF template
Medical documentation form used to assess patient's medical condition and ability to work for disability evaluation purposes.
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SHORT TERM DISABILITY CLAIM FORM
PDF template
Form for employees to file a claim for short-term disability benefits, including personal and employment details.
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CUHSR Approved Informed Consent Form Language For Research Studies Using Participant Incentives
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Guidelines for documenting participant compensation and tax implications in research studies at Bradley University
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Customer Feedback Form
PDF template
A form designed to collect customer satisfaction feedback on services provided by the AUF Office of Research and Innovation.
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Short Tissue Repository Research Consent Form
PDF template
Consent form for patients to participate in a genetic research biorepository studying cardiovascular health and disease factors.
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REFERRAL FORM B Specialist
PDF template
A medical referral form used by Citrus Valley Physicians Group to request specialist services and track patient referrals.
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Prescription Reimbursement Claim Form
PDF template
A form for submitting prescription medication reimbursement claims, including patient and pharmacy information, insurance details, and claim reasons.
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Acceptance Of In Kind Gifts
PDF template
A form for donors to document and submit non-monetary gifts to a college foundation, with guidelines for tax credit and gift acceptance.
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Patient Registration Form
PDF template
A comprehensive medical intake form for collecting patient personal and insurance details for healthcare services.
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Clearinghouse On WomenS Issues Membership Form
PDF template
Membership form for joining the Clearinghouse on Women's Issues (CWI), offering individual and organizational membership options with various term lengths.
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CWRU Advancement Services Donation Delivery Form
PDF template
Form for documenting the delivery of cash and check donations to Case Western Reserve University's Advancement Services office.
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Application For Appointment In Cytopathology Fellowship Program
PDF template
Application form for medical professionals seeking a fellowship in cytopathology at the University of Massachusetts Medical School/UMass Memorial Health Care.
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Pathology Requisition Cytology
PDF template
Medical form for collecting patient cytology test information, clinical history, and diagnostic details for gynecological testing.
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Basel III Monitoring Data For External Research Usage Policy
PDF template
Policy document outlining procedures for external researchers to access and use Basel III monitoring data from the Basel Committee on Banking Supervision.
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Consent For The Medical Treatment Of A Minor
PDF template
A consent form authorizing medical treatment for a minor student at Sam Houston State University Health Center with payment responsibility details.
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Request For Records Disposition Authority
PDF template
Official document detailing records disposition for Commissioned Corps Officers in the U.S. Department of Health and Human Services.
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Summer 2022 Diversity Action Committee (DAC) Fellowship
PDF template
Fellowship opportunity for curriculum diversification and diversity research at Siena College for summer 2022.
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Medical Form Requirements
PDF template
Comprehensive guide for medical form requirements for Boy Scouts of America camps and activities in Colorado.
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Danum Valley Rainforest Research And Training Programme Research Proposal Form
PDF template
An application form for conducting research at the Danum Valley research site in Sabah, Malaysia, requiring detailed investigator and project information.
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MEDICAL INQUIRY FORM IN RESPONSE TO AN ACCOMMODATION REQUEST
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A medical form used to assess an employee's disability status and potential need for workplace accommodations under the Americans with Disabilities Act (ADA).
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PARKING ACCOMMODATION STATEMENT OF MEDICAL NECESSITY
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Medical certification form for employees requesting parking accommodations due to disability or medical limitations
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New Provider Data Form
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Comprehensive registration form for medical providers to submit personal and professional information for onboarding with CHS Medical Group.
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New Provider Data Form
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Comprehensive form for medical providers to submit personal and professional information for registration with CHS Medical Group.
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Declaration Of Consent And Privacy Policy
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Privacy policy for participants of the Online-Conference on Social Innovation by the Federal Ministry of Education and Research (BMBF) and German Aerospace Center (DLR).
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DocuSign Analyzer Datasheet
PDF template
An AI-driven tool that helps organizations analyze, negotiate, and review incoming agreements more efficiently by extracting key terms and generating risk scorecards.
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Data Use And Confidentiality Agreement
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Agreement between The Audience Agency and a client for data sharing and confidentiality in the Audience Answers service.
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SSM Health Davis Duehr Dean Eye Care Referral Form
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Medical referral form for patients needing eye care services at SSM Davis Duehr Dean Eye Care clinic, used to transmit patient and clinical information.
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DAWN LAFFERTY HOCHSPRUNG DOCTORAL FELLOWSHIP AWARD
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A monetary award honoring doctoral students conducting research in mental health and school safety at Russell Sage College in memory of Dawn Lafferty Hochsprung.
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Interpreter Evaluation Form
PDF template
A comprehensive form to evaluate the performance and skills of medical interpreters across multiple dimensions of communication and professionalism.
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Depth Examination Form
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A formal assessment document for evaluating a graduate student's research depth, methodology, and academic progress.
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Duquesne Club Charitable Foundation Contribution Form
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A form for making tax-deductible donations to the Duquesne Club Charitable Foundation with multiple giving options and fund designations.
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Emergency Consent Form
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A medical consent form that allows parents or guardians to provide advance authorization for emergency medical treatment of a child.
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Emergency Medical Release
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A comprehensive medical release form for participants, collecting emergency contact, health, and treatment authorization information for minors.
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Adult Patient Intake Form
PDF template
A comprehensive form for collecting patient medical history, personal information, and health details for treatment planning.
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DCTD Tumor Repository International Shipping Form
PDF template
A form for shipping tumor repository samples internationally, used by researchers to request and document biological material shipments.
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Human Subjects Review Direct Care And Treatment Policy
PDF template
Policy establishing a system for conducting human subjects research review in compliance with federal and state standards to protect research participants.
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Uniform Consultation Referral Form
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A comprehensive form for healthcare providers to refer patients to consultants, detailing patient, provider, and referral information.
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DCUR Award Disbursement Procedures
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Procedures for receiving and managing research grant funds from the Drapeau Center for Undergraduate Research, including disbursement, administrative requirements, and tax documentation.
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DD Form 2807 2 Medical Prescreen Of Medical History Report
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A form used by military recruiters to pre-screen medical history of potential military service applicants for the United States Armed Forces or Coast Guard.
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DD FORM 2876 3, TRICARE PRIME ENROLLMENT, DISENROLLMENT, AND PRIMARY CARE MANAGER (PCM) CHANGE FORM
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Official Department of Defense form for enrolling, disenrolling, or changing primary care managers in the TRICARE Prime healthcare program.
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DD FORM 2876 TRICARE PRIME ENROLLMENT, DISENROLLMENT, AND PRIMARY CARE MANAGER (PCM) CHANGE FORM
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A Department of Defense form for enrolling, disenrolling, or changing primary care managers in the TRICARE Prime healthcare program.
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Draw Down The Lightning Grants Proposal Form
PDF template
A comprehensive grant proposal form for requesting funding from a university for a project aligned with institutional strategic framework.
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Donor Designation Station Material Inventory Form
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A comprehensive form for tracking and inventorying materials for a donor designation event or awareness campaign.
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Donate Life Event Materials Order Form
PDF template
A comprehensive request form for ordering promotional materials for a Donate Life event, including brochures, giveaways, and display items.
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DEA Order Form 222
PDF template
Official form for ordering Schedule I and II controlled substances from authorized suppliers, requiring detailed tracking and record-keeping.
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DEA Biennial Controlled Substance Inventory Form
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Official DEA form for documenting and tracking controlled substances used in research settings, requiring detailed inventory information.
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Debriefing Form Instructions
PDF template
A comprehensive guide for research professionals on debriefing procedures, participant consent, and managing research deception.
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DECA ICDC 2023 Registration Guide
PDF template
Official registration and permission form for DECA conference attendance, including medical authorization and conduct agreement.
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Fund For Responding To Loss And Damage
PDF template
Compilation of Board decisions for the Fund for responding to loss and damage during its inaugural meeting in Abu Dhabi.
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Diver Medical Questionnaire Additional Declarations COVID 19
PDF template
A medical questionnaire and health declaration form for divers to assess fitness and COVID-19 risk prior to participating in diving activities.
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Declaration Form That The Article Does Not Require Ethics Committee Permission
PDF template
A formal document for researchers to declare that their study does not require ethics committee approval and acknowledges no ethical rule breaches.
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Decode Duchenne Test Requisition Form
PDF template
A comprehensive genetic testing requisition form for patients with suspected or confirmed Duchenne or Becker muscular dystrophy
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Deed Of Gift Inventory Form
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A form for donating historical items, photographs, memorabilia, or artifacts to the Bay County Public Library's Local History and Genealogy Department.
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Gardners Candies Delivery Form
PDF template
A fundraising order form for selling holiday brochure products with sales incentives and delivery options from Gardners Candies, Inc.
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Sarris Candies Delivery Form
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A sales and delivery form for organizing fundraising sales of candy with multiple address and contact sections and incentive options.
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BIRTH TO TWENTY DELIVERY FORM
PDF template
Comprehensive medical form documenting pregnancy and childbirth details for medical research and tracking.
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Dental Claim Form
PDF template
A standardized form for submitting dental insurance claims, tracking patient treatment, and requesting predetermination or preauthorization.
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Patient Intake Form
PDF template
Comprehensive patient registration form collecting personal, contact, and insurance information for medical practice.
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Demographics And Insurance Form Surgery Registration
PDF template
Comprehensive patient intake form for surgical procedures, collecting patient demographics, insurance, and medical contact information.
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DENTAL CONE BEAM CT REFERRAL FORM
PDF template
A medical referral form for dental cone beam CT imaging studies with patient and physician information collection.
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Proof Of School Dental Examination Form
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Official form documenting student dental health examination for Illinois school children in specific grade levels as required by state law.
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WCTC Dental Hygiene Clinic MEDICAL HISTORY FORM
PDF template
Comprehensive medical history form for patients at a dental hygiene clinic, collecting personal information and medical conditions.
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Dental Hygiene Consent Form
PDF template
A comprehensive consent form outlining patient expectations, treatment policies, and administrative guidelines for dental services.
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PATIENT MEDICAL HISTORY FORM
PDF template
A comprehensive medical and dental history form for patient intake, collecting personal health information and current medical status.
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Dental Medical Release Form Template
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A template form for patients to authorize medical information release and consent for dental treatment.
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Kentucky Dental ScreeningExamination Form For School Entry
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A mandatory dental health screening form for children entering public school in Kentucky, documenting dental health status and examination details.
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Patient Referral Form
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A comprehensive medical and dental referral form for patient intake and specialist consultation at Boston Children's Hospital dental services.
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Medical History Form
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Comprehensive medical history form collecting personal health information, medical background, and current health status.
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Departmental Software Order Form
PDF template
A form for ordering and tracking software licenses and media for Virginia Polytechnic Institute and State University departments.
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Dermatology Medical History
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Comprehensive medical history form for dermatology patients to document health conditions, medications, and allergies.
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DERMATOLOGY MEDICAL HISTORY FORM
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Comprehensive medical history form for dermatology patients to document existing health conditions, medications, and potential skin-related medical concerns.
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Dermatopathology Requisition Form
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Medical form for submitting wet or fresh tissue specimens for dermatopathology analysis and diagnostic testing.
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Guidelines For Promotion Incentive Grant Applications
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Funding opportunity for senior associate professors to support research and scholarship towards promotion to full professor at James Madison University's College of Arts and Letters.
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DES Education Public Outreach (EPO) Feedback Form
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A comprehensive survey evaluating participation and perspectives on DES Education and Public Outreach social media and communication projects.
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Prescription Drug Donation Repository Program
PDF template
Workflow for determining patient eligibility and dispensing donated prescription drugs through a repository program.
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Grant Inquiry Form
PDF template
A form and guide for faculty and staff to submit grant proposals through the Grants Office at BPCC.
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Community Service Project Form
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Form for documenting and donating handmade chemo caps, prayer shawls, and lap blankets to local charities.
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Shipping Assessment Form
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A comprehensive form for assessing and documenting shipments of various materials to and from Weill Cornell Medicine, requiring detailed information about shipping contents and requirements.
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Doing Good Campaign Donation Form
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A donation campaign by Duke University to support local community initiatives in health, housing, education, employment, and nonprofit capacity.
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CONSENT FORM CONFIDENTIAL HUMAN IMMUNODEFICIENCY VIRUS (HIV) TEST Non Health Care Settings
PDF template
Official consent form for HIV testing in non-healthcare settings, documenting informed consent and explaining testing procedures.
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REFERRAL FOR CONSULT OR PROCEDURE
PDF template
Medical referral form for patients seeking consultation or procedures at Stanford Health Care's Digestive Health and Liver Clinic
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Digestive Health Foundation Biorepository Sample Collection And Storage Request Form
PDF template
A comprehensive form for requesting biological sample collection, storage, and retrieval from the Digestive Health Foundation Biorepository.
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Patient Medical History Form
PDF template
Comprehensive medical history form for collecting patient personal information, contact details, and health status.
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Type 2 Diabetes Risk Assessment Form
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A screening tool to evaluate an individual's risk factors for developing type 2 diabetes through a points-based assessment.
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Request For Diagnostic Imaging
PDF template
Medical form for requesting and scheduling diagnostic imaging procedures such as X-Ray, Ultrasound, CT, and Nuclear Medicine.
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NWU2014 04 01 Participant Contact Form Data Dictionary
PDF template
A data dictionary for documenting participant contact form variables and metadata for a research study.
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MDA2016 08 02 Study Specimen Shipping Form Blood Data Dictionary
PDF template
A data dictionary detailing the variables and specifications for a blood specimen shipping form used in a medical study.
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MDA2014 04 01 Specimen Shipping Form Tissue Data Dictionary
PDF template
A comprehensive data dictionary for tracking and recording specimen shipping information for tissue samples across multiple medical institutions.
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Student Record Card 6
PDF template
A health record and immunization documentation form required for student enrollment in Montgomery County Public Schools in Maryland.
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DIGABC Membership Form
PDF template
A membership application form for the Disabled Independent Gardeners Association of BC (DIGABC), detailing personal information and membership benefits.
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Stanford Health Care Referral For Consult Or Procedure
PDF template
A medical referral document for patients seeking consultation or procedures at Stanford Digestive Health and Liver Clinic.
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DIGITAL SLIDE ORDER REQUEST FORM
PDF template
A form for requesting digital slide scanning services at UCLA with options for magnification, scanner type, and image delivery method.
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DIRECT ACCESS PATIENT ATTESTATION AND MEDICAL RELEASE FORM
PDF template
A form for patients seeking physical therapy care, documenting current medical care status and providing medical record release consent.
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Directed Inquiry (KINE 798) Proposal Form
PDF template
A comprehensive guide for graduate students in Kinesiology to propose and complete a directed inquiry research experience.
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MCPHS University Research Project Or Directed Study Instructor Approval Form
PDF template
Academic form for obtaining instructor approval for research projects or directed study at MCPHS University
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Athlete Registration Form, Athlete Release Form Athlete Medical Forms
PDF template
Detailed guide for completing and submitting athlete registration and medical documentation for participation.
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Molina Healthcare Of California Direct Referral To Specialist
PDF template
A referral form for Molina Healthcare members to receive specialized medical services within their network of contracted specialists.
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VCHCP PCP DIRECT REFERRAL FORM
PDF template
A medical referral form for primary care physicians to refer patients to contracted specialists within the Ventura County Health Care Plan network.
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DIS 101C V7 EMPLOYEE STATEMENT DISABILITY CLAIM FORM
PDF template
A comprehensive form for employees to file a disability claim for short-term or long-term disability benefits.
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SUPPLEMENTAL DISABILITY CLAIM FORM
PDF template
Claim form for submitting a disability benefit request for IUOE Local 132 Health and Welfare Fund participants
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Disability Claim Form
PDF template
A comprehensive form for submitting a disability insurance claim, detailing the policyholder's medical condition and disability status.
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Delta Pilots Mutual Aid Disability Claim Form
PDF template
Disability claim form for Delta pilots to request benefits and authorize medical information release and payment processing.
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Short Term Disability Claim Form
PDF template
A comprehensive form for employees to file a claim for short-term disability benefits, requiring input from the employee, employer, and attending physician.
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Disability Claim Form Instructions
PDF template
Comprehensive instructions for filing a disability insurance claim with sections for physician, claimant, and employer statements.
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Disability Claim Form
PDF template
A comprehensive form for filing a disability claim with medical and employment details for Teamsters Joint Council No. 83 members.
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Disability Claim Form
PDF template
A comprehensive form for filing a disability claim through the Teamsters Joint Council No. 83 of Virginia Health & Welfare and Pension Funds.
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Continuing Disability Claim Form
PDF template
A comprehensive form for filing a disability insurance claim covering various types of disability and patient information
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N 648 Medical Certification For Disability Exceptions
PDF template
Guidelines for medical professionals assessing disability exceptions for refugees seeking U.S. citizenship, focusing on comprehensive and culturally sensitive evaluation methods.
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Short Term Disability Reporting Form
PDF template
A reporting form for employees to document short-term disability leave and absence from work due to illness or non-work related injury.
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Supplementary Disability Claim Form
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A form used to submit disability claims, requiring details from both the claimant and attending physician about an employee's inability to work.
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SI 11268 Your Disability Benefit Claim
PDF template
Application packet for submitting a long-term disability benefits claim, including instructions for completing required forms.
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Adapted Physical Education Program Medical Form
PDF template
Medical form documenting student's disability, exercise limitations, and physical capabilities for adapted physical education program participation.
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How To File A Claim For Weekly Disability Benefits
PDF template
Comprehensive guide for filing a disability benefits claim, including required documentation and medical certification requirements.
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Discharge Form
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A form used to document patient discharge from a healthcare facility with multiple completion options.
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Discharge And Follow Up Recommendations
PDF template
Guidelines for healthcare personnel on discharge and follow-up care for patients who have experienced assault, including medical and mental health considerations.
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DISCHARGE PLANNING INPATIENT STANDARDS
PDF template
A comprehensive protocol detailing the procedures and responsibilities for patient discharge from an inpatient healthcare facility.
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Pediatric Discharge Summary Template
PDF template
A comprehensive template and instructions for creating a pediatric patient discharge summary with detailed guidelines for documentation.
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Discussion Period Request Form
PDF template
Form for healthcare providers to request a review of a claim determination and provide additional supporting documentation within a 30-day period.
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Directed Independent Study (DIS) Proposal Form For Undergraduate Graduate Students
PDF template
A form for students to propose and obtain approval for an independent study course with a faculty supervisor at the university.
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Doctoral Dissertation Assessment Form
PDF template
A comprehensive assessment form for evaluating doctoral dissertation quality in the Department of Theology.
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Dissertation Submission Checklist
PDF template
Detailed instructions for PhD students submitting dissertations to Yale University's Graduate School of Arts and Sciences
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Ph.D. Dissertation Proposal Form Mechanical And Industrial Engineering Doctoral Students
PDF template
A form for Mechanical and Industrial Engineering doctoral students to document their dissertation proposal details and committee composition.
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Dissertation Proposal Approval Form
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A formal academic document used to approve a student's dissertation proposal through multiple levels of academic review.
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Dissertation Proposal Approval Form
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A formal document for academic review and approval of a doctoral dissertation proposal at Indiana University School of Education.
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Doctoral Dissertation Proposal Approval
PDF template
A formal document for certifying and approving a doctoral student's dissertation proposal by an academic advisory committee.
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Publishing Your Doctoral Dissertation With UMI Dissertation Publishing
PDF template
A comprehensive guide for graduate students on publishing doctoral dissertations through UMI Dissertation Publishing service.
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Dissertation Checklist For Electronic Submission
PDF template
Checklist for Carnegie Mellon University graduate students submitting their dissertation electronically to institutional repositories and ProQuest.
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International Medical History Form
PDF template
Comprehensive medical form for collecting personal health information, emergency contacts, and medical history for international travel purposes.
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MLML AAUS Diving Medical Form
PDF template
Medical examination form for assessing fitness of scientific divers, detailing potential disqualifying medical conditions for diving certification.
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DIVING MEDICAL HISTORY FORM
PDF template
A comprehensive medical history form designed to assess an individual's fitness and health risks for participating in scuba diving activities.
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UM Diver Proof Of Insurance Form
PDF template
Form requiring proof of medical insurance coverage for potential scuba diving accidents and hyperbaric oxygen therapy
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UM Diver Proof Of Insurance Form
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A form requiring divers to prove they have medical insurance coverage for potential scuba diving accidents involving hyperbaric oxygen therapy.
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Division Submission Form
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A form for submitting technical challenges in nuclear technologies to enhance economic, political, and public acceptability of nuclear technologies.
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Check Submission Form
PDF template
Instructions and form for submitting check donations to Susan G. Komen fundraising event
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DIY Special Events Guidelines
PDF template
Guidelines for organizing independent fundraising events to support the Epilepsy Foundation of Michigan's programs and services.
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DIZZINESS BALANCE MEDICAL HISTORY QUESTIONNAIRE
PDF template
Comprehensive medical questionnaire for patients experiencing dizziness, balance issues, and related symptoms
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PI Request To Purchase DrugsSupplies From DLAM
PDF template
A form for principal investigators to request drugs or supplies through the Division of Laboratory Animal Medicine (DLAM)
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NC Medicaid Hospice Prior Approval Authorization Form
PDF template
A form for healthcare providers to request prior authorization for Medicaid hospice benefits for patients entering a new benefit period.
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CCNCCA Enrollment Form
PDF template
Enrollment form for healthcare program participation, allowing individuals to enroll multiple people and select primary care providers.
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DNA Repository Shipping Form Face Sheet
PDF template
A form for documenting and tracking DNA sample shipments for a genetic research consortium.
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DNS Relief Fellowship Request For Project Funding
PDF template
A funding request form for a non-profit organization focused on providing humanitarian aid in developing countries.
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SOP SP047 Submission Of Peptidoglycan For Amino Acid Composition
PDF template
Standard operating procedure for preparing and shipping peptidoglycan samples to the Protein Structure Core Facility for amino acid composition analysis.
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Doctoral Study PhD Or MPhil Application Guide
PDF template
Comprehensive guide for prospective doctoral students outlining the application process for PhD and MPhil programs at the Glasgow School of Art.
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Referral
PDF template
A comprehensive medical referral document for tracking patient information and transfer of care between healthcare providers.
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DoctorS Signature Form
PDF template
A comprehensive medical form for documenting a camper's health information, medical history, medications, and physician details.
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NISCAIR Document Copy Service Order Form
PDF template
Form for requesting document copies from the National Institute of Science Communication and Information Resources (NISCAIR)
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Authorization For The Release Of Health Information And Confidential HIV Related Information DOH 255
PDF template
A form for releasing general health and HIV-related information to single or multiple healthcare providers with specific guidelines for usage.
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Authorization For Use Or Disclosure Of Protected Health Information (PHI)
PDF template
A legal form allowing authorized use and disclosure of an individual's protected health information by the Hawaii State Department of Health.
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DOH COVID 19 Vaccination Consent Form
PDF template
A comprehensive form for capturing patient information and screening for COVID-19 vaccination eligibility and potential health risks.
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DONATION APPROVAL FORM
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A form for documenting and obtaining approval for donations to the Board of Education.
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City Of Antioch Police Department Donor Contribution Form
PDF template
A form for individuals to make financial contributions to various police department programs and initiatives
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Donation Form
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A form for documenting monetary or property donations to Granite School District with details about the donation and donor.
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Private Contribution Form
PDF template
A form allowing residents to make targeted financial contributions to specific municipal services in Anchorage.
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Donor Contribution Form
PDF template
A form for making financial contributions to the Oakton College Educational Foundation with multiple donation options and designations.
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Contribution Form (Print And Return)
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A donation form for supporting the Department of Geography and Geology at Western Kentucky University through financial contributions.
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2017 DONATION FORM
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A form for collecting donor information and item donations for a nature preserve nonprofit organization
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Donation Inquiry Form
PDF template
Form for potential donors to submit information about items they wish to donate to the museum's collection.
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Leave Donation Request Form
PDF template
A form for employees to request donated leave during approved Family Medical Leave (FML) without pay periods.
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SUSLA Alumni Association Chapter Membership Form
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A membership form for alumni of Southern University to join the SUSLA Alumni Association Chapter with multiple membership levels and payment options.
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Distinguished Warrior Awards Auction 2023 Auction Donation Form
PDF template
A form for donating items to the Army and Navy Academy's fundraising auction event
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DonationContribution Form
PDF template
A form used to document and evaluate potential organizational donations or contributions to an event or function.
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DONATION REQUEST FORM
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A form for organizations to request funding or donations from the City of St. Francis, Minnesota.
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Oaks Of Louisiana Contribution Form
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A form for making financial contributions to The Oaks of Louisiana, allowing donors to specify donation amount and designation.
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Gift Aid Declaration Form
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A form for UK taxpayers to make tax-efficient charitable donations to the Bologna Center of Johns Hopkins University UK Charitable Trust.
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Donor Agreement Form
PDF template
A form for donating library materials to Indiana University South Bend Libraries with donor details and donation specifics.
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Donor Agreement
PDF template
A legal document for donating materials to the Ruth Lilly Medical Library at Indiana University School of Medicine, transferring ownership and usage rights.
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Donor Checklist
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Step-by-step guide for making tax-credited scholarship donations to the Anabaptist Scholarship Foundation of Virginia
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Donor Contribution Form
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A form for making charitable donations to support Cecil College students through various fund and scholarship options.
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DONOR DECLARATION FORM
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A donation form for the Southeast Greenway land acquisition project with options for gift allocation in case of funding challenges.
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Contribution Form
PDF template
A comprehensive form for making financial contributions to Capital University, allowing donors to specify gift amounts, designations, and payment methods.
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Youngstown State University Gift In Kind Donor Submission Form
PDF template
A form for documenting and submitting non-monetary donations to Youngstown State University
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Donor Leave Request Form
PDF template
A form for employees to request leave for organ, blood, or other donation activities under the Kansas State Donor Program.
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Voluntary Donor Personal Health History
PDF template
A comprehensive medical history form for potential body donors at Texas A&M University School of Medicine
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INFORMED CONSENT TO DONATE EMBRYOSWAIVER OF LIABILITY
PDF template
Legal document for donating cryopreserved embryos to the National Embryo Donation Center, outlining terms and conditions of anonymous or open donation.
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INFORMED CONSENT TO DONATE EMBRYOSWAIVER OF LIABILITY
PDF template
Legal document for donating cryopreserved embryos to the National Embryo Donation Center for reproductive purposes.
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Do Not File Insurance Waiver Form
PDF template
A document allowing patients to request that Oklahoma State University Medicine not file an insurance claim for a specific date of service.
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EducationalAcademic Travel Pre Authorization Form For Out Of Province Travel
PDF template
A pre-approval form for faculty, clinical associates, and trainees to document and obtain approval for out-of-province travel related to educational or academic purposes.
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2023 Gift In Kind Form
PDF template
A form for donors to submit in-kind donations to the Winthrop P. Rockefeller Cancer Institute for a fundraising event.
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TESTING REQUISITION FORM
PDF template
Specialized medical form for flow cytometry testing of blood and bone marrow specimens for various hematological conditions.
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Job Displacement Insurance A Policy Typology
PDF template
A research paper examining policy approaches for insuring workers against earnings losses from unemployment and job displacement.
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Template For Data Processor Agreements
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A legal template governing data processing agreements between a Norwegian data access committee and a data requester for a specific dataset.
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DQE Proposal Feedback Form
PDF template
Evaluation form for doctoral students' research proposal by psychology department committee members.
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Driver Medical History Form
PDF template
Medical history and physical examination form for taxi and limousine drivers to assess fitness for operating a motor vehicle.
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Travel Grant Application Form
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Application for research travel grant to the African American Episcopal Historical Collection at Virginia Theological Seminary.
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Chapter 133. General Medical Provisions Subchapter B. Health Care Provider Billing Procedures
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Regulatory document specifying required electronic and paper billing formats for healthcare providers in workers' compensation and insurance contexts.
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Medical Certification Form New Driver Applicant
PDF template
Medical certification document required for new taxi and livery vehicle drivers in New York City to verify physical fitness for driving.
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Integrative Medicine Intake Form
PDF template
Comprehensive medical intake form for patients seeking integrative medicine services, collecting medical history, current health concerns, and personal health information.
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Medical Drop Off Consent Form
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A consent form for veterinary medical services and pet drop-off, including pet health status and treatment authorization.
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Drug Testing Consent Form
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A comprehensive consent form for drug testing administered by the Manila Health Department Public Health Laboratory for various purposes.
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DS 2019 Request Exchange Visitor Program Information
PDF template
A form for requesting a DS-2019 for international exchange visitors to participate in research, teaching, or internship programs at Northwestern University.
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Medical Examination Form
PDF template
Comprehensive medical examination form documenting patient's physical condition, vision, hearing, and overall health status.
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Medical Examination For Immigrant Or Refugee Applicant (DS 2053)
PDF template
Comprehensive guide for panel physicians completing medical examinations for immigrant and refugee applicants, detailing required assessments and evaluation process.
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Student Insurance Claim Form
PDF template
A comprehensive insurance claim form for students to report medical examinations, illnesses, prescriptions, or injuries for insurance coverage.
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Data Safety Monitoring Service Request Form
PDF template
A form for researchers to request data safety monitoring board assistance and submit related research protocol documents.
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Informed Consent For Fitness Assessment
PDF template
Consent document for participating in a comprehensive fitness assessment conducted by exercise physiology students at the College of St. Scholastica during the City of Duluth Health Fair.
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Curriculum Vitae Bryan N. Duncan
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Comprehensive curriculum vitae detailing professional background of NASA Research Physical Scientist Bryan N. Duncan.
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2024 John S. Dunn Collaborative Research Award Program Proposed Budget
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Budget proposal form for collaborative research award program with detailed cost breakdown and funding guidelines.
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Materials Duplication Order Form
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A form for requesting duplication of archival materials from the University of Montana's Mansfield Library, with copyright and usage guidelines.
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UM Employee Gift Payroll Deduction Form
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A form allowing University of Michigan employees to authorize charitable donations through payroll deduction.
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DyAnsys Brief Proposal Form
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A comprehensive form for researchers seeking project support and equipment loan from DyAnsys, including project details and research objectives.
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2022 WEDGE RESIDENCY Application Form
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An application form for artists and practitioners seeking a research residency in Vancouver, focused on exploring specific topics or histories related to the city.
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Barcelona Portal Industry Booking Form
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Booking form for sponsorship and exhibition options at the EACTS 34th Annual Meeting virtual event in October 2020.
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EAF Contribution Form
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A form for Camelback employees to voluntarily contribute to the Employee Assistance Fund through payroll deductions.
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Assumption Of The Risk, Release Waiver Of Liability
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Liability waiver for participants in a research program, acknowledging risks and providing emergency consent.
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Patient Medical History
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Comprehensive medical history form for capturing patient personal information, health status, medical history, and patient rights.
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INITIAL DISABILITY CLAIM FORM
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A comprehensive form for filing disability insurance claims covering various types of disability scenarios with patient and policyholder information.
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Third Party Fundraising Event Proposal Form
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A form for individuals or groups proposing to host a fundraising event on behalf of the Epilepsy Association of Western and Central PA.
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Sponsorship Exhibition Booking Form
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Booking form for sponsorship and exhibition opportunities at the European Breast Cancer Conference (EBCC)
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Mandatory Submission Form
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A comprehensive form for authors submitting manuscripts, covering copyright, authorship responsibilities, and conflict of interest disclosures.
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ECCB12 Fellowship Application Form
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Application form for fellowship at ECCB'12 conference for researchers in bioinformatics
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LSU Early Child Education Laboratory Preschool Proposal Form
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A form for researchers to submit proposals for conducting research with preschool children at the LSU Early Child Education Laboratory Preschool.
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ECHO Cohort Publication Promotion Process Flowchart
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A tiered classification system for promoting research articles published by the ECHO Cohort Program across different audience levels.
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Volunteer Form
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A form for individuals interested in volunteering at ECMC Foundation events and fundraising activities.
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Comparison Of Different Methods Of Obtaining Consent Signatures
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A detailed comparison of various methods for obtaining consent signatures in research studies, including physical, DocuSign, and REDCap eConsent approaches.
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FAQ EConsent Framework
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A comprehensive guide explaining the REDCap electronic consent framework, its usage, requirements, and key considerations for research studies.
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J 1 Visiting Researcher (Scholar) Export Controls Questionnaire
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A form to assess export control compliance and technology exposure risks for international visiting scholars at Mines.
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Fundraising Approval Process
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Detailed procedures for approval of fundraising projects within the Eastpointe Community Schools district, outlining required steps and compliance requirements.
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ECU COVID 19 Human Subject Research Risk Assessment Form
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A form to evaluate and classify research protocols based on COVID-19 exposure risk levels according to OSHA guidelines.
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ECU School Of Dental Medicine Referral Form
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A comprehensive referral form for dental patients requiring specialized medical or dental services at East Carolina University School of Dental Medicine.
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EDI Application Form
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Application form for healthcare providers to submit electronic Medicare claims and receive electronic remittances through the Electronic Data Interchange (EDI) system.
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DDE Enrollment Form
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Form for healthcare providers to enroll in Direct Data Entry system and request access credentials for Medicare claims processing.
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Montana Conduent EDI Provider Enrollment Form
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A form for healthcare providers to enroll in electronic data exchange and authorize billing agent/clearinghouse transactions in Montana.
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Foundation Contribution Payroll Deduction Form
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A form allowing GRCC employees to authorize payroll deductions for foundation scholarships and contributions.
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Employee Request For Accommodation
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A form for employees to request workplace accommodations related to disabilities or medical conditions.
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Medical Reserve Corps Volunteer Application
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Application form for volunteers interested in joining the Medical Reserve Corps for public health emergency support
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Horizon Europe Evaluation Form (HE MSCA)
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Official guidelines for scoring and evaluating research proposals under the Horizon Europe Marie Skodowska-Curie Actions (MSCA) program.
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Traveler Health And Medical Information
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A comprehensive guide for group leaders to collect and manage travelers' medical information and health considerations during travel programs.
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Emergency Family Medical Leave Request Form
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Detailed guidance for employees on completing timesheets and tracking Emergency Family and Medical Leave (EFML) usage and compensation.
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EFT AUTHORIZATION FORM
PDF template
Authorization form for setting up recurring electronic donations to the University of Illinois Foundation through checking or savings account.
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Pre Authorized Debit (PAD) Agreement
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A form for authorizing monthly charitable donations through pre-authorized bank account debits to Kingsview Free Methodist Church.
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Tabor College Contribution Form
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A form for making financial contributions to Tabor College through multiple gift options including cash, credit card, and electronic funds transfer.
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Gift In Kind Guidelines And Contribution Form
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Form for documenting in-kind gifts to an organization, with sponsorship levels and contribution details.
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Extended Health Care Claim Form
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A comprehensive form for submitting medical and health care expense claims to an insurance provider, requiring detailed personal and coverage information.
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PeriodontalImplant Referral Form
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Medical referral form for periodontal and dental implant services with patient and examination details.
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LABORATORY SAFETY INSPECTION WORK FORM
PDF template
A comprehensive checklist for evaluating safety protocols and environmental conditions in laboratory settings
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STUDENT MEDICAL HISTORY
PDF template
Comprehensive medical history form for students, covering various health aspects and potential medical conditions.
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EJAF Corporate Partnership Program Partnership Proposal Intake Form
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A form for companies to propose cause marketing partnerships with the Elton John AIDS Foundation (EJAF)
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Electronic Proposal Routing Approval Form (EPRAF)
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A comprehensive form for submitting and routing research project proposals, capturing key details about funding, project team, and administrative information.
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Emergency Medicine Action Fund Contribution Form
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A donation form for contributing to the Emergency Medicine Action Fund with multiple funding levels and contribution options.
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Active Directory And Email Access Request Form
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Form for requesting and authorizing Active Directory and email system access for faculty, staff, and consultants
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EMERGENCY CARE AND CONTACT FORM
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A school form for collecting student medical information, emergency contacts, and parental authorization for medical care.
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Emergency Contact Health Form
PDF template
Health and emergency contact form for participants in Lake County Forest Preserve programs, including medical information and treatment authorization.
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Emergency Contact Form
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A form for collecting personal health details and emergency contact information for club or organizational trips.
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Emergency Contact Parental Consent Form
PDF template
A comprehensive form for collecting emergency contact, medical, and consent information for children in care.
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Emergency Contact Form
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A form for collecting emergency contact and medical information for volunteers participating in disaster response activities.
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Emergency Contact Form
PDF template
A comprehensive form for collecting student emergency contact details, medical information, and guardian contact information for school records.
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Student Emergency And Release Form
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Confidential form for collecting student medical information, emergency contacts, and special needs details for Howell Mountain Elementary School District.
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Emergency Contact Vendor Form
PDF template
Form for collecting emergency contact details and medical information for vendors and booth operators.
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Emergency Contact Information Form
PDF template
A document for collecting employee emergency contact details and medical information for use in urgent situations.
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Health Office Emergency Contact Form
PDF template
A comprehensive form collecting student contact, medical, and insurance information for school emergency purposes.
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Hickory Hill Member Family Emergency Contact Form
PDF template
A form for collecting emergency contact information and medical authorization for family members at a club or organization.
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EMERGENCY CONTACT FORM
PDF template
A form for collecting personal, emergency contact, and medical information for students in case of emergency situations.
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Emergency Contact Form
PDF template
A comprehensive form for recording family contacts, medical care providers, and insurance details for emergency reference.
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Emergency Information
PDF template
A comprehensive emergency contact and medical information form for students participating in university activities.
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Emergency Medical Form For Pre Clinical And Clinical Placements
PDF template
A form for clinical and pre-clinical teacher candidates to provide emergency medical and contact information for placement purposes.
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PADRE PIO ACADEMY EMERGENCY MEDICAL FORM
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A medical form for collecting student emergency contact and treatment authorization information for Padre Pio Academy.
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Emergency Medical Form
PDF template
A comprehensive form for collecting student medical information and emergency contact details with parental consent for medical treatment.
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Emergency Medical Treatment Form
PDF template
A comprehensive medical information form for emergency medical treatment and patient details, designed to be posted on a refrigerator for quick access.
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Emergency Medical Form
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Form for updating student emergency contact, insurance, and athletic participation information for school records.
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EmergencyMedical Release Authorization Form
PDF template
A form authorizing school staff to seek medical treatment for a child in case of emergency and acknowledging parental responsibility for medical expenses.
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EmergencyMedical Release Authorization Form
PDF template
Authorization form allowing school staff to seek medical treatment for a child in emergency situations with parental consent.
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Emergency Medical Release Form
PDF template
A form granting permission for emergency medical treatment for a minor at Pats Peak Ski Area, authorizing medical care in case of illness or injury.
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Emergency Medical Release Form
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A comprehensive medical form for collecting health information and emergency contact details for participants in adaptive or therapeutic horseback riding programs.
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Emergency Medical Release Form
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A form authorizing school officials to consent to medical treatment for a minor in case parents/guardians cannot be reached.
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DUTCHESS COMMUNITY COLLEGE EMERGENCY MEDICAL FORM
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A consent form allowing medical treatment for a child during a summer program, with parental emergency contact authorization.
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EmergencyMedical Authorization Waiver Form For Minor Participants
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A form authorizing emergency medical treatment and waiving liability for minor participants in a Ferris State University camp or program.
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Mineta Transportation Institute Research Proposal Form
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Research grant program for junior faculty to explore transportation research problems focused on improving mobility and transportation solutions.
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Emeriti Reimbursement Benefit Claim Form
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Instructions for submitting healthcare reimbursement claims through Rx debit card, online portal, or paper submission.
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EMERGENCY MEDICAL FORM
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A form for parents to authorize emergency medical treatment for students and provide critical medical contact and health information.
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EMG ORDER FORM
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Medical referral form for ordering electromyography studies to diagnose nerve and muscle conditions.
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Contribution Form
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A form for individuals and organizations to make financial contributions to the Emergency Medicine Policy Institute during their 2020 campaign.
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Health Insurance Claim Form
PDF template
Standard health insurance claim form for submitting patient and insurance information for medical reimbursement and processing.
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LIFT WHERE YOU STAND EMPLOYEE GIVING CAMPAIGN 2018 EMPLOYEE PAYROLL DEDUCTION FORM
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A form for employees to authorize charitable donations through payroll deductions for the annual giving campaign.
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EMPLOYEE CONTRIBUTION FORM
PDF template
A form allowing employees to establish, modify, or continue payroll deductions for foundation donations.
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Lamar Community College Foundation Employee Contribution Form
PDF template
A form allowing Lamar Community College employees to make monthly payroll donations to support student programs and college initiatives.
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EMPLOYEE EMERGENCY CONTACT FORM
PDF template
A comprehensive form for collecting employee personal and emergency contact details for human resources purposes.
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Employee Emergency Medical Form
PDF template
Confidential form for collecting employee emergency contact details, medical conditions, and treatment consent.
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Educational Foundation Contribution Form
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Form for employees to make tax-deductible contributions to the Delaware Technical Community College Educational Foundation through payroll deduction, cash, or pledge.
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Virginia Tech Employee Software Sales Order Form
PDF template
Order form for Virginia Tech employees to purchase software and technology accessories at discounted rates.
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Employee Payroll Deduction Form For Full Time Employees And Staff
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Form allowing employees to set up monthly charitable contributions through payroll deduction to Missouri State University Foundation
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Current Lincoln University Employee Payroll Deduction Form
PDF template
Form for Lincoln University employees to set up recurring payroll donations to the Lincoln University Foundation of PA
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CLARKSON EMPLOYEE PAYROLL DEDUCTION FORM
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A form for Clarkson University employees to make charitable contributions through payroll deduction for the fiscal year 2024.
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EMPLOYEE GIVING FORM
PDF template
A form for university employees to make charitable contributions to various university funds and programs.
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UAB GIFT RECORDS EMPLOYEE PAYROLL DEDUCTION FORM
PDF template
A form for UAB employees to authorize automatic payroll deductions for charitable contributions to specific funds or programs.
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Employee Contribution And Payroll Deduction Form
PDF template
A form for employees to specify contribution amounts, payment methods, and recognition preferences for donations.
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Employee Contribution Form
PDF template
A form allowing employees to make charitable contributions through automatic payroll deductions to support Great Basin College scholarships and programs.
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Employee Payroll Deduction Form
PDF template
A payroll deduction authorization form for employees to contribute to the Germanna Community College Educational Foundation
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M NCPPC Benefits EnrollmentChange Form
PDF template
Form for employees to enroll in or modify benefits, including medical, dental, and prescription plans.
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New Patient Intake Form
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Comprehensive medical form for collecting new patient health history, chronic conditions, surgical history, medications, and family medical background.
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APPLICATION FOR EMPLOYMENT
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Comprehensive employment application form for job seekers applying to La Rabida Children's Hospital.
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Application For Employment
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Employment application form for Logan County Health Services with instructions for completing the document electronically or manually.
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CENTER FOR EARLY EDUCATION AND CARE STAFF EMERGENCY CONTACT FORM
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A form for collecting emergency contact and medical information for staff members of an early education center.
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Request For Consultation
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A medical consultation request form for electron microscopy services, used to collect patient medical history, diagnostic information, and study details.
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EMS Payment Plan Form No Penalty No Interest
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A form for establishing an extended payment arrangement for ambulance billing with the City of Houston
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NEW PATIENT INTAKE FORM
PDF template
A comprehensive medical history form for new patients, capturing personal information, medical history, and current health concerns.
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Endocrinology Submission Form
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Comprehensive form for submitting veterinary endocrine and hormone function test samples with detailed diagnostic testing options.
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REFERRAL FORM
PDF template
A medical referral form for endocrinology patients, specifically focused on thyroid-related diagnoses and consultations.
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MMF DZB Study END OF TREATMENT CONTACT FORM
PDF template
A form to record details of contact with a study subject at the end of their treatment period.
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New Patient Intake Form
PDF template
Comprehensive medical intake form for new patients at the UCSF Endometriosis Center, focusing on pain assessment and reproductive health.
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ENGLISH DEPARTMENT PORTFOLIO SUBMISSION FORM
PDF template
A form for students to document and reflect on their writing portfolio, showcasing various writing competencies and research abilities.
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Engaged Scholarship Checklist Form
PDF template
A comprehensive checklist for evaluating the quality and impact of scholarly projects with community engagement requirements.
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Financial Assistance Application
PDF template
A comprehensive form for patients to provide financial details and income verification for potential medical financial assistance.
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Commemorative Brick Order Form
PDF template
Form for purchasing an engraved commemorative brick to support Nashville State Community College Foundation.
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Contribution Form
PDF template
A form for employees to make voluntary donations to the Enhabit Cares Foundation through payroll deduction, check, or credit card.
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Home Health Referral Form
PDF template
A comprehensive form for referring patients to home health services, capturing patient information, medical orders, and healthcare practitioner details.
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ENJAYMO Patient Solutions Enrollment Form
PDF template
Comprehensive patient enrollment form for ENJAYMO patient assistance program, collecting personal and insurance information.
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Enrollment Transfer Request Form
PDF template
A form for veterans to transfer their medical enrollment between VA healthcare facilities, capturing personal and contact information.
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Electronic Consent Contact Form
PDF template
A consent form allowing patients to receive medical communications via email, SMS, and phone for allergy treatment updates and appointment reminders.
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Patient Intake Form
PDF template
Comprehensive form for collecting patient personal, contact, medical, and insurance information for healthcare providers.
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Health History Examination Form South Carolina Envirothon Program
PDF template
Comprehensive health and emergency contact form for documenting medical information and insurance details for program participants.
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Vendor Order Form
PDF template
Form used for ordering scientific equipment or supplies for research purposes in a laboratory setting.
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Annex B Potential Vendors Self Declaration Form
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A self-declaration form for potential international courier service vendors interested in providing services to the United Nations Office at Nairobi.
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Youth Sports Medical History Form
PDF template
A comprehensive medical history form for youth sports participants, requiring detailed health information and medical practitioner verification.
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Consulting Physician Compliance Form
PDF template
A comprehensive medical form for evaluating patient mental capacity and terminal disease status by consulting and attending physicians.
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2025 2026 Engagement And Outreach Scholars Academy Call For Applications
PDF template
Professional development program enabling faculty to conduct community-based research in partnership with local organizations and scholarly teams.
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FacultyStaff Voluntary Payroll Deduction Form For Tax Deductible Donations To The EOU Foundation
PDF template
A form allowing faculty and staff to set up voluntary monthly payroll deductions for tax-deductible donations to the EOU Foundation.
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FacultyStaff Voluntary Payroll Deduction Form For Tax Deductible Donations To The EOU Foundation
PDF template
A form for faculty and staff to set up voluntary monthly payroll deductions for donations to the EOU Foundation
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Research Submission Form Clinical Pathology
PDF template
A form for submitting research samples to a clinical pathology laboratory, including details about sample type, collection, and study information.
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Episodic Medical Form
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A comprehensive medical intake form for students to document current health issues and medical history at Ramapo College's Health Services.
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How To Create An Initial Application Submission Using The EPortfolio
PDF template
Step-by-step guide for researchers submitting new human subject research protocols through the IRAP system at UAB.
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English Profile Research Proposal Form
PDF template
A structured template for submitting research proposals to the English Profile program, outlining project details and research methodology.
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EPSRC NSF Lead Agency Opportunity
PDF template
A collaborative funding opportunity between the US National Science Foundation (NSF) and UK's Engineering and Physical Sciences Research Council (EPSRC) to support joint international research proposals.
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Equipment Survey Form
PDF template
Form for documenting equipment purchases over $5,000 with justification for acquisition by principal investigators.
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ERaf Request Form
PDF template
A form used by specialists to request an electronic Request for Authorization Form (eRAF) from Primary Care Providers for specialty care.
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Application For An Evaluation License
PDF template
A form for obtaining an evaluation license for technology from the Engineer Research and Development Center (ERDC), outlining application requirements and confidentiality provisions.
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ElectricianS Retirement Fund Benefit Application Packet
PDF template
An application packet for pension benefits from the Electrician's Retirement Fund, providing instructions for submitting retirement documentation.
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Erie Gives Check Contribution Form
PDF template
A form for making check donations to nonprofit organizations through the Erie Community Foundation's Erie Gives program.
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ERME Budget Form
PDF template
Comprehensive budget form for research project expenses covering personnel, equipment, travel, and other direct costs.
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ESCAPMCREI20222 Enabling Trade And Investment For Sustainable Development In Times Of Crisis
PDF template
A United Nations document addressing the importance of regional economic cooperation and trade in navigating global crises and promoting sustainable development.
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MASTERS THESIS RESEARCH PROPOSAL FORM ESE 597
PDF template
A form for students to propose and obtain approval for a master's thesis research project in the Electrical and Systems Engineering department.
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ESMO Magnitude Of Clinical Benefit Scale V1.1 Evaluation Form 1
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A standardized form for evaluating the clinical benefit of new adjuvant therapies or potentially curative therapies.
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ESPEN RESEARCH FELLOWSHIPS 2020 APPLICATION FORM
PDF template
Application form for research fellowship funding from ESPEN, with detailed requirements for applicants and project details.
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ESPEN Research Fellowships 2021 Application Form
PDF template
Application form for research fellowship program offering financial support to research professionals in a specialized field.
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ESPP PhD Degree Audit Form
PDF template
A comprehensive form documenting academic requirements, milestones, and progress for a PhD candidate in Environmental Science and Policy program.
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ESRD Incident Or Accident Report Form
PDF template
A detailed reporting form for documenting critical incidents or accidents in healthcare facilities, especially for End-Stage Renal Disease (ESRD) centers.
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ESTABLISHING A PROJECT FORM
PDF template
A form used to establish a new project or fund within the Florida Atlantic University Foundation, detailing project purpose, funding, and authorized signers.
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NREL Form Estimated Budget Form
PDF template
A comprehensive budget and cost estimation form for project proposals submitted to the National Renewable Energy Laboratory (NREL)
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MEDICAL HISTORY FORM
PDF template
A comprehensive medical history form for patients aged 12 and older, used in combination with a referral form and unique reference number (URN).
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Electronic ThesesDissertations (ETD) Access Approval Form
PDF template
Official form for submitting electronic theses and dissertations to The George Washington University's graduate office.
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Auction Procurement Form
PDF template
A form for donors to submit items or services for a school auction fundraiser, including donor contact information and item details.
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Procurement For Eton Community Gala
PDF template
A comprehensive guide for collecting donated items and experiences for a community fundraising event
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Retirees Association Life Membership Contribution Form
PDF template
A form for retirees to make a non-refundable contribution to the ETSU Retirees Association Endowed Scholarship Fund.
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Retirees Association Scholarship Endowment Contribution Form
PDF template
A form for university retirees to make donations to a scholarship endowment supporting entering freshmen or transfer students with financial need.
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Evaluation To Sign Consent Form
PDF template
A structured assessment to determine a patient's capacity to provide informed consent for a medical study or research protocol.
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Evaluation Survey FNL
PDF template
Survey responses from California Community College administrators about faculty evaluation processes and software used
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HGSC GGREAT Program Student Evaluation Form
PDF template
Evaluation form for assessing student candidates for a summer research training program at Baylor College of Medicine
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Student Evaluation Form
PDF template
Comprehensive evaluation form for assessing student performance and skills in a laboratory research setting.
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Postdoctoral Scholar Annual Performance Evaluation Form
PDF template
An annual evaluation form for assessing the performance and progress of postdoctoral scholars by their mentors.
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Call For Remote Evaluation Specialist
PDF template
A temporary 7-month full-time position with Community-Campus Partnerships for Health focused on research and evaluation of community engagement projects.
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Event And Fundraising Request Form
PDF template
A form for SPCC clubs and departments to request permission to host events and solicit donations, with specific guidelines and restrictions.
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ST. JUDE DRIVE EVENT PROPOSAL FORM
PDF template
A form for proposing and documenting details of a St. Jude Drive fundraising event with driver and event information.
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EVENT PROPOSAL FORM
PDF template
A form for student groups at Genesee Community College to propose and plan campus events or fundraising activities.
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Event Proposal Form
PDF template
A comprehensive form for proposing and documenting details of an upcoming event, including purpose, participants, and event specifics.
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The Medgar Myrlie Evers Research Fellowship
PDF template
Fellowship opportunity for graduate students to conduct research on Medgar Evers and the Civil Rights Movement using archival materials in Mississippi.
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J 1 Exchange Visitor Request Form Applicant
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Form for international visitors applying for J-1 exchange visitor status at the University of Maryland, Baltimore County (UMBC)
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Equine Welfare Data Collective Internship APPLICATION FORM
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A comprehensive application form for internship positions at the Equine Welfare Data Collective, covering personal details, educational background, and internship preferences.
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Piercing Consent Release Form
PDF template
Legal document providing informed consent for body piercing procedures, detailing risks and patient acknowledgments.
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Parental Permission For A Minor To Participate In Research
PDF template
A consent form for parents to allow their high school junior to participate in a research study about student opinions on school start times.
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MEDICAL BENEFITS SUBSCRIBER CLAIM FORM
PDF template
A comprehensive medical insurance claim form for submitting healthcare reimbursement or coverage information.
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Primary Care EXERCISE CLINIC REFERRAL
PDF template
A medical referral form for patients seeking exercise physiology services, documenting health conditions and exercise participation eligibility.
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Catholic Identity Commitment Agreement
PDF template
Agreement defining the preservation of Catholic identity and ethical guidelines in the transfer of Catholic Medical Center's healthcare facilities to HCA.
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PS 03.A.38 CENTERS AND INSTITUTES EXHIBIT B ANNUAL REPORT FORM
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A comprehensive annual reporting form for documenting activities, accomplishments, and financial status of academic centers and institutes.
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Sick Leave Contribution Form
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A form allowing Stephen F. Austin State University employees to voluntarily donate sick leave or vacation leave to sick leave or family leave pools upon separation or while active.
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G Adventures Confidential Medical Form
PDF template
A confidential medical form for travelers with pre-existing medical conditions to assess fitness for expedition travel.
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ERME Competitive Grants Program Exploratory Project Application
PDF template
Special instructions for applying to the North Central Extension Risk Management Education Center's Exploratory Projects grant program with awards up to $5,000.
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Export Control Screening Form
PDF template
A form for principal investigators to screen research projects for potential export control compliance issues and restrictions.
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Emergency ResponsePublic Safety Worker Incident Report Form
PDF template
A form for emergency response and public safety workers to document workplace exposure incidents and medical referral details.
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Hazardous Exposure To Blood And Other Body Fluids
PDF template
Guidelines for managing accidental contact with human blood or body fluids in workplace and educational settings, including immediate response steps and responsibilities.
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Exposure Incident Investigation Form
PDF template
A detailed form for documenting and investigating workplace exposure incidents, including route of exposure, materials involved, and prevention recommendations.
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Form B Exposure Incident Report Form
PDF template
A form documenting potential medical exposure incidents for students during clinical training or placement.
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Non Exclusive Mouse Line License
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License agreement for non-exclusive use of HCC cancer cell lines developed by Dr. John D. Minna and Dr. Adi F. Gazdar at ATCC
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Texas City ISD Extended Leave Request Form
PDF template
A form for employees to request extended leave with medical certification, to be submitted to Human Resources.
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External Collaborator Requisition Form
PDF template
A form for documenting and tracking tissue sample shipments to the Human Tissue Resource Center at the University of Chicago.
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External Research Request Application
PDF template
Application form for conducting research within the Halton Catholic District School Board's schools and facilities.
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CCP Prior Authorization Request Form
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Consent For Sterilization Completion Instructions
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Consent To Provide Limited Personal Information About Highly Qualified Personnel (HQP) To NSERC
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Donor Consent Form
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All Of Us Research Program Sample Consent Form
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F245 145 000 Travel Reimbursement Request
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Puget Sound Benefits Trust Short Term Disability Claim Form
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Medical Dental Vision Prescription Weekly Disability Claim Form
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REQUEST FOR A QUALIFIED CHARITABLE DISTRIBUTION (QCD) FROM A BROKERAGE RETIREMENT ACCOUNT (IRA)
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COMPE EE 798 Project Registration Request Form
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Comprehensive Medical Examination Checklist
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Fabrication Request Form
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FACSAria Submission Form
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Contract Intelligence
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Friends Of ACU Library (FACUL) Membership Form
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Spectra Undergraduate Research Journal Faculty Advisor Agreement
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Faculty Request To Support Graduate Student Research Proposal Or Thesis
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FACULTY GRANT APPLICATION FORM
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Faculty Leave And Clinic Cancellation Form
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Amazon Mechanical Turk Purchase Request Form
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Annual Student Symposium Faculty Mentor Approval Form
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Form for faculty mentors to certify research approvals for student presentations involving human or animal subjects at an annual symposium.
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Faculty Research Proposal
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Faculty Staff Campaign Payroll Deduction
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Faculty And Staff Contribution Form
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Payroll Deduction Form
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Payroll Deduction Form
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Liberty University Fair Use Checklist
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Study Order Form
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Order form for purchasing FAMIC study reports and executive summaries with payment and membership options.
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Employee Medical Or Family Leave Of Absence Request Form
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Family And Medical Leave Request Form
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Family And Medical Leave (FML) Reference Chart
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Comprehensive reference guide for family and medical leave policies covering federal and California leave regulations for employees.
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Family Camp Medical Form
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Medical form for capturing health details and emergency contact information for families attending a camp
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Family Contact Form
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Form for collecting comprehensive contact and insurance details for a client's family members and guardians.
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Family Emergency Plan
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Family Medical History Form
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Family Or Medical Leave Request Form
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New Medical Form Consent Form FAQ
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Explanation of changes to Special Olympics Illinois medical documentation requirements including new Medical Form and Consent Form procedures.
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Mississippi Farm Bureau Federation F.A.R.M. Fund PAC Contribution Form
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Professional Development Program Research Proposal Form
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Voluntary Waiver Form
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FAX REFERRAL FORM
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Urogynecology New Patient Intake Form
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Joinder To Operating Agreement
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FONTBONNE COMMUNITY CONNECTION 2016 2017 MEMBERSHIP FORM
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Membership form for making annual donations to the Fontbonne Community Connection with various payment and contribution options.
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BioDynamic Manual Therapy, LLC Patient Questionnaire
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PHASE VII FDP DEMONSTRATION PROPOSAL FORM
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Federal And University Guidelines For Protection Of Human Subjects Involved In Research (IRB Applica
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Guidelines for protecting human subjects in research, including IRB review procedures, informed consent requirements, and research definitions.
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Berkeley Language Center Professional Development Fellowship Application
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2020 Summer Research Fellowship Application Form
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Graduate Fellowship Application Form
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ECSS Fellowship Application 2024
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Example Of Fellowship Application Form
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Fellowship Application Form
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Comprehensive application form for academic fellowship programs covering personal data, project details, and required submission materials.
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MSKCCWeill Cornell Procedural Dermatology Fellowship Application
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Application form for a procedural dermatology fellowship at Memorial Sloan-Kettering Cancer Center and Weill Cornell Medicine.
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CIRSE Fellowship Information And Application
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Standardized Application For Pathology Fellowships
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Fellowship Programs At Independent Research Institutions
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A National Endowment for the Humanities program supporting fellowships for advanced humanities research at independent research institutions.
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Comprehensive intake form for collecting patient personal, contact, and medical background information with emphasis on privacy and demographic details.
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Health Benefits Claim Form
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Nebraska FFA Association Medical Release Form
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2018 DONATION FORM
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Mutual Non Disclosure Agreement
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FHNO Indus Institutional Fellowship (FIIF) Application Form 2024
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Application form for medical professionals seeking to apply for the FHNO Indus Institutional Fellowship for the 2024 batch.
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Fora Health Residential Referral Form
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Medical History Form
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Framingham Heart Study Data And Materials Distribution Agreement
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Work Zone Intrusion Reporting Research Synthesis
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Bequest To Create Trust Form Field Of Interest Fund
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Field Research Grant (FRG) Budget Form
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Adult Tuberculosis (TB) Risk Assessment Questionnaire
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Presbytery Of Carlisle Contribution Form
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YMCA Camp Independence 2024 Health History And Examination Form
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Medical form for collecting camper health information and emergency contact details for YMCA summer camp participation.
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Pre Order Form
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Form for pre-ordering Smile Cookies with proceeds benefiting local charities in the Cowichan Valley.
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Audubon Wildlife Fund Grant Application Form
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Patient Demographics Form
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Cost Share Request Form
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InternExtern Application Packet
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Application for internship and externship opportunities at Elica Health Centers, focusing on medical, dental, and behavioral health fields.
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Doctoral Final Examination Approval Form
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Official form for documenting and approving a doctoral student's final examination and dissertation defense process.
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Humboldt County Referral Initiative Referral Form
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Focus Group Consent Release Form
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Consent form for children to participate in a Title V needs assessment focus group conducted by the Pennsylvania Department of Health.
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Volunteer Orientation
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IBEF Research Grant Application Form
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Student Seminar Evaluation Form
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Medical Report Health Statement And Immunizations For 2023 2024
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Medical form for documenting student health status and required immunizations for St. Paul's School enrollment
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Medical Freeze Request Form
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MEDICAL HISTORY FORM
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Medical Information Form
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Membership Form
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NEW CLIENT INFORMATION PAYMENT AGREEMENT
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New Patient Intake Form
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Comprehensive intake form for new patients seeking cosmetic procedures, collecting personal information and medical history.
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Osteopathy Patient Intake Form
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Comprehensive medical intake form for osteopathic patient assessment and medical history documentation.
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Corporate Partnership Inquiry Form
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Patient Information For Appointment Booking
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PATIENT REFERRAL FORM
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Patient Registration Form
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Comprehensive medical intake form for collecting patient personal information, emergency contact details, insurance information, and health history.
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Pharmacy Payment Plan Agreement
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Payment agreement form for managing pharmacy account balances and establishing payment schedules for outstanding medical charges.
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Gift Form For The Fund For DYouville
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A donation form allowing contributors to make financial gifts to D'Youville through various payment methods including credit card, payroll deduction, and direct payment.
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PATIENT INTAKE FORM
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Comprehensive medical form for collecting patient health history, contact information, and medical background details.
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Patient Discharge Form
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Sing It Forward Dessert Dash Donation Form
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A donation form for contributing items to a fundraising event called Dessert Dash at Village Theatre.
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Santee Recreation Registration Form
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Registration form for participants to sign up for recreation activities in the City of Santee, including personal and medical information.
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New Named Scholarship Form
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Louisiana School Readiness Tax Credit Contribution Form
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Sample Submission Form
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Form for submitting scientific samples for proteomics analysis and tracking critical sample information.
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Supplemental Agreement
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A supplemental agreement governing the purchase and handling of tetanus toxin for laboratory research purposes, outlining customer responsibilities and liability terms.
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SEERS Student Travel Grant Application Form
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Application form for students seeking financial support to attend a research conference or meeting from the Southeastern Estuarine Research Society.
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Immunization Consent Form
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Auction Procurement Form
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Donation form for Cannonball Kids' cancer Foundation's annual auction fundraising event
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Disease Nomination Form For The Bespoke Gene Therapy Consortium Clinical Program
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Charles Drake Legacy Society
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Graduate Faculty Nomination Form
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Industry Intake Form
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A comprehensive form for industry representatives to provide details about their cell therapy research project, product type, and funding status.
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Healthcare Forms Catalog
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Comprehensive list of medical forms and clinical documentation used across various healthcare departments and specialties.
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Paths To Health NM Tools For Healthier Living Referral Form
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A referral form for participants to join Paths to Health NM health programs with provider contact information.
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LSU Laboratory Quick Assessment Form
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Institutional Review Board Final Report Form
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Institutional Review Board Final Report Form
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A form used to report the conclusion or termination of a human research study to the Institutional Review Board.
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Final Report Form
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A form for researchers to document the outcomes, participants, and key details of a completed research study.
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Annual Scholarship Form
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SNAAP Survey Privacy Policy
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Financial Assistance Application Form
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A confidential form for patients seeking financial assistance, requiring detailed personal and income information for healthcare services.
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Financial Assistance Evaluation
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Application form to help patients determine eligibility for free or discounted healthcare services and public assistance programs.
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St. Matthew Catholic Church Parish Financial Policies And Procedures For Parish Ministry LeadersVolu
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Comprehensive guidelines for financial management, fundraising, and financial controls for parish ministry leaders and volunteers.
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Suburban Urologic Associates Financial Policy
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Detailed financial policy outlining insurance, payment, and billing procedures for a urology medical practice.
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Type 2 Diabetes Risk Assessment Form
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A comprehensive questionnaire to assess an individual's risk of developing type 2 diabetes within the next 10 years.
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First Time Appointment Billing Form
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Faculty Information System Project Form
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A form for requesting faculty data from the Faculty Information System (FIS) for research or administrative purposes
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NJ ACTS Service Core Request Form
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A form for requesting research services through the NJ ACTS research infrastructure, used by investigators and researchers.
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Fisher House Of The Emerald Coast, Inc. Edible Art Cake Decorating Contest General Competition And
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Competition guidelines for an annual cake decorating contest with a superhero theme, hosted by Fisher House of the Emerald Coast.
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FIU DNA Core Sample Submission Form
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Charitable Cash Contribution Form
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FIXED PRICE AGREEMENT BUDGET FORM
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A financial form for tracking projected and actual expenditures for a research project with fixed-price funding.
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Standard Immunization Requirements For Admission To U.S. Schools
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Flag Initiative Purchase Form
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A community program allowing residents to purchase flags that will be displayed in memory or honor of loved ones, with an annual dedication ceremony.
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MEDICAL FLEX REIMBURSEMENT FORM
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A form for employees to request reimbursement for medical and dental expenses through a flexible spending account program.
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Basilica Of St. Mary Flower Contribution Form
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A form for making floral contributions to support the Basilica of St. Mary's altar flower arrangements and liturgical decorations.
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Flow Chart For Master Planning Major Construction Projects
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Comprehensive guide detailing the process for master planning and major construction projects within a diocese, covering phases from initial discernment to final construction approval.
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FLUOROSCOPY AND INTERVENTIONAL REQUISITION
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Comprehensive form for requesting medical imaging procedures, capturing patient details, medical history, and clinical information.
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Flu Vaccine Form
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A comprehensive form for patient consent and medical screening prior to receiving a flu vaccine.
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Informed Consent To Tattoo Procedure
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A legal form for documenting informed consent and required patron information before receiving a tattoo procedure in Wisconsin.
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TEST REQUISITION FORM
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Medical test requisition form for transplant patient diagnostic testing with comprehensive patient and billing information collection.
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Consent To Discard Frozen Embryos
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A medical consent form for patients to request the thawing and discarding of cryopreserved embryos stored at Ohio Reproductive Medicine.
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Hospital Discharge Plan For Tuberculosis Patients
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Comprehensive discharge planning document for patients being treated for tuberculosis, including medical details and follow-up instructions.
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FMLA Leave Request Form
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A form for employees to request Family and Medical Leave Act (FMLA) leave, outlining eligibility requirements and leave types.
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Requisition For Laboratory Supplies
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Employee FMLA Leave Request
PDF template
Form for employees to request job-protected leave under the Family and Medical Leave Act (FMLA) for various family and medical reasons.
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FMLA LEAVE REQUEST FORM
PDF template
A comprehensive form for employees to request leave under the Family and Medical Leave Act for various personal and family medical situations.
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FMLA Leave Request Form
PDF template
A form for Harnett County employees to request Family and Medical Leave Act (FMLA) protected leave for various qualifying reasons.
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Family And Medical Leave Request
PDF template
Employee form for requesting job-protected medical or family leave under the Family and Medical Leave Act (FMLA)
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FAMILY OR MEDICAL LEAVE REQUEST FORM
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A form for employees to request family or medical leave for various personal and family health-related reasons.
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FMLA LEAVE REQUEST FORM
PDF template
A form for employees to request leave under the Family and Medical Leave Act for various personal and family health-related reasons.
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HR FMLAOFLA Leave Request
PDF template
A comprehensive form for employees to request leave under Family and Medical Leave Act (FMLA) and Oregon Family Leave Act (OFLA)
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Family And Medical Leave (FML)Paid Parental Leave (PPL) Request Form
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A form for employees to request family and medical leave or paid parental leave, including various qualifying reasons for absence.
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Family And Medical Leave Request
PDF template
Request form for employees seeking job-protected leave under the Family and Medical Leave Act (FMLA) for medical or family reasons.
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Farnsworth Middle School PTA Membership Form 2023 2024
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A membership form for supporting Farnsworth Middle School's Parent-Teacher Association and its educational programs
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NSGO IC Form
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Nebraska Department of Revenue form for notifying intended tax credit amount for scholarship contributions.
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Wayland Friends Of The Arts Membership Form
PDF template
Membership form for supporting arts programs at Wayland Baptist University with various donation levels and membership categories.
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Brick Donation Form
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Fundraising form for purchasing commemorative engraved bricks to support the Pathway Project at Berwyn Public Library.
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FRIENDS OF COLVIN RUN MILL MEMBERSHIP APPLICATION
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A membership form for individuals, families, and businesses to support the Friends of Colvin Run Mill organization.
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Service Request Form
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A form for requesting information or search services related to adoption records from the Illinois Department of Children and Family Services.
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IDCFS Closed File Information And Search Service Request Form
PDF template
A form for individuals seeking information or search services related to adoption records maintained by the Illinois Department of Children and Family Services.
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MEMBERSHIP FORM
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Annual membership form for supporting local library programs and services through a $15 yearly contribution and optional volunteering.
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FoM REDCap Service Agreement
PDF template
Service agreement for hosting research projects on the Faculty of Medicine REDCap data management platform, outlining support services and responsibilities.
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Food Facility Operators Guidelines For Safe Food Donation
PDF template
Guidelines for safely donating surplus food from food facilities to charitable organizations while minimizing food safety risks.
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NHDP Form 133 Foot Evaluation
PDF template
Comprehensive medical form for assessing foot condition, nerve function, sensation, and risk categorization.
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FOOT Medical And Insurance Form
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Medical and insurance form for participants in the Yale First-Year Outdoor Orientation Trips (FOOT) program, collecting health and emergency contact information.
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Accident Waiver And Release Of Liability Form
PDF template
Legal document releasing St. Vincent de Paul from liability for potential injuries during charity walk/run event
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Forage Submission Form
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A form for submitting forage samples for research and testing at the University of Tennessee Soil, Plant & Pest Center.
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Student Travel Profile General Liability Waiver
PDF template
A comprehensive waiver and medical procedure document for students participating in a mission trip, covering liability release and medical emergency protocols.
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Foresight Carrier Screen Requisition Form
PDF template
A medical form for requesting genetic carrier screening, collecting patient and clinic information, and processing billing details.
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LASER DEVICE REGISTRATION FORM
PDF template
Official form for registering laser devices with the Florida Department of Health Bureau of Radiation Control.
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ISEF Approval Form (1B)
PDF template
Official approval form for student research projects in science and engineering fairs, documenting institutional and ethical review processes.
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ISEF Approval Form (1B)
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Official form for documenting approval and compliance for student science and engineering research projects prior to and after experimentation.
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Intel ISEF Approval Form (1B)
PDF template
Official form for obtaining approval for student research projects in science and engineering fairs, covering ethical and safety guidelines.
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Adult Sponsor Checklist (1)
PDF template
A checklist for adult sponsors to review and approve student science fair projects, ensuring compliance with research ethics and safety guidelines.
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NEW PATIENT INSURANCE AND OFFICE POLICIES CONSENT FORM
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A comprehensive form for collecting patient personal, insurance, and medical history information for dental office registration.
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Johnson Wales University Health Services Requirements
PDF template
Comprehensive health documentation and vaccination requirements for new students enrolling at Johnson & Wales University
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Form 350 Emergency Medical Service Provider Exposure Report Form
PDF template
A form to document exposure to blood and body fluids for emergency medical service providers, tracking details of potential occupational health incidents.
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Risk Assessment Form (3)
PDF template
A comprehensive form designed to identify and mitigate potential risks in student research projects by assessing hazards, risks, safety precautions, and disposal procedures.
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HFM Study Form 607 Mailing Blood To NIDDK DNA Repository Form
PDF template
A form for mailing blood samples to the NIDDK DNA Repository with specific shipping and tracking instructions.
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Form 6.4.2.2 Rev. D Service Request Form
PDF template
A form for submitting medical devices for service or repair, requiring verification of decontamination and cleaning.
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FORM 8 FOR DECLARATION CUM CONSENT
PDF template
A legal form for declaring consent for organ donation from a brain-stem dead person by a near relative or lawful possessor.
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UAB Department Of Obstetrics And Gynecology Presentation Evaluation Form
PDF template
A form for evaluating the effectiveness of presentations within the UAB Obstetrics and Gynecology department.
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Medical Claim Form
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A comprehensive form for submitting medical claims and patient information to Anthem Blue Cross and Blue Shield insurance plan.
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FORM A MMTS Program StudentS Progress Report Form
PDF template
An annual academic productivity and research progress tracking form for students in the MMTS graduate program.
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OBGYN Formative Feedback Form
PDF template
A comprehensive evaluation form for tracking medical student performance in OBGYN clinical rotation, covering multiple professional and clinical competencies.
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IUBMB Tang Education Fellowship Application Form B
PDF template
Application form for educators to visit institutions and develop educational practices through a fellowship program.
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Psychology 496 Senior Research Project Form B
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Academic form for documenting the defense of a senior psychology research project and recording committee evaluation.
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Health Exam Form B
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A medical form for student athletes to obtain health clearance for participation in school athletic activities in Utah.
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Credit Card Pre Authorization ACH Pre Authorization Form
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A form allowing patients to pre-authorize credit card or bank account charges for medical services and outstanding balances.
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Medical ControlPhysician Contact Hour Attendance Form
PDF template
Tracking form for medical personnel to document attendance and details of training sessions for emergency medical services.
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Committee Approval Form
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A form for approving dissertation or thesis committees, specifying committee members and their roles for graduate students.
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Contribution Form
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A tax-deductible contribution form for making monetary donations to Maryland University of Integrative Health with multiple designation options.
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Form C Student Waiver Form
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A legal document outlining conditions and medical treatment provisions for students performing services at Rutgers University.
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Check Requisition Form, Prize Receipt Form, Petty Cash Request Form, Deposit Form
PDF template
Collection of financial forms for student organizations to manage expenditures, prizes, petty cash, and deposits at an educational institution.
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University Of Rochester Certification Of Compliance Form
PDF template
Certification form for University of Rochester researchers to confirm compliance with federal regulations regarding ByteDance application restrictions on federal contracts.
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FMLA LEAVE REQUEST FORM
PDF template
A form for employees to request family or medical leave, documenting leave details and employee information.
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RESEARCH GRANT APPLICATION TO THE NESTLE FOUNDATION
PDF template
A comprehensive form for researchers to apply for research funding from the Nestle Foundation, covering project details, methodology, sustainability, and budget.
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GUIDELINES FOR GRANT APPLICATIONS TO THE NESTLE FOUNDATION
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Guidelines for submitting research grant proposals focused on human nutrition in low- and lower middle-income countries.
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Chaminade University Institutional Review Board Form IV Human Subjects Annual ReportFinal Report For
PDF template
A form for reporting annual progress or final status of human subjects research protocols at Chaminade University.
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Physical Examination Form
PDF template
Medical form for students at American School of Warsaw to document health status and medical clearance for school attendance and sports participation.
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Medical History Form
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Required medical history form for students living on campus or participating in sports, documenting health conditions and physical readiness.
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Nebraska FBLA Medical Release Form
PDF template
A medical release and emergency contact form for Future Business Leaders of America (FBLA) chapter members during events or activities.
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Nebraska FBLA Medical Release Form
PDF template
Medical consent and emergency information form for FBLA chapter members, providing authorization for medical treatment and contact details.
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NEW PATIENT INTAKE FORM
PDF template
Comprehensive medical form for collecting new patient personal, contact, and demographic information for healthcare providers.
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Payroll Deduction Form
PDF template
A form allowing faculty and staff to authorize recurring payroll deductions for university donations or gifts.
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Physical Examination
PDF template
A comprehensive medical examination form for girls participating in multi-day trips, documenting health status and medical clearance.
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Patient Registration
PDF template
A comprehensive medical patient registration form for collecting personal, contact, and insurance information for a dental practice.
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Research Advisor Interview Form
PDF template
A form for students to record interviews with faculty members about research programs in the Chemistry Department.
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Patient Intake Form
PDF template
Comprehensive medical intake form for collecting patient personal and health information prior to medical treatment.
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Project Setup Budget Form
PDF template
A detailed form for setting up project budgets, including key personnel, expense pools, and indirect cost calculations for research grants.
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FAQs PHS 398 And PHS 2590 Forms And Instructions
PDF template
Comprehensive guide providing instructions and frequently asked questions about PHS 398 and PHS 2590 research application forms.
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Research Guide Forms
PDF template
A comprehensive guide to finding and understanding legal forms in San Bernardino County, covering Judicial Council, local, and federal court forms.
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TUTORIAL CREATING A SCANNABLE SURVEY
PDF template
A comprehensive tutorial for creating optical mark read (OMR) survey forms using Bubble Publishing Form Shop software for scanning and data collection.
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Financial Agreement Appointment Reminders
PDF template
A comprehensive financial agreement outlining patient payment responsibilities, insurance billing, and appointment policies for counseling services.
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Patient Intake Form
PDF template
Comprehensive medical intake form for collecting patient personal and health information for medical treatment purposes.
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StudentSADD Dataset End User License Agreement
PDF template
License agreement for accessing and using the StudentSADD research database on student mental health during the COVID-19 pandemic.
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OBSTETRICAL Service Request Form
PDF template
Medical service request and authorization form for obstetrical services, used for processing healthcare claims and approvals
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Health Care Personnel (HCP) Baseline Individual TB Risk Assessment
PDF template
A screening form to evaluate tuberculosis risk factors for healthcare personnel
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PRESCRIPTION ORDER FORM
PDF template
A form for obtaining physician authorization for reimbursement of healthcare products and services requiring medical prescription.
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Transfer Request Form
PDF template
A form for requesting transfer of patient medical records to a new healthcare provider or facility.
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Troop Money Earning Event Approval Form
PDF template
A form for Girl Scout troops to request approval for fundraising activities and events.
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RESIDENCY APPLICATION FORM UDA 2023
PDF template
Application form for artistic residency program with comprehensive project submission requirements.
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Guideline For Data Security Requirements
PDF template
A comprehensive guideline for managing electronic data security in human subject research at the University of Rochester, outlining requirements for data collection, transmission, and storage.
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Health Care Program For Children In Foster Care (HCPCFC) Foster Care Medical (Specialty) Contact For
PDF template
A form for healthcare providers to document medical services and assessments for children in the foster care system.
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Friends Of The Sherrills Ford Terrell Library Membership Form
PDF template
A membership form for joining the Friends of the Sherrills Ford-Terrell Library, allowing community members to support local library programs through various donation levels.
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Cash Contribution Form
PDF template
A donation form for making financial contributions to Ridgewater College Foundation with various gift designation options.
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Cash Contribution Form
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A donation form for individuals to contribute financially to Ridgewater College Foundation, with options for gift designation and payment methods.
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Contribution Form
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A charitable donation form for contributing to various healthcare-related funds and programs at Stormont Vail Foundation.
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Contribution Form
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A donation form for contributing to various charitable funds at Stormont Vail Foundation, allowing one-time and recurring gifts.
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Contribution Form
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A donation form for contributing to the Pennsylvania Chamber of Business and Industry Educational Foundation, a 501(c)(3) organization.
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Southern State Community College Employee Contribution Form
PDF template
A form for employees to make charitable contributions to the Southern State Community College Foundation through payroll deduction or direct payment
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Gift Authorization Form Employee Payroll Deduction
PDF template
A form allowing employees of Yuba Community College District to authorize recurring payroll deductions for foundation gifts and scholarships.
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Employee Donation Payroll Deduction Form
PDF template
A form for employees to make charitable donations to support various initiatives at the OCCC Foundation through payroll deductions or one-time gifts.
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KCKCC Family Fund Contribution Form
PDF template
An annual employee giving campaign to support student scholarships and college initiatives at Kansas City Kansas Community College.
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Employee Payroll Deduction Pledge Form
PDF template
A form allowing employees to authorize recurring payroll deductions for charitable donations to the college foundation.
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Payroll Deduction AuthorizationChange Form
PDF template
A form for employees to authorize charitable donations through payroll deductions at Pierce College District.
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Payroll Deduction AuthorizationChange Form
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A form for Pierce College employees to authorize payroll deductions for charitable donations to the Legacy of Excellence Fund.
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Payroll Deduction Form
PDF template
A form for employees to enroll or modify payroll deductions for university foundation donations.
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PHS 398 Detailed Budget For Initial Budget Period
PDF template
A detailed budget form for requesting funding for a research project, covering personnel costs, expenses, and direct costs.
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Laboratory Requisition Form
PDF template
A comprehensive laboratory form for collecting patient blood samples and requesting various medical tests.
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Faith Pharmacy New Patient Intake Form
PDF template
Comprehensive medical intake form for new patients at Faith Pharmacy, collecting personal, insurance, and medical information.
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Intellectual Property Policy
PDF template
A comprehensive policy governing the creation, ownership, and management of intellectual property developed within the university's research and academic activities.
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Intellectual Property Policy
PDF template
Comprehensive policy governing intellectual property rights, technology development, and innovation at the university.
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Documentation Of The Bundesbank Online Panel Pilot Survey Of Firms
PDF template
Technical documentation for Wave 2 of the Bundesbank's online panel survey of firms, detailing survey methodology and coding procedures.
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PATIENT INTAKE FORM
PDF template
Comprehensive medical history and current health status form for patient therapy intake and medical assessment.
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FRAP Card Program Fiscal Year 1718 Policies Procedures
PDF template
Detailed policies for a university purchasing card exclusively for faculty research allocation program purchases with specific spending and usage guidelines.
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FRCT Mentor Declaration Form
PDF template
A form for research mentors to declare their commitment to supervising a student's research project and confirm regulatory compliance.
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Freeman Fellowship
PDF template
Fellowship program for ASCE members supporting engineering research, travel, publication, and professional development in hydraulic science and engineering.
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Freeman Fellowship Application
PDF template
An application form for engineering fellowship grants from the American Society of Civil Engineers (ASCE) supporting research, travel, and publication in hydraulic sciences.
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Free Medical Clinic Volunteer Application
PDF template
Application form for volunteers interested in working at a free medical clinic, requiring background checks and professional license verification.
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Fresh Catch Dinner Auction Family Requirement
PDF template
A required form for families to commit to volunteering or contributing to the school's annual fundraising auction event.
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Inmate Medication Information Form
PDF template
A comprehensive medical form capturing medication history, psychiatric treatment details, and contact information for incarcerated individuals.
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NEW PATIENT INTAKE FORM
PDF template
A comprehensive form for new pharmacy patients to provide contact, medical, and medication preferences.
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Join The Friends Personal, Gift, And Life Membership Form
PDF template
Membership form for joining Friends of Schmeeckle Reserve with various donation levels and membership options.
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Friends Of The Albany Public Library Membership Form
PDF template
Membership form for supporting the Albany Public Library with various donation levels and volunteer opportunities.
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Membership Form
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A membership form for supporting the Geology Museum with various membership levels and donation options.
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Volunteer Citizen Support Organization Manual
PDF template
A comprehensive manual for establishing and managing a Citizen Support Organization (CSO) for Virginia State Parks, covering nonprofit formation, volunteer guidelines, and organizational management.
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Friends Of The Willimantic Public Library Membership Form
PDF template
A form for individuals to join the Friends of the Willimantic Public Library and contribute to library support funds
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Friends Of The Nature Center Membership Registration Form
PDF template
Registration form for becoming a member of the Eleanor Buck Wolf Nature Center, offering various membership levels and options for individuals and families.
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Membership Form For Friends Of The Rosemary Garfoot Public Library
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A membership form for individuals interested in supporting the Rosemary Garfoot Public Library through membership and volunteer opportunities.
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Friends Of The Plainville Public Library Membership Form
PDF template
Membership form for supporting the Plainville Public Library with various membership levels and donation options.
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UMBC Friends Of The Library Gallery Membership Form
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Membership form for supporting the UMBC Friends of the Library & Gallery through various donation levels.
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Friends Of The Kalamazoo Public Library Membership Form
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Membership form for supporting the Kalamazoo Public Library with various donation levels.
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Cal Poly Pomona Friends Of The Library Membership Form
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Membership form for supporting Cal Poly Pomona's library through various annual and lifetime membership levels.
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Friends Of The Round Rock Public Library Membership Form
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Membership form for joining the Friends of the Round Rock Public Library with various membership levels and fee options.
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Friends Of The Library Membership
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Annual membership form for supporting the Sierra College Library with various membership levels and book-loan privileges.
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FRIENDS OF THEATRE MEMBERSHIP FORM
PDF template
A membership form for supporting the School of Theatre through various donation levels with associated benefits and recognition.
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Consent For COVID 19 Immunization
PDF template
A consent form for COVID-19 immunization at Alberta Health Services, to be used when a parent or alternate decision-maker cannot be present with the person being immunized.
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Amprion Clinical Laboratory Test Requisition Form
PDF template
Laboratory test request form for collecting patient information, test details, and diagnostic information for Amprion Clinical Laboratory.
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Amprion Clinical Laboratory Test Requisition Form
PDF template
Medical laboratory test request form for collecting patient, billing, and diagnostic information for laboratory testing.
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Medical Reimbursement Form
PDF template
A comprehensive checklist for submitting medical reimbursement claims to Mass General Brigham Health Plan, detailing required documentation and submission process.
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Consent Form
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Legal consent document for authors to grant publication rights and acknowledge privacy implications of manuscript publication.
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EMS DUTY OFFICER Provider Feedback Form
PDF template
A form used by Montgomery County Fire and Rescue Services to document and evaluate emergency medical service provider performance and incident details.
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OSAC Research Needs Assessment Form
PDF template
A form for documenting research needs in forensic science, specifically related to friction ridge skin examination and analysis.
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Health And Dependent Day Care Reimbursement Form
PDF template
Form for submitting health care and dependent day care expense claims under a Section 125 Cafeteria Plan for reimbursement.
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Faculty And Staff Contribution Form
PDF template
A form for faculty and staff to make financial contributions to various university programs and funds.
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Text, E Booking E Mail Consent Form
PDF template
Patient consent form outlining risks and conditions for electronic communication with healthcare providers.
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Fraser Street Medical Clinic New Patient Registration Form
PDF template
Comprehensive medical intake form for new patients collecting personal information, medical history, and current health symptoms.
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Virginia Tech Employee Software Sales Order Form
PDF template
A form for Virginia Tech employees to purchase software licenses and technology accessories at discounted rates.
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Pension Application Form
PDF template
An application form for becoming a member of the Future Super Pension Plan, collecting personal and tax information from prospective pension fund members.
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Forest Service Research Data Archive Submission Form A
PDF template
A form for Forest Service authors to submit research data packages to the Research Data Archive for publication and documentation.
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Volunteer And Docent Application Of Interest
PDF template
Application form for potential volunteers interested in supporting Florida State University's Coastal & Marine Laboratory through various roles and activities.
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CareDx Transplant Test Requisition Form
PDF template
Medical form for ordering transplant-related diagnostic testing with patient and clinical information details
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CareDx Lung Transplant Test Requisition Form
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Medical form for ordering diagnostic testing for lung transplant patients, used to track patient information and test requirements.
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Friends Of UE Music Membership Form
PDF template
Donation form for supporting the University of Evansville's Department of Music through various membership levels and contributions.
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Hawaii PRAMS Full Proposal Approval Form
PDF template
A form for researchers to request and obtain approval for using Hawaii Department of Health PRAMS data with required documentation and compliance guidelines.
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PENSION BENEFIT APPLICATION FORM
PDF template
A comprehensive pension benefit application form for members to provide personal, marital, and employment information to determine benefit entitlement.
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Discharge Form
PDF template
A comprehensive form for tracking patient discharge details, follow-up care, and medical conditions in a healthcare setting.
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Fund Contribution Form
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Donation form for making financial contributions to Charities Aid Foundation of America, including donor details and gift information.
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Special Contribution Form
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A donation form for contributing to wildlife and land conservation efforts in Massachusetts through Mass Audubon's Fund for Nature.
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ASB FUNDRAISING ACTIVITY FORM
PDF template
A form for pre-approval and tracking of fundraising activities by student organizations in a school district.
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Fundraising Approval Form
PDF template
A comprehensive form for documenting and obtaining approval for school fundraising activities within Williamsburg-James City County Public Schools.
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FUNDRAISING ACTIVITY CHECK OFF LIST
PDF template
Comprehensive checklist and procedural guidelines for conducting fundraising activities in a school environment, detailing approval and documentation requirements.
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Gallatin County 4 H Fundraiser Sponsorship Approval Form
PDF template
A form for 4-H clubs to request approval for fundraising activities and donations, requiring submission to the Gallatin County Extension office.
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Fundraising Event Checklist
PDF template
A comprehensive form for organizing and documenting fundraising events for the National MPS Society, including event details, requirements, and planning considerations.
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Fundraising Guideline Update
PDF template
Guidelines for fundraising policies and procedures for Girl Guides of Canada's Newfoundland and Labrador Council, detailing fundraising expectations and requirements.
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Fundraising Proposal Form
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A form for potential fundraisers to propose and submit details about an event or program to benefit the Alameda County Community Food Bank.
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Fundraising Proposal Form
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A form for student organizations to propose and document details of a fundraising event on campus.
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SUNY COBLESKILL FUNDRAISING REQUEST FORM
PDF template
A form for processing fundraising solicitations and proposals at SUNY Cobleskill through the Office of College Advancement.
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Funds Transfer Request Form
PDF template
A form for requesting non-payroll payments to be transferred to a bank account at the United Nations.
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FUND TRANSFER REQUEST FORM
PDF template
A form for requesting financial transfers between funds within an organization, requiring appropriate signatures and approvals.
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Funeral Home Reimbursement Form
PDF template
Form for reimbursing funeral homes for additional costs associated with preparing and reconstructing organ, tissue, or eye donors for family viewing.
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MEDICAL HISTORY FORM
PDF template
Comprehensive form for collecting patient personal information, medical history, and dental visit details
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Pre Authorization Form
PDF template
Medical form for patients seeking insurance pre-authorization for hospital treatment, documenting patient and medical details for insurance approval.
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Fort Worth Zoo Research Request Form
PDF template
A comprehensive form for researchers seeking to conduct studies involving animals at the Fort Worth Zoo, covering project details, animal interactions, and sample collection requirements.
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FY13 Annual Report Form
PDF template
Annual report documenting University Information Services (UIS) activities, accomplishments, and strategic alignment for fiscal year 2013.
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FY18 Giddens Auction Sample Procurement Letter
PDF template
A letter soliciting business donations for an annual school auction fundraising event in Seattle.
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Nonprofit Leadership Alliance Fiscal Year 2018 Board Of Directors Campaign Contribution Form
PDF template
A donation form for board members to contribute financially to the Nonprofit Leadership Alliance's mission of strengthening the social sector workforce.
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Maryland Statewide Medical Assistance Transport TransferDischarge Form
PDF template
A county health department form for documenting medical transportation needs and patient transfer details for medical assistance recipients.
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Organizational Membership Form
PDF template
Form for organizations to become members of MAPS with different membership levels and benefits
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Online Silent Auction Procurement Form
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A form for collecting donor and item information for a non-profit organization's online silent auction fundraising event.
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FacultyStaff Payroll Deduction Form
PDF template
Form for Widener University faculty and staff to set up recurring or fixed payroll donations to university funds.
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CFBNJ EVENT AGREEMENT FORM
PDF template
A form for organizing and approving fundraising events to benefit the Community FoodBank of New Jersey (CFBNJ)
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Sponsorship Opportunities
PDF template
Detailed sponsorship tiers for a golf event with various pricing levels and benefits
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BJS FY 24 Census Of Jails, 2025 And 2026 Solicitation
PDF template
A solicitation document for conducting a census of jails in 2025 and 2026, issued by the U.S. Department of Justice's Bureau of Justice Statistics.
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2024 WPI WIN Grant Application Form
PDF template
A comprehensive grant application form for WPI researchers and students seeking funding between $1,000 and $50,000 for various project types.
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Archaeology Grant Application Form
PDF template
A comprehensive form for archaeological project funding, requiring detailed landowner, property, and project information with a 50% matching fund requirement.
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Program Solicitation Sound Health Network
PDF template
Grant proposal guidelines for a program exploring connections between music, neuroscience, and health research and wellness
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FY25 Small Grants Program Instructions And Grant Application Form
PDF template
Comprehensive instructions for submitting a research grant proposal to the McDonnell Center for Systems Neuroscience with specific formatting and content requirements.
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FY25 Small Grants Program Instructions And Grant Application Form
PDF template
Comprehensive instructions for submitting small research grants with detailed application requirements and formatting guidelines.
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Patient Interview Form
PDF template
Comprehensive medical intake form for collecting patient demographic, health history, and contact information.
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GAANN Fellowship Application Form
PDF template
Application form for GAANN Fellowship at FIU, focused on AI and Cybersecurity research doctoral programs.
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Graduate Research Assistantship Application Form
PDF template
Application form for research assistantship positions at the University of Missouri-Kansas City's Bloch School of Management for graduate students.
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Graduate Assistantship Student Evaluation Form
PDF template
A comprehensive form to assess graduate assistants' performance, professional growth, and contribution to departmental objectives.
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GALA SPONSORSHIP PURCHASE FORM
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Form for purchasing sponsorship levels for a gala event supporting the Children's Museum of Oak Ridge
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Contribution Form
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A document outlining ways to contribute to the Galena Foundation through membership, donations, and planned giving.
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Gannon University Health Examination Form
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A comprehensive health form required for students to access university health services and on-campus housing at Gannon University.
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2021 Education Nomination Form
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A nomination form for the Grawemeyer Award in Education, used to submit candidates for educational achievement or work.
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New Patient Inquiries
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Comprehensive guide for new patients to register and schedule an appointment with the Geriatric Assessment Program at University of North Texas Health Science Center.
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GraduateResearch Assistantship Application Form
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Application form for graduate and research assistantships in the Department of Computer Science, requiring academic and professional details from applicants.
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Membership Form
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Form for joining or renewing membership in the UNL Garden Friends organization, with options for new membership and donations.
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Gas Rule No. 27.1 Access To Energy Usage And Usage Related Data
PDF template
Policy governing access to energy usage data by academic researchers, government entities, and agencies while protecting customer privacy.
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Gastrointestinal Order Form
PDF template
A comprehensive medical order form for managing student's gastrointestinal, feeding, suction, catheterization, and ostomy care needs during the school year.
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PATIENT MEDICAL HISTORY FORM
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Comprehensive medical history form for patients at Gateway ENT to collect personal health information, medical history, and family health background.
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Gateway To Nucala Enrollment Form
PDF template
Enrollment form for healthcare providers to prescribe and administer Nucala medication, including prescriber and clinical information.
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Gingerbread Extravaganza Entry Form
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Entry form for a community gingerbread house decorating competition with multiple age categories and judging criteria.
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Gingerbread House Decorating Competition Entry Form
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Entry form for a gingerbread house decorating competition with multiple age categories and fundraising purpose.
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MedicalEmergency Information And Waiver Of Liability And Parental Consent Form
PDF template
A comprehensive medical information and liability waiver form for participants in Great Bay Rowing activities, collecting emergency contact details and medical history.
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PHS 398 (DHHS Public Health Service Grant Application)
PDF template
Notice about updated National Institutes of Health grant application forms and instructions for submission
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Authorization Disclosure Of Confidential Information
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A form authorizing the release of confidential medical information to a specified healthcare facility with patient consent and time-limited authorization.
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Global Counseling Patient Intake Form
PDF template
Comprehensive medical intake form for counseling services, collecting patient personal and insurance information.
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GDBBS Advisor Advisee Agreement Form Instructions
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Instructional document for GDBBS Ph.D. students to complete their advisor-advisee mentoring and research commitment form by their second year.
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Medical Claim Form
PDF template
Comprehensive guide for completing and submitting medical insurance claims to GEHA, including instructions for in-network and out-of-network claims.
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GEIVEX Fellowship Application Form For UIMP Course
PDF template
Application form for fellowship candidates interested in a specialized course on extracellular vesicles in biomedicine.
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Howard University Graduate School GEM Fellowship Application Form
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Application form for graduate students applying for the GEM Fellowship at Howard University Graduate School.
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EBLEN CHARITIES GENERAL MEDICAL INTAKE PROCESS
PDF template
A comprehensive intake form for applicants seeking assistance from Eblen Charities, requiring personal and financial documentation.
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YMAHE Health Assessment Form
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Comprehensive health assessment form for first-year students requiring medical history, vaccination records, and physical examination details.
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Bridge To Wellness Wellbeing Program General Medical Form
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A form for employees to document preventative medical, dental, eye, and dermatology examinations for a workplace wellness program.
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ACS CAN Membership Form
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A form for individuals to join and support the American Cancer Society Cancer Action Network (ACS CAN) with various donation levels.
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GENERAL REFERRAL FORM
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A comprehensive medical referral form for scheduling various imaging procedures at Cedars-Sinai Medical Center.
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General Release And Medical Information Form
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A comprehensive form for youth program participants covering medical information, emergency contacts, and liability release for recreational activities.
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Glenville State University Reasonable Accommodation Medical Verification And Inquiry Form
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A form for employees to request medical accommodations at Glenville State University, involving medical verification and authorization for information release.
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General Test Request
PDF template
A comprehensive medical test request form used for submitting patient specimens and information to Mayo Clinic Laboratories for diagnostic testing.
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Partners HealthCare System Research Consent Form
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A comprehensive consent form template for medical research studies detailing participant rights and study participation guidelines.
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GENERAL RESEARCH GRANT APPLICATION FORM
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Application for general research grants from Terumo Aortic, covering non-product-specific research support.
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General Test Requisition
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A comprehensive medical test requisition form for healthcare providers to submit specimens for laboratory testing, covering various health conditions and tests.
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University Health Report
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Comprehensive health form for Northeastern University students requiring vaccination documentation and personal health information
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Vaccine Administration Record (VAR)Informed Consent For Vaccination
PDF template
A comprehensive form for collecting patient information and consent for vaccination at Walgreens.
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MEDICAL HISTORY AND RELEASE FORM
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Medical history and consent form for DeMolay participants under 21 years of age, including health history and liability release.
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Pre Authorized Debit (PAD) Agreement
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A pre-authorized debit agreement for the Roman Catholic Parish allowing automatic bank account debits for invoices or payments.
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Physician Referral Form
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A comprehensive medical referral form for routing patients to various medical specialties at Emory Healthcare.
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Genesis Contribution Form
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A donation form for contributing to various patient care programs and services at Genesis HealthCare System.
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University Restricted Fund (URF) Budget Setup And Adjustment Form
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A form for allocating and adjusting budget for funds deposited at the university cashier's window, requiring detailed financial information and approvals.
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UKHC Genomics Core Laboratory Microarray Service Request Form
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A form for requesting microarray genetic testing services at the University of Kentucky Health Care Genomics Core Laboratory.
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GeoMx DSP Service Request Form
PDF template
A service request form for submitting samples to the UVA Biorepository & Tissue Research Facility for GeoMx digital spatial profiling analysis.
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GESIS Panel.Dbd Submission Form
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A submission form for academic researchers to propose questionnaire modules for integrated online survey and web tracking data collection.
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Patient Intake Form
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Comprehensive patient intake document for healthcare services, collecting personal, contact, and medical information with insurance and consent provisions.
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New Patient Intake Form
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Comprehensive medical intake form for new chiropractic patients, collecting personal information and detailed health history.
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Grant Application Form
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Comprehensive form for non-profit organizations seeking funding from the Gupta Family Foundation, covering organizational details, financial information, and funding request.
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Laboratory Specimen Collection Form
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A detailed form for collecting patient and specimen information for laboratory testing and analysis.
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Quartz Medicare Advantage (HMO) Quartz CashCard Reimbursement Form
PDF template
Form for Medicare members to request reimbursement for fitness memberships or medical transportation rides using their Quartz CashCard.
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Dental Claim Form
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A comprehensive form for submitting dental insurance claims, capturing patient, subscriber, and dental service details.
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Pre Participation Physical Evaluation History Form
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Official medical evaluation form for student-athletes participating in Georgia high school sports, detailing medical history and physical examination requirements.
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Short Term Individual And Peer Group Fellowship Program
PDF template
A fellowship program for early-career scholars in humanities, arts, and social sciences at the Global Institute for Advanced Study in Budapest.
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Michigan Gastrointestinal Illness Complaint Interview Form
PDF template
A comprehensive form for documenting and investigating gastrointestinal illness complaints, patient information, and medical details.
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Gift Acceptance Report (GAR) Form
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A form for documenting and processing gifts received by a university's Advancement Services department, including donor and gift details.
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Gift Agreement Form
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A document for donating items to the Townsend Historical Society, detailing donor information and gift acceptance process
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LSU SVM Gift Contribution Form
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A form for making financial contributions to support various programs and funds at the LSU School of Veterinary Medicine.
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Gift Contribution Form
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A donation form for contributing to various funds within the Virginia Tech College of Veterinary Medicine
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CHARITABLE CONTRIBUTION FORM
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A form for making charitable contributions to UAB, allowing donors to specify donation amount, payment method, and publication preferences.
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Gift In Kind Acceptance Form
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A form for documenting and processing non-monetary donations to the university foundation, with specific instructions for submission and documentation.
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Gift In Kind Contribution Form
PDF template
A form for documenting non-cash donations to a university, including details for tax and record-keeping purposes.
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Gift In Kind Contribution Form
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A form for donors to document non-cash contributions to Kansas Wesleyan University, with tax reporting guidance.
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GIFT IN KIND CONTRIBUTION FORM
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A form for documenting non-cash donations to California State University Stanislaus Foundation
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Gift In Kind Contribution Form
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A form for documenting and reporting non-cash donations to the NCCU Foundation with tax guidance for donors.
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IN KIND CONTRIBUTION FORM
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A form for donors to document non-monetary contributions to the Judson Center non-profit organization.
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Gift In Kind Contribution Form
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Form for documenting and recording in-kind contributions to the NCCU Foundation with tax guidance for donors.
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GIFT IN KIND CHECKLIST
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A form for documenting and approving gifts of tangible personal property to Indiana University of Pennsylvania (IUP)
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GIFT IN KIND CONTRIBUTION FORM
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Form for documenting non-monetary donations to the Chattahoochee Tech Foundation, capturing donor details and contribution information.
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Gift Membership Form
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A form for purchasing gift memberships to support the North Carolina Botanical Garden's programs and activities.
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Gift Membership Form
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A form for purchasing membership as a gift to another person in the League of Women Voters of Portland organization
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Gift Membership Form
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A form for purchasing gift memberships to Mass Audubon at various membership levels and contribution amounts.
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Payroll Deduction Form For Charitable Contributions To The University Of California, Santa Barbara
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A form allowing employees to set up monthly charitable contributions to the UCSB Foundation's Sustainable Transportation Fund through payroll deduction.
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Je SRP1(EPSRC)
PDF template
Research proposal form for the Engineering & Physical Sciences Research Council (EPSRC) with details of a proposed research project.
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Camper Medical Form
PDF template
Medical form for assessing a camper's health status, medical conditions, and fitness for camp participation.
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GINGERBREAD HOUSE COMPETITION ENTRY FORM AND RULES
PDF template
A community competition for creating gingerbread houses with multiple entry categories and cash prizes, benefiting the Dracut Food Pantry.
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Health And Medical History Form
PDF template
A comprehensive medical history and health information form for American Heritage Girls members, valid for 12 months.
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Girl Scouts Contribution Form
PDF template
A fundraising form for individuals and corporations to make financial contributions to support Girl Scouts programs and mission.
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Girl Scouts Health History And Medical Examination Form For Minors
PDF template
Comprehensive medical and health history form for Girl Scout participants to capture essential health information and emergency contact details.
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Health History And Medical Examination Form For Minors
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Comprehensive medical form for collecting health information and medical history for Girl Scouts participants under 18 years old.
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Employee Payroll Deduction Form
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A form allowing employees to authorize recurring or one-time payroll deductions for various college funds and programs.
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GLADEL PRESENTATION OF RESEARCH PROJECTS (FINAL) STANDARD OPERATING PROCEDURES (SOP)
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Standardized procedures for submitting and managing research projects within the GLADEL network, including project approval, reporting, and publication requirements.
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GLAD Program Participation Agreement Form (2022 23)
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A formal agreement outlining the mission, selection process, services, and responsibilities for visiting scholars participating in the GLAD Program at the University of Georgia.
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Short Term Disability Claim Form Statement Of Employee
PDF template
A comprehensive form for employees to file a short-term disability claim with detailed personal, employment, and medical information.
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Long Term Disability Claim Form PhysicianS Statement
PDF template
A comprehensive medical form for submitting a long-term disability insurance claim, requiring detailed patient and medical information.
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Global Mamas Health Emergency Contact Form
PDF template
A comprehensive medical and contact information form for Global Mamas organization, collecting personal details and health history.
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Preparing And Submitting Work For Cambridge Global Perspectives Using Submit For Assessment
PDF template
Detailed guidance for submitting academic work for Cambridge Global Perspectives syllabuses across different levels and components.
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Center For Endocrine Tumors And Disorders Patient Intake Form (Dr Goldfarb)
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Comprehensive medical intake form for patients with endocrine-related health concerns, collecting personal, medical, and medication history.
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Golf Fore The Cause Donation Form
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Donation form for a fundraising event benefiting VNA's Parenting Support Services, collecting donor and donation details.
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Google PhD Fellowship
PDF template
A fellowship program providing tuition and stipend support for PhD students in research areas of interest to Google, with a focus on diverse applicants.
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2021 Sponsor Ticket Purchase Form
PDF template
Annual fundraising event sponsorship and ticket purchase form for Community Helping Place, a local nonprofit organization.
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OSU CHS Biomedical Science Graduate Advisory Committee Meeting Attendance Form
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A form for documenting annual graduate student advisory committee meetings in biomedical science graduate programs.
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Grade Appeal Form
PDF template
Form for students to request a review of their academic grade at Washington University School of Medicine.
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DEPARTMENT OF BIOENGINEERING GRADUATE STUDENT EVALUATION FORM
PDF template
A comprehensive evaluation form for tracking graduate student progress in bioengineering, including research, coursework, and job assignments.
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DEPARTMENT OF BIOENGINEERING GRADUATE STUDENT EVALUATION FORM
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A comprehensive self-evaluation form for bioengineering graduate students to assess their research, academic, and professional development progress.
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Expectations Mentorship Agreement Form Graduate Student Advisor
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A comprehensive agreement outlining expectations, conduct, degree process, and funding for graduate students and their academic advisors.
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Graduate Student Check Out
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A form for graduate students to complete administrative tasks and procedures before leaving their academic program
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2022 AABP Conference Graduate Student Research Summaries Competition
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Scoring rubric for evaluating graduate student research presentations at the AABP conference across multiple categories.
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Getting The Supervisory Relationship Off To A Good Start
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A document designed to establish clear communication and expectations between graduate students and their academic supervisors at McMaster University.
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Graduate Associate Appointment Document
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Comprehensive guidelines for graduate associate appointments, including duties, stipends, and employment conditions at a university.
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Graduate Student Evaluation Form
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A comprehensive evaluation form for graduate students in Fish and Wildlife Conservation, tracking academic performance, research progress, and professional development.
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Graduate Faculty Nomination Form
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A form for nominating faculty members to teach and serve on graduate student committees at Oregon State University.
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Graduate Student Evaluation Form
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An annual evaluation form for graduate students in the Department of Anthropology at Texas A&M University to document academic progress and research activities.
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THESIS PROJECT FORM
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A formal academic document for tracking and approving a graduate thesis project in Forensic/Clinical Psychology.
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Graduating Senior Survey Graduated In 2003 2004 Academic Year
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Survey documenting student involvement in various academic and extracurricular activities during undergraduate years.
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General Outpatient Referral Form
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A medical referral form for patients seeking healthcare services at Grady Health System in Atlanta, Georgia.
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Graham Foundation INQUIRY FORM WORKSHEET
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A preparatory worksheet for applicants seeking grants from the Graham Foundation for various project types in 2017.
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Grant Application Form
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A grant application form for charities seeking funding from Theirworld to support children and young people's development and education.
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Grant Application Form
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A comprehensive grant application form for funding research and projects at the Mater Hospital Foundation in Dublin, Ireland.
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Grant Application Form
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Comprehensive form for submitting research grant proposals to the International Essential Tremor Foundation (IETF)
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Chilliwack Foundation Grant Application Form
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A comprehensive form for non-profit organizations to apply for capital project grants from the Chilliwack Foundation in British Columbia, Canada.
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Grant Application Form
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Application form for organizations seeking grant funding from the Ray Charles Foundation
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CARTA Interdisciplinary Seed Grant Opportunity Application Form
PDF template
Application form for research seed grant funding within the College of Communication, Architecture + The Arts at Florida International University.
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Jones Family Foundation Grant Application
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A comprehensive grant application form for non-profit organizations seeking funding from the Jones Family Foundation.
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Archaeology Grant Application Form
PDF template
A comprehensive grant application for archaeological research and preservation projects within Utah, requiring 50% matching funds.
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College Of Arts And Sciences Grant Proposal Cover Sheet
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A comprehensive cover sheet for submitting research grant proposals with details about funding, teaching replacements, and cost-sharing.
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Grantee Technology Transfer Checklist
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A comprehensive guide for researchers on technology transfer processes, barriers, and strategies for successful assistive technology development and commercialization.
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GRCC Grant Project Information Form
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A comprehensive form for submitting grant project proposals, capturing project details, budget, and strategic priorities.
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PEARL RIVER COMMUNITY COLLEGE GRANT PROPOSAL FORM
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A comprehensive form for submitting and obtaining institutional approvals for grant proposals at Pearl River Community College.
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Grant Proposal Form
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A comprehensive form for non-profit organizations seeking funding from the McHenry Area Rotary Charitable Foundation Inc.
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Discovery Grant Application Form
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A 3-month grant application for researchers seeking access to a cooperative computational resource cluster at Dartmouth.
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Grant Submission Form
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Form for submitting grant proposals to the Grants Management Office (GMO) with comprehensive proposal details and submission instructions.
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GRANT APPLICATION FORM
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A form for researchers to apply for grant support for attending an astronomical meeting or conference.
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IAU Grant Application Form For Scientific Meetings
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A grant application form for scientific meetings hosted by the International Astronomical Union outside of their General Assemblies.
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Grateful Patient Contribution Form
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A form for patients to make tax-deductible contributions to support endodontic research, education, and awareness.
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Gr. K 8 Research Plan SRC (Scientific Review Committee) Approval Form
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A form for K-8 students to obtain approval for research projects involving sensitive subjects or materials.
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GRMC Foundation Contribution Form
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A tax-deductible donation form for supporting various fundraising categories at Gila Regional Medical Center Foundation.
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Pre Authorisation Form Group Care
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A medical insurance form for requesting cashless hospitalization, to be filled by the patient and treating doctor
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Group Short Term Disability Claim Form
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A comprehensive form for filing a short-term disability insurance claim with Dearborn National, capturing employee medical and income details.
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Guest Student Checklist
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Comprehensive onboarding instructions for guest students at Woods Hole Oceanographic Institution, covering check-in, COVID-19 vaccination, ID, intellectual property, and required trainings.
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Guest Student Checklist
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Comprehensive checklist for guest students arriving at Woods Hole Oceanographic Institution covering check-in procedures, COVID-19 vaccination, identification, and intellectual property requirements.
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GSEF Participation Forms
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Comprehensive document outlining required forms and checklists for student research projects participating in science fairs.
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Approval Form (1B)
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Official form for documenting approval and compliance for science fair research projects involving regulated research or potentially sensitive experimentation.
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Risk Assessment Form (3)
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A form for identifying and assessing potential risks and safety precautions for science fair research projects involving hazardous materials or participants.
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Potentially Hazardous Biological Agents Risk Assessment Form (6A)
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A comprehensive form for assessing biological research risks and safety protocols for student science fair projects involving microorganisms and biological agents.
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Girl Scouts Health History And Medical Examination Form For Minors
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Comprehensive health history and medical examination form for Girl Scout participants to document medical information and insurance details.
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REQUEST FOR PROPOSALS Oracle Customer Cloud Service (CCS, OUAV, OUTA), Oracle Cloud Infrastructure (
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Request for competitive proposals for Oracle cloud system managed services and support for Greenville Utilities Commission.
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Guest Medical Information Form
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Confidential medical form for assessing guest fitness and suitability for an Antarctic expedition, collecting comprehensive health history.
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Guidance Obtaining Consent From Subjects With Limited English Proficiency
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Detailed guidance for obtaining informed consent from research subjects with limited English proficiency, covering different interpreter scenarios.
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Guidance Document Interpreting 6VAC35 170 Review And Approval Of Data Requests And Research Proposal
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Provides process for reviewing and approving external data requests and research proposals within Virginia's juvenile justice system while protecting individual privacy and safety.
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Guidance For Obtaining Informed Consent Remotely
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A comprehensive guide for research teams on obtaining informed consent through alternative methods, considering risk levels and regulatory requirements.
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Consent Form Guidance
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Comprehensive guidance for investigators on drafting consent forms and obtaining informed consent for research studies.
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Re Thinking Of Fashion In Research And Artist Collaborating Development For Urban Manufacturing Guid
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A collaborative research project inviting artists and designers to team up with scientists to reimagine fashion manufacturing processes through innovative technology and sustainable approaches.
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Guidelines For Acceptable Documentation
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Comprehensive guidelines explaining acceptable documentation for medical and personal circumstances affecting academic course completion.
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Illinois Indiana Sea Grant College Program Guidelines For Completing The Budget Form (90 4) And Narr
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Guidelines for preparing budget forms and narratives for Sea Grant College Program grant proposals with matching fund requirements.
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GSU COB Intellectual Contribution Form
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A form providing guidelines for documenting research plans, publications, and professional development activities for Georgia State University College of Business faculty members.
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Institutional Review Board (IRB) Instructions
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Guide for researchers to understand and navigate the Institutional Review Board process for human subjects research.
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REIMBURSEMENT FORM
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Form for submitting optical services reimbursement to General Vision Services by members.
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Medical History Form
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A comprehensive form for collecting patient medical history, health details, and emergency contact information for dental service purposes.
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COVID 19 CVD Registry Powered By Get With The Guidelines Investigator Initiated Research Proposal Fo
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A form for researchers to submit investigator-initiated research proposals related to the COVID-19 Cardiovascular Disease Registry by the American Heart Association.
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Get With The Guidelines Quality Improvement Research Opportunity
PDF template
Request for research proposals focused on intracerebral hemorrhage (ICH) stroke using Get With The Guidelines data collection.
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Permission To Contact For Research
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A form allowing Gulf War veterans to authorize contact for potential research participation in a biorepository brain bank study.
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Reimbursement Request Form
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A form for members to request reimbursement for eligible healthcare services paid out-of-pocket.
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Influenza Sentinel Provider Report Form
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Comprehensive medical reporting form for tracking influenza cases, patient information, clinical data, and laboratory test results.
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PATIENT INTAKE FORM
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Comprehensive form for collecting patient personal, contact, insurance, and medical information for healthcare providers.
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Request For Hospital DischargeTransfer Approval Form (H 804)
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A medical form for documenting tuberculosis patient discharge, medication regimen, and transfer details for healthcare providers.
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Attainable Homeownership Tax Credit Donor Contribution Form
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A form for donors to claim tax credits for contributions to Habitat for Humanity's homeownership initiatives in Indiana.
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Larry J Hackman Research Residency Application Form
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Application form for the Larry J. Hackman Research Residency program at the New York State Archives, designed for researchers seeking to conduct archival research.
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2016 Haiti Mission Trip Payroll Deduction Form
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A form for employees of Morehouse School of Medicine to make a financial contribution to a Haiti Mission Trip through payroll deduction or direct payment.
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Contribution Form
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A donation form for making financial contributions to Halcyon, with options for payment frequency and method.
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Halifax Community College Foundation Inc. Gifts Of Stock Contribution Form
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A form for donating stock to the Halifax Community College Foundation for various funds and purposes.
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Internship Application Form
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Application form for students seeking internship opportunities at the Hampton University Proton Cancer Institute.
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Harold B. Hancock Research Fellowship
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A fellowship program offering research opportunities at the Delaware Public Archives focused on state and local history before 1980.
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M.S. Program Handbook
PDF template
Comprehensive guide for the Master of Science in Chemistry program at the University of Texas at San Antonio, detailing curriculum, research options, and program objectives.
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University Of Toronto Hand Fellowship Application Form
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Application form for medical professionals seeking a hand surgery fellowship at the University of Toronto.
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XAVIER HAP 2024 Personal Health History
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A comprehensive medical history form for students, to be completed by parents or guardians before submitting to a medical provider.
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Hardship Refund Request Form
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Policy detailing conditions and process for students to request tuition refunds due to exceptional medical or family circumstances.
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MC Hardware Request
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A form for requesting computer hardware for Montgomery College employees, with options for remote work and instructional needs.
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The Harrington Public Affairs Fellowship Program For Undergraduates
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A fellowship program for Clark University undergraduates in Political Science to support research, service projects, and academic conference participation.
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Harris Victory Fund Contribution Form
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Donation form for contributing to the Harris Victory Fund, allowing personal check or credit card contributions.
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Hawaii HIPAA Authorization For Release Of Information
PDF template
A form allowing patients to authorize the release of their personal health information to specified individuals or organizations.
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Registration Form
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Comprehensive registration form for healthcare services, collecting patient demographic, contact, insurance, and medical history information.
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REQUEST FOR MEDICAL ELIGIBILITY DETERMINATION
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A form for assessing an individual's medical care needs and eligibility for healthcare services or facilities.
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Provider Enrollment Form
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Comprehensive form for healthcare providers to enroll and provide professional details for credentialing and practice information.
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Radiology Exam Order Form
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A comprehensive form for ordering radiology examinations, collecting patient, provider, and insurance information for medical imaging services.
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1500 Health Insurance Claim Form
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Standard medical claim form used for submitting healthcare insurance reimbursement requests.
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Patient Intake Form
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Comprehensive patient registration form collecting personal, demographic, and healthcare-related information.
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OHSU Referral Form
PDF template
A comprehensive medical referral form for patients being referred to various specialty departments at OHSU (Oregon Health & Science University).
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Health Care Provider Accommodation Assessment Form
PDF template
A form for employees to request reasonable workplace accommodations by obtaining medical documentation from their healthcare provider.
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Health Care Provider Examination Form
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A comprehensive healthcare provider form for documenting medical examinations, immunization history, and patient assessments.
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Detailed guidelines for completing the CMS-1500 healthcare claim form with specific instructions for each field.
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Medical immunization and health screening form for SUNY State College of Optometry credentialing purposes.
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Tips For Claim Submission
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Comprehensive guide for submitting medical expense claims, including eligible expenses, documentation requirements, and over-the-counter medication rules.
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Expense Reimbursement Voucher For Healthcare Flexible Spending Account (Healthcare FSA)Health Reimbu
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Medical form used by students to document health status, current conditions, and activity clearance for university health services.
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Comprehensive health assessment form for students in New York State, documenting medical history and physical examination details.
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Certificate Of Child Health Examination
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Official state document for recording child's health examination and immunization records.
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Form for submitting healthcare service reimbursement claims through Independent Health's Health Extras program.
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Comprehensive health form for documenting medical history and emergency contact information for Girl Scouts participants and volunteers.
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Physical Examination Form
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Medical form for documenting a child's physical health status and ability to participate in a child care program.
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Health Records Form
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Comprehensive health documentation required for student enrollment at Bennett College, including immunization records and medical consent forms.
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Medical History Form
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Comprehensive medical history form for students collecting personal health information, medical conditions, and health maintenance details.
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Medical History Form
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Comprehensive medical history form capturing patient's health status, previous illnesses, and current medical conditions.
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Health History Physical Exam Form
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Confidential medical history form for Allied Health and Nursing students at Minnesota West Community and Technical College to document health status and medical background.
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MEDICAL HISTORY FORM
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Comprehensive medical history form for patient intake, collecting personal health information, medical conditions, and allergies.
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Health Information Form
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Detailed medical history and personal health form for participants, collecting comprehensive health information and emergency contact details.
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Medical Claim Form
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Authorization For Use Or Disclosure Of Protected Health Information
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Medical examination form for students enrolling in various healthcare and child care educational programs to assess physical fitness and health status.
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Health Professions Personal Medical History Form
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Medical documentation form for health professions students to submit immunization and health screening records for clinical experiences.
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Medical documentation form for students in nursing, pharmacy, physician assistant, and dietetic internship programs, requiring immunization history and verification.
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ETA FORM 653 Job Corps Health Questionnaire
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Health Risk Assessment Form
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Health Savings Account (HSA) Contribution Form
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Physical Examination Form
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Health Services Student Medical Form
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MCPS Form SRS 6 Student Record Card 6
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A comprehensive health form for students entering Maryland public schools, requiring medical examination and immunization documentation.
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Meningitis And Hepatitis B Immunization Health History Form
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Comprehensive form detailing immunization requirements for students, including MMR, Varicella, and Tuberculosis skin test documentation guidelines.
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School Health Services Health Survey Form
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Healthy Colony Checklist
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Medical Form
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Medical history and immunization form for students, requiring detailed health information and parental consent.
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Medical Form
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Comprehensive medical history and immunization form for students, requiring detailed health information to be completed by parents/guardians and physicians.
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2024 Arthur C. Helton Fellowship Program
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A fellowship program providing $2,000 grants for law students and new professionals to conduct international law and human rights research.
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Hepatitis B Vaccination Waiver Form
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Form for students to decline Hepatitis B vaccination while acknowledging potential health risks from occupational exposure.
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NIDDK Hepatology Fellowship Application Form
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Application form for individuals seeking a hepatology fellowship at the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
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Faculty Staff Payroll Deduction Form
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A multi-party confidentiality agreement for potential research and business collaboration involving exchanging sensitive information.
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Payroll Deduction Form HERO Employee Giving Campaign
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Form for employees to make charitable donations via payroll deduction to Mercy Foundation supporting various medical center initiatives
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Parental Consent Form Highlighting Effective Teaching Strategies (HETS) Project
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PATIENT FRIENDLY BILLING PATIENT GLOSSARY OF BILLING TERMS
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A comprehensive guide to commonly used financial terms in healthcare billing, designed to improve patient understanding of medical financial communications.
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HFRCS Auction Committee 2017 Donation Form
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HFT Sample IRB Consent Form
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Consent document for using human fetal tissue collected during abortion for research purposes, ensuring voluntary donation without coercion.
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Consent For Total Body Donation
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A legal form for next of kin to consent to donating a deceased person's body for anatomical study and research.
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NYCHHC HIPAA Authorization To Disclose Health Information
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A form authorizing the release of personal medical and health information with specific privacy protections and consent requirements.
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Hickory Hill Member Family Emergency Contact Form
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A form for collecting emergency contact and medical authorization details for club members and their families.
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Texas Health And Human Services Acronym Guide
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A comprehensive list of acronyms used by Texas Health and Human Services covering various healthcare and administrative terms.
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HHS Parent Volunteer Form
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High Level Grant Application Form Change Summary FORMS G
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Summary of changes to NIH and AHRQ grant application forms for submissions due after January 25, 2022
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NCIEC Healthcare Interpreting Fellowship Application Form
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Application form for healthcare interpreters seeking a professional fellowship program in medical interpreting across multiple US locations.
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Waiver form for non-employees, including visitors, interns, volunteers, and researchers under 18 years old visiting the Hawai'i Institute of Marine Biology property.
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Patient Intake Form
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Comprehensive medical questionnaire collecting patient personal, insurance, and health history information for medical providers.
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FDNY HIPAA AUTHORIZATION TO DISCLOSE HEALTH INFORMATION
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Form authorizing the release of personal health information with specific consent parameters and privacy protections.
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HIPAA Compliance Patient Consent Form
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A form detailing patient consent for healthcare information usage, disclosure, and privacy practices under HIPAA regulations.
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Authorization For Release Of Health Information Pursuant To HIPAA
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Official form allowing patient authorization for release of sensitive medical information in compliance with HIPAA regulations.
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HIPAA Acknowledgement And Medical Information Release Form
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A form for patients to authorize release of medical information and provide contact preferences for communication.
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Privacy Complaint Form
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A form for patients to submit written complaints regarding privacy and confidentiality of protected health information.
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A comprehensive checklist for removing HIPAA-defined personal identifiers from research data before submission to a repository.
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HIPAA Privacy Authorization Form
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A form authorizing the use and disclosure of protected health information (PHI) in compliance with HIPAA regulations.
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Friends Of Hawaii State Art Museum Membership
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A membership form for supporting and contributing to the Hawaii State Art Museum's local arts community.
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Histology Service Request Form
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A detailed form for requesting histology laboratory services including tissue processing, sectioning, and staining.
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Histology Service Request Form
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HSS Histopathology Service New Project Request
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Membership registration form for joining the Wyandotte Historical Society with various membership levels and pricing options.
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Medical History Form
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Comprehensive medical form for capturing patient health history, symptoms, and medical conditions across various body systems.
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HIV Case Report Form
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Minors In Research Laboratories
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Procedure defining requirements and safety guidelines for minors under 18 participating in university research laboratory activities.
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Mini Grant Application
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Harvard Outing Club Medical Form
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Item Donation Form
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Form for donors to submit details about an item being donated to a Homage Senior Services auction fundraiser.
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Application form for students seeking honors designation in psychology research, requiring project details, mentor information, and research presentation plans.
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Honors Thesis Submission Form
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Formal document for submitting an undergraduate honors thesis at the University of Florida with signatures and access permissions.
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Connecticut College Honors Thesis Submission Form
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Hooper DSC Referral Form
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Hospital Discharge Form
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How To Choose The Correct Proof Of Insurance Form
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SUNY Oswego ORSP HOW TO DOCUMENT
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Guidance for SUNY Oswego researchers on hiring and managing independent contractors for research projects, including payment and facility access procedures.
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Informed Consent Form Guidelines
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Comprehensive guidelines for developing a research participant informed consent document outlining required elements and key information disclosure standards.
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Medical Release Form
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Comprehensive medical form for participants of High Plains Music Camp, collecting personal, medical, and emergency contact information.
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Archaeological Reports Inventory Form
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A standardized form for documenting archaeological site investigations, survey techniques, and research details.
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Wisconsin Archeological Site Inventory Form
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Official form for documenting and recording archeological site details and location information in Wisconsin.
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Health Professions Recruitment And Exposure Program 2022 Parental Consent Form
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Consent form for minor students participating in a medical education recruitment and exposure program at Weill Cornell Medical College.
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PARENTAL CONSENT FORM
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Consent form for minors to participate in the Health Professions Recruitment and Exposure Program at Weill Cornell Medical College.
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Entity Professional Liability Insurance Application
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An insurance application form for healthcare entities seeking professional liability coverage for their practice and healthcare professionals.
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Medical History Form
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Comprehensive form for documenting patient medical history, conditions, and potential health issues
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Health Reimbursement Account (HRA) Claim Form
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A form for employees to submit healthcare expense reimbursement claims through their Health Reimbursement Account (HRA)
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Health Research Institute Membership Form
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Form for faculty members to apply for membership in the Health Research Institute, requiring personal details and departmental approval.
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Claim Form
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A form for seeking reimbursement of eligible out-of-pocket expenses with participant certification and submission instructions.
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Health Savings Account 2023 Payroll Deduction Contribution Form
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Form for employees to start, stop, or change Health Savings Account (HSA) contributions through payroll deductions.
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Health Savings Account 2024 Payroll Deduction Contribution Form
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Form for employees to start, stop, or change Health Savings Account (HSA) contributions through payroll deductions for the 2024 plan year.
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Health Savings Account (HSA) Contribution Form
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A form for individuals to make contributions to their Health Savings Account through various deposit methods.
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Health Savings Account Employer Contribution Form
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A form for employers to make contributions to employee Health Savings Accounts with specific contribution details and authorization.
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Health Savings Account Payroll Deduction 2021
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Form for employees to authorize health savings account contributions through payroll deduction for qualified high deductible medical plans.
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BlueFund HSA Payroll Deduction Form
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A form for employees to set up payroll deductions for a Health Savings Account (HSA) with contribution guidelines and instructions.
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Health Savings Account (HSA) Transfer Request Form
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Health Contact Form
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A bilingual form for tracking medical, dental, and health visits for foster children in Sonoma County
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Physical Examination Form
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A comprehensive medical physical examination form for nursing students at Mennonite College of Nursing, Illinois State University.
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HSR Special Risk Claim Form Fill Able
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Comprehensive guide for filing a special risk insurance claim, detailing required documentation and submission process.
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Sample Informed Consent Form
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A template for creating an informed consent form for academic research studies, outlining participant rights and study details.
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MASTERSPHDRESEARCH PROPOSAL FORM (HUMAN AND SOCIAL SCIENCES)
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A comprehensive form for submitting research proposals in the College of Humanities for Masters and PhD programs.
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ParentGuardian Consent Form For Children And Youth
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A consent form for parents/guardians to authorize their children's participation in church-sponsored activities and provide medical information.
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Harvard Summer Undergraduate Research Village Applicant Evaluation Form
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Comprehensive evaluation form for recommending undergraduate students to a summer research program, capturing detailed insights about applicant's research potential and community engagement.
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DOD FY24 Neurofibromatosis Investigator Initiated Research Award
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A funding opportunity announcement for investigator-initiated research in neurofibromatosis under the Department of Defense Defense Health Program.
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State University Of New York Medical Reimbursement Form Claims Incurred Outside Of The United States
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A medical reimbursement form for SUNY employees and members to claim medical expenses incurred outside the United States.
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Prescription Reimbursement Form
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A form for submitting prescription drug expenses for insurance reimbursement, requiring patient and prescription details.
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PRE AUTHORIZED GIVING AUTHORIZATION FORM Bank Account Withdrawals
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A form allowing parishioners to set up automatic monthly donations to their church through bank account withdrawals.
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Hood Theological Seminary National Alumni Association Membership Form
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Health Insurance Information
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Form for collecting student health insurance details and coverage acknowledgment for Hobart and William Smith Colleges students.
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ConnectHome Focus Group Consent Form
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A consent form for a HUD research study exploring community perspectives on home internet access through a focus group discussion.
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Graduate InternshipProfessional Project Form
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A form for graduate students in Humanities to document internship, professional project, or teaching experience requirements.
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Human Informed Consent Form
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A template form for obtaining informed consent from research participants in science fair projects, ensuring ethical research practices.
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Humanities Without Walls Seed Grant Application Form
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Application form for research seed grants in humanities at the University of Illinois at Chicago, offering funding between $1000-$5000 for research projects.
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Luminex Requisition Form
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A comprehensive form for requesting Luminex cytokine testing with detailed sample and kit specifications.
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Application For Approval Of A Research Proposal Using Human Research Subjects
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A form for researchers at Upper Iowa University to seek approval for research involving human subjects, detailing study design and potential risks.
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Amendment To Research Proposal Form
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A form used to submit amendments or changes to previously approved research proposals involving human subjects.
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Tennessee State University Human Subjects Committee Research Proposal Form
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A comprehensive form for submitting research proposals involving human subjects at Tennessee State University, covering key details about research projects and researchers.
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Human Subjects Research Proposal
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A comprehensive template for documenting proposed human subjects research, including research objectives, subject population details, and ethical considerations.
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HUPAC Contribution Form
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Form for making political campaign contributions to the Healthcare United Political Action Committee (HUPAC)
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June 2019 Concert Series Ticket Purchase Form
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Form for purchasing tickets to a concert series, including regular and donation ticket options with multiple concert dates.
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Huron Valley Percussion Physical Examination Form
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Comprehensive health screening form for student musicians detailing medical history and physician examination findings.
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Hauptman Woodward Medical Research Institute, Inc. Employee Handbook
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Comprehensive guide for employees of Hauptman Woodward Medical Research Institute, covering employment policies, workplace regulations, and employee rights.
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HYA Fee Proposal Form
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Detailed fee proposal for comprehensive superintendent search consulting services, including search, research, advertising, and due diligence options.
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IAC Requisition Form
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A form for requesting services and submitting materials at the Northwestern University IAC (Institutional Animal Care) facility.
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Institutional Animal Care And Use Committee Annual Report Form
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Annual reporting form for documenting animal research protocols, animal usage, and project status for institutional review.
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IACUC Guidelines For Fish, Fish Egg, And Frog Transportation At UWM
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Institutional guidelines for safely transporting fish, fish eggs, and frogs within and between facilities, outlining responsible shipping practices and documentation requirements.
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ICCULAE Laboratory Inspection Form
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A comprehensive form used to document and evaluate laboratory animal housing conditions, care practices, and environmental standards at Tennessee Technological University.
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INTERCOLLEGIATE BIOMATHEMATICS ALLIANCE MEMBERSHIP APPLICATION
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An application form for joining the Intercollegiate Biomathematics Alliance, offering membership benefits for researchers and students in biomathematics.
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Imperial Beach Historical Society Membership Form
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Membership form for joining the Imperial Beach Historical Society with multiple membership levels and donation options.
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JHS Work Order (JWO) IBIS Submission Guidance
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Detailed guidance for submitting work orders through the IBIS system for research projects at Jackson Health System.
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2020 DAY CAMP EMERGENCY CONTACT FORM
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A form for collecting camper and family information, emergency contacts, and medical permissions for a day camp program.
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ICC Dementia Project Proposal Form
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A comprehensive proposal form for submitting research projects utilizing ICC-Dementia study data and resources.
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Employee Emergency Contact Form
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A form for collecting employee personal and emergency contact details for workplace safety and emergency response purposes.
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MEDICAL HISTORY FORM TEMPLATE
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A comprehensive form for collecting patient medical information including medications, surgical procedures, illnesses, and vaccination history.
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Patient Discharge Form
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A comprehensive form for documenting patient discharge details, medical treatment, and follow-up information.
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Patient Intake Form Template
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A comprehensive form for collecting patient personal, medical, insurance, and payment information during initial healthcare visit.
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PAR Contribution Form
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A form for authorizing monthly financial contributions to Immanuel Christian Reformed Church through automatic bank withdrawals.
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Celiac Disease Foundation Patient Registry Data Access Guidelines
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Guidelines for researchers requesting access to the Celiac Disease Foundation's patient registry data, outlining approval process and confidentiality requirements.
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Registration Form For Genetics Independent Research Projects In Dept. Of Infectious Diseases Laborat
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Registration form for students seeking to enroll in supervised research courses in the Department of Infectious Diseases and Genetics at the University of Georgia.
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Registration Form For Genetics Independent Research Projects
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A registration form for students seeking to conduct supervised research in the Department of Infectious Diseases and Genetics at the University of Georgia.
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Invention Disclosure Form
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A confidential form for documenting and disclosing new inventions, technological innovations, and research discoveries by UW System faculty, staff, students, and alumni.
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Invention Disclosure Form
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A confidential form for documenting and disclosing new inventions, innovations, and intellectual property created by UW System faculty, staff, students, and alumni.
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Drug AccountabilityInventory Control
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Policy detailing procedures for managing investigational drug inventory, tracking, ordering, and receipt in research studies.
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IDT 605 Thesis Assessment Form
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A comprehensive assessment form for evaluating graduate student thesis work and oral defense performance in instructional design and technology.
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ENVS 461 Internship Application Form
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Application packet for students seeking an internship through the Institute of Environmental and Physical Sciences
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Preparticipation Physical Evaluation Medical Eligibility Form
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Medical form for evaluating student-athlete's health and sports participation eligibility, including medical history and emergency contact information.
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Staff And Physician Q A Changes To Consent Policy Forms
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Detailed guidance on updates to medical consent forms, including new separate forms for different types of medical consent and procedures.
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Insulin For Life USA Donation Form
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A form for donors to provide personal information and shipping details for donating supplies to Insulin for Life USA.
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Shipping Packing Guide
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Comprehensive guide for shipping insulin and medical supplies to Insulin for Life USA, with detailed packing and shipping recommendations.
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Fiscal Sponsorship Donor Contribution Form
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A form for donors to contribute financially to a specific film or media project through fiscal sponsorship.
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Contribution Form
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A form for making initial or additional contributions to a donor advised, designated, field of interest, or unrestricted fund with minimum contribution requirements.
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Saint Ignatius High School FreshmanTransfer PHYSICAL EXAMINATION FORM
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Required medical examination form for freshmen and transfer students at Saint Ignatius High School, including health screening and medical history details.
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Immune Globulin Referral Form
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Medical referral form for patients requiring immune globulin treatment for various neurological and immune disorders.
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Public Law 94 437 Title I Scholarship Program Application Checklist
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Comprehensive application checklist for scholarship programs offered by the Indian Health Service for healthcare professionals and students.
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MRG MINI REGISTRATION FORM
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A registration form for patients at the Naval Health Clinic in Annapolis, Maryland, collecting basic patient demographic and contact information.
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Employee SystemsAccess Checklist Form
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A form for tracking and managing system access and resources for new or transitioning employees in an educational or administrative setting.
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ILCA Africa Fellowship 2022 Application Form
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Application form for research fellowship program by the International Liver Cancer Association targeting African researchers and medical professionals.
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ILCA 2023 2024 Fellowship Application Form
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Application form for researchers seeking a fellowship from the International Liver Cancer Association with detailed requirements for applicants and mentors.
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Marquette University Law Library ILL Checklist For Law Journals
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A detailed form for law journal members to request interlibrary loans, verifying source unavailability and collecting publication details.
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UMBC MCAC Proteomic TimsTOF Sample Submission Form
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A form for submitting protein samples for analysis at the UMBC Molecular Characterization and Analysis Complex (MCAC) using timsTOF technology.
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Application For Permission To Reproduce And Use Images
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A form for obtaining permission to reproduce and use images from University of Memphis Libraries' Special Collections.
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Imaging Order Request
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A comprehensive medical imaging request form for various diagnostic scans and procedures
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NEW PATIENT INTAKE FORM
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Comprehensive medical form for collecting new patient personal, contact, and medical history information.
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Required Certificate Of Immunization
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A comprehensive form documenting required immunizations for students, including vaccination history and personal information.
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Immunization Consent Form
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A medical form capturing patient consent for immunizations, detailing potential adverse reactions and risks associated with vaccine administration.
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IMMUNIZATION CONSCIENTIOUSRELIGIOUSMEDICAL FORM
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A form for students to request exemption from immunization requirements due to conscientious, religious, or medical reasons
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Immunization Record Form
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A comprehensive form for documenting student immunization history and requirements for university enrollment.
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Authorization For Release Of MedicalHealth Information
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Missouri Department of Social Services form authorizing the release of an individual's medical and health information to specified parties.
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IPL TEST REQUISITION FORM
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Medical form for submitting patient specimens for oncology immunophenotyping testing at Cincinnati Children's Hospital Medical Center laboratory.
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Donation Procurement Form
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A form for collecting and documenting item donations for a non-profit organization.
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Faculty Job Opening Ad Template
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Job advertisement for a full-time Team Scientist position at Northwestern University's Department of Medical Social Sciences focusing on dissemination and implementation science in cancer research.
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Incident Or Injury Form
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A comprehensive form documenting details of an incident or injury involving a child in a care facility.
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INCIDENT, ACCIDENT, ILLNESS, DEATH OR ARREST REPORT
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A comprehensive form for documenting and reporting health-related incidents, accidents, illnesses, or other critical events in a community health network.
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Incident Report Form
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A comprehensive form for documenting details of an incident, including participant information, injury details, first aid, and follow-up actions.
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INCO 590 INCO 790 Budget Instructions
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Instructions for students to request research expense funds up to $200 for research-related costs through the INCO 590 or INCO 790 program.
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INCO 590 INCO 790 Budget Instructions
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Detailed instructions for students to request up to $200 in research-related expenses for academic research projects.
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Independent Contractor Services Form
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Form for documenting and approving independent contractor services for the Research Foundation of State University of New York.
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Independent Directed Study Proposal
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A form for students to propose an independent research study with a professor's supervision at a doctoral level.
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Independent Research Project Proposal
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A form for students to outline and seek approval for an independent research project from academic supervisors.
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CONTRIBUTION FORM
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Donation form for supporting the Indiana Republican Party through various contribution methods including personal and business checks, credit cards, and campaign committees.
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Individual Membership Form
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A confidential membership form for individuals interested in joining the Narcolepsy Network organization with various membership levels and donation options.
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Individual Player Waiver Form
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A comprehensive waiver form for sports participants covering liability, medical information, and consent for activities at Crown Sports Center.
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Initial Disability Claim Form
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Insurance claim form for reporting initial disability claims, covering policyholder and patient information related to sickness or injury.
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Individualized Research Project Form (PSY295495496498499)
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A form for psychology students to propose and outline an independent research project with departmental approval.
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33rd EACTS Annual Meeting Industry Opportunities Booking Form
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Registration and booking form for industry sponsorship opportunities at the 33rd European Association for Cardio-Thoracic Surgery Annual Meeting in Lisbon, Portugal.
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Industry Presentation Submission Form
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A form for submitting clinical research presentations for The Aesthetic MEET 2025 conference.
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Influenza Sample Submission Form
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A detailed form for submitting influenza test samples to the South Dakota Public Health Laboratory with comprehensive patient and specimen information.
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Limited License Fee Waiver Affidavit Form
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A form for employers to certify that a volunteer physician will not receive monetary compensation, enabling a fee waiver for medical licensure.
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Informant Interview Form
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A medical research form tracking vitamin supplement intake and usage for a clinical study participant.
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Informant Interview Form Instructions
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Instructions for completing an interview form about a participant through a close contact when direct participant data collection is not possible.
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Information For Potential Research Volunteers Who Complete MCW On Line Webforms
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Document outlining data collection, usage, and privacy practices for medical research volunteer webforms at Medical College of Wisconsin.
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Informed Consent Form Template Instructions
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A comprehensive guide and template for creating an informed consent document for research studies, providing instructions and structure for researchers.
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Informed Consent Compliance Checklist
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A checklist for verifying informed consent compliance in research studies, including steps to address potential deviations.
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9 Basic Elements Informed Consent Form
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Comprehensive guidelines outlining the essential elements and requirements for creating an informed consent form for research studies.
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Informed Consent Form (ICF)
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Institutional policy and guidelines for obtaining informed consent from human research subjects, with specific requirements for investigator procedures and child subject protections.
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Informed Consent Form
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A template for obtaining voluntary participant consent for a research study, outlining study details, risks, benefits, and participant rights.
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Informed Consent Of Research Subjects
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A policy defining requirements for obtaining and documenting informed consent from research subjects in compliance with federal and state regulations.
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UNIVERSITY OF PENNSYLVANIA RESEARCH SUBJECT INFORMED CONSENT AND HIPAA AUTHORIZATION FORM
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Informed consent document for participation in medical research biobank involving genetic and biological sample collection and research studies.
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Informed Consent Process
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Comprehensive guidelines for obtaining voluntary and informed consent from research subjects, detailing requirements, exceptions, and federal regulations.
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Example Informed Consent For An Anonymous Online Survey
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Informed consent document for a research study examining consumer attitudes towards online shopping, conducted anonymously with university students.
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Winston Salem State University Informed Consent Form
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A template document for obtaining voluntary participant consent for a research study, outlining study details, procedures, and participant rights.
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Information For Researchers Concerning Informed Decision Making What Is An Informed Consent Form
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Guidelines for creating informed consent forms for research involving human participants, detailing requirements for consent documentation and translation.
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Informed Risk Insurance Form For Allied Health Students
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A document detailing potential infectious disease risks for allied health students and insurance requirements during clinical studies.
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PLASTIC COSMETIC CENTER IN HOUSE FINANCING FORM CREDIT CHECK
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A comprehensive form for patients seeking in-house financing for cosmetic procedures with credit authorization.
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In House Research Proposal Form
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An internal research proposal form for seeking departmental funding for research projects.
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Research AndOr Animal Contact Health History Questionnaire
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Confidential medical history form for personnel working with research biological agents or animals at the University of New Mexico.
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INITIAL CONTACT FORM (ICF)
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Comprehensive intake form for patient medical, substance use, and treatment history for healthcare services.
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Initial Disability Claim Form
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Insurance claim form for reporting initial disability claim with details about injury, hospitalization, and patient information.
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Initial Uniform Health Assessment Form
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A comprehensive health evaluation form for medical professionals to assess fitness for duty and potential health risks to patients.
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Schedule III V Controlled Substances Initial Inventory Form
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Form for documenting initial inventory of controlled substances in research settings, to be completed once and maintained permanently.
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Nursing Education Program Medical Form
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Medical form required for students entering the Jefferson State Community College Nursing Program, documenting health status and immunizations.
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Medical History Form
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Comprehensive medical history questionnaire used by Egea Medical Weight Loss Center to collect patient health information and background.
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Risk Assessment For Hazardous Agents And Animal Contact
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A comprehensive form for evaluating occupational health risks associated with hazardous agents and animal contact in a research environment.
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Initial Disability Claim Form
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Insurance claim form for reporting initial disability due to sickness or injury, used by Aflac to process insurance claims.
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Technical Initiative Proposal Form
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A proposal form for technical initiatives within the Acoustical Society of America, used to request funding and outline project details.
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Form D Student Injury Report Form
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A form used to document and report student injuries or exposures during academic or clinical activities.
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IN KIND CONTRIBUTION FORM
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A form for documenting in-kind contributions including time, resources, and media coverage for a community prevention coalition.
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In Kind Gift Acceptance Process For Mid State Technical College Foundation
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Policy outlining the process for accepting donated goods or services for Mid-State Technical College Foundation, including review and approval procedures.
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MORRIS COUNTY TRAILS CONSTRUCTION GRANT PROGRAM GOODSMATERIALS IN KIND CONTRIBUTION FORM
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A form for documenting donated goods and materials for a trails construction project in Morris County.
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INNOVATION GRANT APPLICATION FORM
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A comprehensive application form for researchers seeking innovation grants from the British Medical Ultrasound Society (BMUS)
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Agreement Between Silicon Valley Clean Energy Authority And Participant For Innovation Onramp Pilot
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Agreement for a pilot project under Silicon Valley Clean Energy Authority's Innovation Onramp program to support innovative decarbonization technologies and research.
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Non Disclosure Agreement Form For Inventions And Related Matters
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A confidential agreement between an inventor and the University of Lagos Research & Innovation Office for sharing proprietary information and protecting intellectual property.
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Consent Form For Blood Spot Collection Testing (IRB 09 026A)
PDF template
A consent form for a medical research study involving blood spot collection and testing for health risk assessment purposes.
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Reimbursement Account Claim Form
PDF template
Claim form for submitting healthcare and dependent care expenses for reimbursement through a flexible spending account or reimbursement account.
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Institutional Review Board Authorization Form
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Form for researchers to document instrument permissions and research authorization for institutional review board submission.
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General Procedure Institutional Review Board
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A comprehensive procedure for reviewing and approving research involving human subjects at Bismarck State College.
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Institutional Review Board Policies And Procedures
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Comprehensive policies and procedures for the Institutional Review Board to protect human research participants' rights and welfare.
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CYBER SCIENCE DEPARTMENT INSTRUCTION 1531.79C
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Guidelines and requirements for midshipmen pursuing independent research in the Cyber Science Department at the United States Naval Academy.
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Missouri Valley College Institutional Review Board (IRB) Instructions For Applicants
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Guidelines for submitting human subjects research proposals to Missouri Valley College's Institutional Review Board for review and approval.
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Instruction Kit For Form No. IEPF 5
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A comprehensive instruction kit for users to fill out Form IEPF-5 for claiming unpaid amounts and shares from the Investor Education and Protection Fund.
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Instructions For Budget Preparation
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Guidelines for preparing research project budgets, including definitions of key financial terms and submission requirements for The Water Research Foundation.
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VA Facility Participation In Tecovirimat Expanded Access Program
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Document outlining VA facilities' participation process in an expanded access program for Tecovirimat treatment of orthopoxvirus infections
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CMS 1500 Claim Form Instructions
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Detailed instructions for completing the CMS 1500 form for medical service billing to SFHP by healthcare providers.
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2024 INPS Research Grant Application Form
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Detailed instructions for completing a research grant application for the INPS grant program, covering required sections and submission guidelines.
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Form FDA 1571 Supplement
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Official FDA instructions for completing the Investigational New Drug Application form, detailing requirements for each field of the submission.
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Imaging Order Request Form
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Instructions for requesting digital image reproductions from the Harvard Fine Arts Library Digital Images and Slides Collection
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INSTRUCTIONS FOR MEDICAL REQUIREMENTS FOR CONDITIONALLY APPOINTED APPLICANTS
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Detailed guidelines for completing medical forms for conditionally appointed VMI applicants through the Medicat Portal.
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INSTRUCTIONS FOR PRE AUTHORIZATION FORM
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Detailed instructions for completing a pre-authorization form for medical procedures and services at Kaiser Permanente.
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INSTRUCTIONS FOR SABBATICAL LEAVE REQUEST
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Comprehensive instructions and checklist for faculty members applying for sabbatical leave at a university.
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UNMC AssistantshipFellowship Application
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Instructions and eligibility requirements for Ph.D. students applying for research assistantships and fellowships at the University of Nebraska Medical Center.
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Dental Insurance Information
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Insurance form for collecting patient dental insurance details and treatment consent
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Insurance Information And Authorization Form
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Medical insurance and patient authorization document for Drs. Mark and Suzanne Boas' eyecare practice, collecting patient insurance details and financial responsibilities.
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Student Athlete Insurance Information Form
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A comprehensive insurance information form for student-athletes at Kutztown University to provide medical and contact details.
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Insurance WaiverChange Of Address
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A document for patients to waive insurance coverage and update contact information for medical services.
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DELL COMPUTER REQUEST FORM
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Official form for requesting Dell computer products for university departments, with specific instructions for processing and approval.
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Consent To Treat
PDF template
A legal document authorizing medical treatment and explaining patient rights under HIPAA privacy regulations.
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Patient Intake Form
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Patient intake document providing contact information for multiple PanCare Health medical and dental clinics across Florida counties.
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Patient Intake Form
PDF template
A comprehensive medical intake form for collecting patient personal and health information for acupuncture treatment.
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Patient Intake Form
PDF template
A comprehensive patient intake document for collecting detailed personal, medical, and contact information at a memory clinic.
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Adult Patient Intake Form
PDF template
Comprehensive medical intake form for collecting patient personal, contact, emergency, and insurance information for medical treatment.
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New Patient Intake Form
PDF template
Comprehensive form for collecting patient demographic, contact, insurance, and scheduling information for new healthcare patients.
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NEW PATIENT INTAKE FORM
PDF template
Comprehensive medical and insurance information form for new patients, focusing on vision and health insurance details.
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Patient Intake Form
PDF template
Comprehensive medical intake form for new chiropractic patients to document personal information, health history, and current medical conditions.
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NEW PATIENT INTAKE FORM
PDF template
Comprehensive patient intake form for podiatry medical practice collecting patient information, medical history, and insurance details.
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Patient Intake Form
PDF template
Comprehensive patient intake form collecting personal information, medical history, insurance details, and pre-examination assessment for medical treatment.
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Intangible Assets And Intellectual Property
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Document explaining the nature, types, and management strategies for intangible assets and intellectual property in university research contexts.
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Neighborhood Health Plan Of Rhode Island (NHPRI) DME Authorization Form
PDF template
Healthcare authorization form for durable medical equipment (DME) services from Neighborhood Health Plan of Rhode Island
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Carnegie Mellon University Intellectual Property Policy Agreement Form
PDF template
Legal document outlining intellectual property ownership and licensing rights for CMU faculty, staff, and students.
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UT System IP Policy Agreement Form
PDF template
A policy agreement for researchers detailing intellectual property disclosure and assignment requirements under the Bayh-Dole Act.
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Intellectual Property Policy Statement
PDF template
A policy defining intellectual property rights and ownership for university faculty, staff, and students, including guidelines for copyright and patent management.
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Intent To Submit ThesisProject
PDF template
Official form for graduate students declaring their intent to submit a thesis or project for academic review and graduation requirements.
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Orthopaedic Surgery Program Intent To Travel Form
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A form for documenting and requesting travel reimbursement for residents in the Orthopaedic Surgery Program with details about mileage and funding sources.
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Payroll Deduction Form
PDF template
A form for employees to authorize recurring payroll donations to various scholarship and innovation funds at Florida Polytechnic University.
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Interfund Transfer Request Form
PDF template
A form used to request and document transfers between different fund accounts within an organization.
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INTERNAL APPROVAL FORM
PDF template
An internal form for submitting research proposals, project details, and compliance information to the Office of Research and Sponsored Programs.
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College Of Pharmacy Internal Proposal Approval Form
PDF template
An internal form for proposing and obtaining approval for research projects within a College of Pharmacy, including project and budget details.
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ORSPA Internal Routing Form
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A form used by East Tennessee State University for submitting and routing research project proposals and agreements through the Office of Research and Sponsored Programs.
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TPCB Thesis Lab Declaration Form
PDF template
A formal document where a PhD student declares their intent to pursue thesis research in a specific laboratory and commits to program requirements.
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International Claim Form
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A comprehensive form for submitting international healthcare insurance claims with patient and coverage details.
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International Grant Application Form
PDF template
A comprehensive application form for international charities seeking grant funding, requiring detailed organizational and project information.
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Generali Worldwide Health Insurance Healthcare Pre Authorization
PDF template
A pre-authorization form for healthcare services requiring insurance approval and documentation for Generali Worldwide Health Insurance.
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Health Insurance Pre Authorization Form For Therapy
PDF template
Insurance form for pre-authorization of physical, occupational, speech, and chiropractic therapy treatments.
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BOBST INTERNATIONAL CENTER SERVICE REQUEST FORM
PDF template
A comprehensive form for patients seeking medical services, including travel, consultation, and treatment details.
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International Student Medical Form
PDF template
Comprehensive medical form for international students attending community colleges in North Carolina, capturing personal and medical information.
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UWW Biological Sciences Internship Application Form
PDF template
Application form for students seeking internship credits in biological sciences, detailing internship requirements and student information.
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Intern Medical Treatment Authorization Form
PDF template
Medical authorization form for interns to provide emergency treatment details and contact information in case of medical incidents.
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StudentInternPracticum Application
PDF template
Application form for students seeking internship or practicum placement at a community mental health center
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Internship Application Form
PDF template
A comprehensive form for students applying for an internship at the Kandilli Observatory & Earthquake Research Institute's Geodesy Department.
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AMMCOS Internship Application Form
PDF template
A detailed form for students seeking a research internship to complete their 2nd year Master's degree at AMMCO.
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Interventional Radiology Referral Form
PDF template
Medical referral form for various interventional radiology procedures and services at Cincinnati Children's Hospital Medical Center
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Interview Of Applicants For Membership
PDF template
A comprehensive interview form for potential new members of the Society of Saint Vincent de Paul, assessing candidate's motivation, experience, and suitability for service.
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Interview Of Applicants For Membership
PDF template
A detailed interview form for potential members of the Society of St. Vincent de Paul, designed to assess candidate suitability and commitment to serving those in need.
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Faculty Interview Form
PDF template
A form for students to interview at least three faculty members about their research and document the discussions.
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Entry Medical Examination United Nations And Specialized Agencies
PDF template
Medical examination form for employment candidates seeking positions with United Nations and specialized agencies, requiring comprehensive health disclosure and authorization for medical record review.
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Skate Swap Seller Inventory Form
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A form for sellers to list and track items for a skating equipment and clothing swap event with proceeds benefiting Denver Synchronicity.
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Inventory Form
PDF template
A form for documenting clothing inventory and donation details for BFA (Blessing Family Association)
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INVOICE FORM Identity, Boundaries And Social Divisions. Reconciling Competing Frames
PDF template
Registration form for an academic conference at the University of Pisa covering topics of identity and social divisions.
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LIONS CLUB INVOICE GUIDELINES
PDF template
Guidelines for using an invoice template designed to support fund collection for Lions Club activities, including dues and donor invoicing.
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Invoice Inquiry Quick Reference Guide
PDF template
A guide for finding invoice information in the UNI e-Business Suite system using various search criteria like invoice number, supplier name, or date range.
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IPAC Application Form
PDF template
Application form for research project consultation and imaging analysis services at a medical research facility.
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IPaDS Service Request Form
PDF template
A form for submitting service requests for data visualization, analysis, and demographic information at MSM.
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IPRA Data Request Form
PDF template
A comprehensive form for requesting institutional data from the university research department, covering project details, data needs, and sharing requirements.
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Informed Consent Form (Audiotape)
PDF template
A consent form for audio recording and transcribing research interviews with privacy protections and participant rights.
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Informed Consent Form
PDF template
A standard template for documenting informed consent for research studies, outlining participant rights and study details.
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Annual Progress Report Form
PDF template
A form for researchers to report annual progress and status of research studies approved by the Institutional Review Board (IRB)
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WESTERN NEW ENGLAND UNIVERSITY INSTITUTIONAL REVIEW BOARD (IRB) SUBMISSION FORM
PDF template
Institutional form for submitting research proposals involving human participants at Western New England University
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IRB Application Checklist
PDF template
A comprehensive checklist for preparing and submitting an IRB application for research involving human subjects.
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IRB Application For Approval Checklist
PDF template
Comprehensive checklist for submitting research protocols involving human participants to Saint Peter's University IRB for review and approval.
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Lakeland College Institutional Review Board Application For Intermediate Or Full Review (Tiers II I
PDF template
A comprehensive form for researchers to submit details about their proposed research study for institutional review board approval.
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Institutional Review Board Approval Form
PDF template
A form used to document and authorize research project approval by institutional leadership at Cochise College.
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How To File An Incident Report In Cayuse
PDF template
Instructions for reporting research incidents or adverse events using the Cayuse system for Texas Woman's University IRB.
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UMassD IRB Class Project Form
PDF template
A form for students to submit class research projects for IRB review and confirmation of project designation.
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Consent Form Checklist
PDF template
A comprehensive checklist for creating research consent forms at North Park University, covering required elements and sections for documentation.
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Consent Form Checklist
PDF template
A comprehensive checklist for researchers preparing consent forms for human participant research projects at Northwest University.
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FORM D CONSENT FORM TEMPLATE
PDF template
A template for creating a consent form for research study participants, outlining study details, procedures, risks, and benefits.
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Informed Consent For Research Participation
PDF template
A template for obtaining informed consent from research study participants at Washburn University.
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Informed Consent For Participation Of A MINOR In A Research Study
PDF template
A legal document obtaining parental consent for a minor's participation in a research study, outlining study details and participant rights.
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Research Proposal Instructions Institutional Review Of Research With Human Subjects
PDF template
Instructions for obtaining institutional review board (IRB) approval for research involving human subjects, including review timelines and required training.
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IRB Review Checklist
PDF template
A comprehensive checklist for reviewing human research studies to ensure ethical standards and participant protection.
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Harper College Institutional Review Board Manual
PDF template
Comprehensive guidelines for Harper College's Institutional Review Board, detailing its composition, jurisdiction, and process for reviewing human subjects research.
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Research Participant Information And Informed Consent Form
PDF template
Guidelines for creating a research study consent form with template sections and formatting recommendations.
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Behavioral Science Parental Consent Template
PDF template
Detailed guidelines for creating parental consent forms for behavioral and social science research studies involving children.
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Pre Review IRB Checklist Form
PDF template
Comprehensive guidelines for preparing and submitting research study documents for IRB review at Boston University.
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Research Proposal Cover Sheet And IRB Research Proposal Form
PDF template
A standardized form for submitting research proposals for ethical review by an Institutional Research Board, covering project details, participant information, and review process.
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IRB Protocol Application
PDF template
Institutional Review Board protocol application form for research involving human subjects with detailed submission instructions and compliance guidelines.
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Wheaton College Institutional Review Board (IRB) Research Proposal For Human Participants
PDF template
An official document for researchers to submit research proposals involving human participants for review and approval by Wheaton College's Institutional Review Board.
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Sample Assent Form For Child
PDF template
A template form for obtaining a child's voluntary agreement to participate in a research study with parental consent.
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SUBMISSION FORM FOR RESEARCH INVOLVING HUMAN SUBJECTS
PDF template
Form for submitting research projects involving human subjects to the Chicago Department of Public Health Institutional Review Board (IRB)
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Kankakee Community College Institutional Review Board Manual
PDF template
Comprehensive guide outlining the procedures, policies, and guidelines for research involving human subjects at Kankakee Community College.
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Institutional Review Board Training Declaration
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A form documenting training completion for individuals involved in institutional research review processes at St. Joseph's University.
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Comprehensive checklist for students applying to the International Research Opportunities Program, detailing application preparation steps and requirements.
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Leverhulme Trust Research Fellowship Application Form
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Comprehensive checklist for adult sponsors overseeing student research projects in science and engineering fairs.
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Adult Sponsor Checklist (1)
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Checklist for adult sponsors of student science and engineering fair projects to ensure compliance with research guidelines.
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International Rules Guidelines For Science And Engineering Fairs 2019 2020
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Official form and guidelines for students participating in science and engineering research competitions, providing a structured approach to documenting research projects.
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Is It An Emergency
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Indigenous Summer Scholars Program (ISSP) Overview
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A 12-week summer research training program for Indigenous undergraduate students to participate in research projects with University of Winnipeg faculty members.
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ISU DAIRY RESEARCH PROPOSAL FORM
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Report Of 2014 ISYA At Chiang Mai, Thailand
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A comprehensive report detailing the 2014 International School for Young Astronomers held in Chiang Mai, Thailand, including student demographics and evaluation results.
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IT Addendum To ContractorS Contract Form
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CDW Customer Service Order Form
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Agreement between Tulsa County and CDW Government, LLC for Mimecast M2A and LCS-Gold annual subscriptions
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MCSA 5870 Insulin Treated Diabetes Mellitus Assessment Form
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A medical form used to evaluate individuals with insulin-treated diabetes mellitus for commercial motor vehicle operator qualification.
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ITEC Winter 20 General Application Form
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Application form for winter session courses and conservation programs focusing on ecological studies and volunteer opportunities.
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I.T Maintenance Request Form
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Invitation To Negotiate (ITN) No 1628JCSA
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Solicitation document for an electronic research administration system procurement by the University of Central Florida's procurement services department.
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ITP 3 Technology Governance And Procurement Review
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Administrative procedure defining the technology governance process and requirements for technology procurement review at Marshall University.
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Information Technology Professional Services Agreement
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A service agreement between Cornell University and a technology consultant for professional IT services and deliverables.
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SIUE ITS Network Infrastructure Management Service Requisition Form
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Information Technology Services Purchase Requisition Form
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Guidelines for staff to request and purchase IT equipment through the Information Technology Services department's requisition process.
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IRB Application
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A comprehensive form for researchers to submit detailed information about a proposed research project for ethical review and approval.
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Outpatient Physician Visit Referral Form
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Technology Disclosure Form
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Report Form For Financial Disclosure
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Form for reporting potential financial conflicts of interest for researchers funded by federal agencies like NSF and Public Health Service.
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Payroll Deduction Authorization Form
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Form for employees to authorize ongoing or one-time payroll deductions to the Wesleyan Fund
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J88 Report On A Medico Legal Examination
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Official form for documenting medical findings in legal investigations, completed by healthcare practitioners for forensic purposes.
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J 1 Visa Application For Prospective UTSW International Visitor
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Comprehensive application package for international trainees seeking J-1 visa sponsorship at UT Southwestern Medical Center.
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J 1 Visa Application For Prospective UTSW International Visitor
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Comprehensive guide for international junior fellows seeking J-1 visa sponsorship at UT Southwestern Medical Center, detailing required documentation and application process.
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GLCA NEH Endowment Japan Travel Grant Application Form
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Application form for faculty members seeking travel grants to support academic research and activities in Japan.
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Joe Burrow Foundation Do Good Grant Application
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A grant application process for supporting projects addressing mental health and food insecurity in Ohio and Louisiana.
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Joe Burrow Foundation Do Good Grant Application
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A grant application process for supporting underprivileged and underserved communities, focusing on children with mental illness and food insecurity in Ohio, Kentucky, Indiana, and Louisiana.
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Intellectual Property Rights (IPR) Disclosure Form
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Friends Of The John Curtis Free Library Membership Application
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Membership application form for supporting the John Curtis Free Library through various donation levels.
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Auction Procurement Form
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Form for donors to submit item donations for Hillel UW's Jconnect auction fundraising event.
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Sample Parental Consent Form
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A template for obtaining parental consent for a research study involving children, to be used by researchers at John Carroll University.
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Patient Intake Form
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Comprehensive medical intake document collecting patient personal, contact, insurance, and consent information for medical services.
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Je SRP1(EPSRC)
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Research proposal submission form for the Engineering & Physical Sciences Research Council with details of research project and investigators
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Medical Release Form
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Journal Of Hospital Medicine Author Contribution Form
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FOBT FOLLOW UP FORM
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Dana Farber Cancer Institute And The Jimmy Fund Contribution Form
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Conflict Of Interest Declaration Form
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A form designed to disclose potential conflicts of interest for members involved in developing clinical practice guidelines for nephrologists.
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Urgent Care Application For Employment
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Comprehensive employment application for various medical positions at an urgent care facility, including equal opportunity and work authorization sections.
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Medical Alert Form
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Medical information form for students using Johnson Bus Company transportation services in Menomonee Falls School District.
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HCP Referral Form
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University SystemEmployee Intellectual Property Joint Participation MUSP 407
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A form for university employees to seek approval for intellectual property arrangements involving business entities and potential conflicts of interest.
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Joyner Library Contribution Form
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JPRS Submission Form
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A comprehensive submission form for authors submitting manuscripts to the Journal of Participant Research Studies (JPRS)
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Fresh Osteochondral Allograft And Fresh Frozen Meniscus Order Form
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Medical order form for requesting fresh osteochondral allografts and meniscus grafts for surgical procedures.
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Medical Examination Physician Statement
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JEFFERSON READY START NETWORK FUTURE FUND Contribution Form
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Stock Transfer Form
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Indiana Junior Division Project Form
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Junior Volunteer Application
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Application for teenagers aged 15+ interested in volunteering at Valley View Hospital healthcare facility.
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Medical Form
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Authorship Responsibility And License Agreement Form
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A form outlining author responsibilities, copyright transfer, and publication agreement for the Journal of Veterinary Science.
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Member Reimbursement Form For Medical Claims
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Peralta Community College District Reimbursement Form
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Form for Peralta Community College District employees and retirees to claim medical expense reimbursements based on specific eligibility criteria.
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Dengue Report Form
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Medical reporting form for collecting patient information related to dengue fever cases in Kansas, used for public health tracking and epidemiological research.
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NEW PATIENT INTAKE FORM
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Comprehensive medical intake form for patients seeking joint replacement or orthopedic consultation, collecting detailed medical history and symptom information.
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BRIEF MEDICAL HISTORY Gift Of Body Or Next Of Kin
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A comprehensive medical history form for body donation to medical research, capturing personal health details and medical conditions.
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Contribution Form For Tom Kean For Congress Inc.
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A donation form for making financial contributions to Tom Kean's congressional campaign with multiple contribution options and personal information fields.
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Veterinary Resources Key Receipt Authorization
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KHC And KHCNVL Alternate Requisition Form
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Medical requisition form for various heart-related diagnostic tests with detailed patient instructions and testing protocols.
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Kinesiology And Health Science Laboratory Volunteers
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Guidelines for student volunteers participating in research activities within Kinesiology and Health Science laboratories, outlining training, tasks, and laboratory contact information.
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Kensington Historical Society Membership Form
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Membership form for joining or renewing membership with the Kensington Historical Society with multiple membership levels.
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A comprehensive form for potential volunteers to provide personal and availability information for Kidd's Kids organization
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Fertility Assessment Form
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Auction Procurement Form
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New Patient Intake Form
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Submission Form
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Authorship Responsibility And License Agreement Form
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KIDS KLOSET ORDER REQUEST FORM
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Evaluating Drivers And Issuing The Medical Report Form
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PhD Research Proposal Form
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A research proposal exploring dynamic nuclear polarization (DNP) techniques to enhance NMR spectroscopy sensitivity for studying metal-organic frameworks (MOFs).
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Member Reimbursement Form For Over The Counter COVID 19 Tests
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Creating A High Level Budget In Kuali Research
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Instructions for creating a high-level budget in Kuali Research, focusing on non-personnel budget entry methods for research proposals.
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Kuali Research Create Budget Quick Reference Guide
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Donor Gift Form
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PREVENTATIVE HEALTH CARE EXAMINATION FORM
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A comprehensive health screening form for students entering Kentucky public schools, documenting medical history and physical examination results.
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Kentucky Immunization Registry Enrollment
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Instructions for healthcare providers to enroll in the Kentucky Immunization Registry and create user accounts.
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PREVENTATIVE HEALTH CARE EXAMINATION FORM
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Required health examination form for Kentucky public school students entering school or sixth grade, documenting medical history and physical screening results.
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Community Supports Medically Tailored Meals (CS MTM) Referral Form For MCLA CMC Members Only
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Labrador Institute Postdoctoral Fellowship Application Form
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A fellowship program supporting new scholars in social sciences and humanities with a focus on Labrador and Aboriginal communities.
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Laboratory Safety Inspection Form
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Comprehensive safety inspection form for university laboratory environments, covering chemical storage, cleanliness, and safety signage requirements.
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Lab Biosafety Self Audit Form
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Laboratory Services Outpatient Lab Requisition
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Laboratory Survey Form
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Leukemia Diagnostic Test Request Form
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Medical form for submitting patient specimens for leukemia-associated diagnostic testing and immunophenotype analysis.
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Lab Requisition
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Medical form for ordering and documenting various laboratory diagnostic tests and panels.
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Comprehensive safety inspection form for university research laboratories covering documentation, training, work practices, and emergency preparedness.
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Lab Safety Self Inspection Form
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Application form for patients seeking chronic illness benefits through LA Health Medical Scheme, requiring patient and medical professional details.
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My Medical Info
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Lama Tsultrim Allione Legacy Circle Membership Form
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Lambda Alpha FounderS Student Paper Competition Entry Form
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Entry form and rules for a national anthropology student paper competition celebrating Lambda Alpha's 50th anniversary in 2018.
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Detailed instructions for members to apply for weekly benefits in case of sickness or injury, with specific eligibility requirements and limitations.
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Ladies Auxiliary To The Maryland State FiremenS Association Bessie Marshall Benefit Fund Instructi
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Benefit fund guidelines for sick or injured members of the Maryland State Firemen's Association providing weekly financial assistance under specific conditions.
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NATIONAL STANDING ORDER FORM
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Medical transportation request and service authorization form for patient transportation services
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Laser Inventory Form
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Laser Safety Inventory Form
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A form for documenting laser equipment details and safety information for The George Washington University laboratory environments.
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Research Laser Safety Inspection Form
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Annual safety survey for rooms using Class 3B or 4 lasers, assessing documentation, personal protective equipment, and safety protocols.
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LASER SAFETY PROGRAM FOR RESEARCH And TEACHING LABORATORIES
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Laser Operations Safety Audit Form
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Membership Form
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LAUC Research Professional Development (RPD) Mini Grant Application Form
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LAUC Presentation Grant Application Form
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Associate Payroll Deduction Form
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Charitable Trust Inquiry Form
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INSURANCE PRE AUTHORIZATION FORM
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Legacy Community Health Client Intake
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Comprehensive patient intake form for collecting personal and medical contact information for Legacy Community Health services.
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LEAVE OF ABSENCE REQUEST FORM
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Detailed guidelines for employees requesting a leave of absence, including required documentation for various types of leave.
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Leave Request Form
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A form for employees to request various types of leave, including family medical, annual, compensatory, and sick leave.
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Leave Of Absence Request Form
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A comprehensive form for employees to request various types of leave, including personal, medical, and family-related absences.
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Membership Form
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Guidelines For The Jorge Paulo Lemann Education Fellowships
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Fellowship program providing financial support for Brazilian graduate students at MIT to study education, policy, and social impact areas.
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2023 2024 Application Form SPA Robert Lemelson Foundation Student Fellowship
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Application form for graduate students seeking funding from the SPA and Robert Lemelson Foundation for research support.
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Donation Form For Center For Law, Ethics And National Security
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A donation form for contributing financial support to the Center for Law, Ethics and National Security at Duke University School of Law
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Guidelines For Preparation Of Informed Consent Form
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Institutional guidelines for creating informed consent documents for research involving human subjects, including requirements for different age groups.
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Disability Claim Form
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A comprehensive form for employees to file a disability claim, documenting injury/illness details, personal information, and income sources.
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New Patient Past Medical History Form
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Comprehensive medical history form for new patients to provide personal, medical, and family health information.
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LHC Supplemental Medical 2023 Update23
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Medical form for Laurel Highlands Council camp registration requiring health information and medication permissions for scouts
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Preparticipation Physical Evaluation Physical Examination Form
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A comprehensive medical evaluation form for athletes to assess physical fitness and health status prior to participation in sports activities.
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Teen Entrepreneur Academy (TEA) Liability Medical Release Form
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Liability and medical release form for participants in the Teen Entrepreneur Academy program at Concordia University, Irvine.
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Release Liability Medical Release Form
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A comprehensive form for collecting student medical information, emergency contacts, and liability release for a summer orientation program
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Worcester College Library And Archives Special Collections Access Policy
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Policy outlining access conditions and guidelines for using Worcester College Library and Archives special collections by researchers and the public.
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Library Associates Membership Form
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A membership form for individuals to join and support the Georgetown University Library at various contribution levels.
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PHYSICAL EXAMINATION FORM
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Comprehensive medical examination form for health assessment and licensing purposes.
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Texoma Exposition Livestock Show Life Membership Purchase Form
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ARTISTS AND SCIENTISTS IN RESIDENCE Application Form
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Application form for artists and scientists seeking summer 2024 residency at the Ligeti Center.
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Medical Release Form
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A comprehensive medical consent and release form for students at Lyndon Institute's Boarding or Summer Program, granting medical treatment permissions and health information sharing.
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Limestone College Medical Consent Form
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A medical consent form for collecting student medical history and immunization records to support health monitoring and campus safety.
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Form IV Application For Limited Registration As A Health Practitioner
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Application form for foreign health professionals seeking temporary registration to practice in Zambia for up to six months.
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Gift Agreement Form
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A form for donating materials to the University of North Texas Libraries with options for physical and digital donations and rights transfer.
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Linkage To Care Referral Form
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A referral form for HIV intervention, medical care linkage, and patient tracking across various healthcare programs
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Medical IncidentAccident Report
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A comprehensive form for documenting medical incidents or accidents, detailing injury specifics and first aid procedures.
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UNall HR Service Requests
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Comprehensive listing of HR service requests and forms available to UN staff members for various administrative and personal actions.
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LitCoin NLP Challenge ParentLegal Guardian Consent Form
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Consent form for parents or legal guardians of minors participating in the LitCoin NLP Challenge, granting permission and releasing liability.
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Group Literature Order Form
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Order form for purchasing Narcotics Anonymous literature, books, pamphlets, and recovery materials
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Project Request Form
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A comprehensive form for researchers to request microscopy and imaging services at Loma Linda University School of Medicine's Advanced Imaging and Microscopy Core Facility.
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Leave Of Absence Request Form
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A comprehensive form for employees to request extended time off for various personal, medical, or family-related reasons.
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Local Approvals Checklist
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Institutional form for submitting grant applications with required approvals and project information.
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IEEE Signal Processing Society Local Events And Member Driven Initiative Proposal Form
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A proposal form for IEEE Signal Processing Society members to request up to $5,000 in support for local events and initiatives.
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LongROAD External Study Proposal Form
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A research proposal form for requesting data access and conducting external research using LongROAD study data on older adult drivers.
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Disability Claim Form FL
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A comprehensive form for filing a disability insurance claim with detailed sections for employer and employee information.
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Student Blanket Insurance Policy Disability Claim Form
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A comprehensive form for students to file a disability insurance claim, documenting medical conditions, educational status, and treatment details.
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Louisiana School Readiness Tax Credit Contribution Form
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A form for Louisiana businesses to make tax-deductible contributions to early learning programs through Agenda for Children's Child Care Resource & Referral program.
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Payment Agreement For Love Takes Root Sponsorship Program
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A form allowing donors to set up monthly or annual payment methods for child sponsorship with Love Takes Root.
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Trips And Visits Medical And Consent Form
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A comprehensive medical and consent form for students participating in a school trip, collecting health and emergency contact information.
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Physician Referral Form
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A form used to facilitate patient referrals between healthcare providers, capturing patient and referring physician details.
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Faculty InstructionalCourse Development Seed Grant Application Form
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A form for faculty members to apply for instructional and course development seed grants from the Lieberthal-Rogel Center for Chinese Studies.
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UNL Animal Order Form
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Official form for ordering research animals from specified vendors, used by researchers to request specific animal types and quantities for scientific studies.
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Licensed Start Up Company (LSC) Information Submission Form
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A comprehensive form for disclosing information about a university-affiliated startup company, including company details, equity interests, management, and research relationships.
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NJCAALake Superior College Physical Examination Form
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Medical certification form for student athletes participating in National Junior College Athletic Association intercollegiate sports.
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Group Health Claim Form
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A comprehensive form for submitting healthcare claims for employees, spouses, and dependents under the LSU First Health Plan.
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Long Term Disability Claim Form
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A claim form for employees to submit long-term disability insurance claims with personal and medical information.
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Disability Claim Form
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A comprehensive form for filing a disability insurance claim, requiring input from the member, plan sponsor, and attending physician.
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Group Long Term Disability Claim Form
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A comprehensive claim form for employees seeking long-term disability benefits, requiring details from both the employee and attending physician.
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Long Term Disability Claim Form Statement Of Employer
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A form used by employers to submit details for an employee's long-term disability insurance claim with Lincoln Financial Group.
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LEVERHULME TRUST EARLY CAREER FELLOWSHIP APPLICATION FORM
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A comprehensive application form for researchers seeking an early career fellowship from the Leverhulme Trust, covering personal details, research proposal, and academic background.
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LUDWIG FELLOWSHIP APPLICATION FORM 2 APPLICANT BACKGROUND AND RESEARCH INTEREST
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Application form for researchers seeking a fellowship, requiring details about graduate research and proposed research program.
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LUDWIG FELLOWSHIP APPLICATION FORM 3 GRADUATE MENTOR RECOMMENDATION
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A confidential recommendation form for graduate students applying to the Ludwig Fellowship, to be completed by their research mentor.
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McKenzie Institute International Lumbar Spine Assessment
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Comprehensive medical assessment form for evaluating lumbar spine conditions, symptoms, and patient history.
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McKenzie Institute International Lumbar Spine Assessment
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Comprehensive medical assessment form for evaluating patient's lumbar spine condition, symptoms, and functional limitations.
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Fax Referral Form
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A comprehensive medical referral form for patient information, insurance details, and provider selection in pulmonary and sleep medicine.
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Lutheridge Adult Medical Form
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A comprehensive medical form for collecting health and emergency contact information for adult participants at Lutheridge camp.
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Lutheridge Camper Medical Form
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Comprehensive medical and registration form for children attending Lutheran church camp programs, capturing health information, emergency contacts, and medication details.
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Lutherock Camper Medical Form
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Comprehensive medical and emergency contact form for children attending Lutheran summer camp programs
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Luther Springs Camper Medical Form
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Medical and emergency information form for children attending Luther Springs summer camp programs
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Lutheran World Relief Shipping Form
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Shipping form for tracking donations of humanitarian aid items like quilts, blankets, kits, and soap for charitable distribution.
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Lynchburg IRB Quick Reference Guide
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A comprehensive guide for researchers outlining the Institutional Review Board (IRB) consent process, ethics training requirements, and proposal submission steps.
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Test Requisition Form
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Medical test requisition form for collecting patient specimen information and diagnostic testing details.
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Test Requisition Form
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Medical form for collecting patient and specimen information for specialized laboratory testing.
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21st Maccabiah Medical Form
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Medical clearance form for athletes, coaches, and staff participating in the 21st Maccabiah sporting event requiring physician certification of health status.
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Emergency Contact Form
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A form for parents to provide comprehensive emergency contact, health, and medical information about their child
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Medical Claim Form
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A form for submitting out-of-network medical claims for reimbursement by UnitedHealthcare for Pennsylvania members.
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Form PC And Instructions Filing Form PC
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Annual filing requirement for nonprofit charitable organizations conducting business in Massachusetts, managed by the Office of the Attorney General.
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Capstone Declaration Form
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Form for graduate students to declare their capstone project advisor and research topic for a Master's degree in Sociology.
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NBPS Magnus Instruction Changing Credentials
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Comprehensive guide for parents to complete online health documentation and enrollment forms for students at Notre Dame school
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MA History Capstone Project Guidelines
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Guidelines for completing a capstone project as an alternative to a thesis in a Master's in History program, outlining research expectations and process.
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TAS Annual Auction Fundraiser Donation Form
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A fundraising donation form for the TAS Annual Auction, collecting item and donor information for catalog listing and auction purposes.
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Hawkeye Community College Foundation Contribution Form
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A contribution form for making tax-deductible donations to Hawkeye Community College Foundation through various payment methods.
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Project Approval Form
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A comprehensive form for documenting and obtaining approval for an academic or research project, including project details, manufacturing process, and required signatures.
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Male Medical History Form
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A comprehensive medical history form specifically designed for male patients to record personal and family health information.
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Male Medical History Form
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Comprehensive medical history form specifically designed for male patients, covering sexual health, medical conditions, and personal health background.
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Professional Liability Insurance Form
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Form for medical doctors to provide professional liability insurance details for employment with Research Foundation for Mental Hygiene, Inc.
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Malpractice Payment Report Form For Insurance Companies
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Official form for reporting medical malpractice judgments and settlements in Alabama by insurance companies and healthcare entities.
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MAMI Assessment Form
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A comprehensive medical assessment form for infants, evaluating health status, growth, and potential risks.
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Ticket Purchase Form Fine Art Raffle Maggie Meiners
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A form for purchasing raffle tickets for an art event at the Montclair Art Museum
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APPROVAL OF PROSPECTUS FOR MASTERS THESIS OR PROJECT
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A form for graduate students to obtain approval for their master's thesis or project prospectus, including committee signatures and research subject review.
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Managed Care Referral Form
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A medical referral form for Blue Cross and Blue Shield of Minnesota managed care patients requiring specialist or additional medical services.
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NEMS Restaurant Manager Interview Form
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A form used to document and schedule interviews with restaurant managers for a research or evaluation project.
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Medical History Form
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A comprehensive medical form for camp participants to document health information, emergency contacts, and treatment authorization.
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Working With Projects
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A guide for creating, managing, and describing projects within the Ecotaxonomy system, including adding team members, organizations, and project details.
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Extended Health Care Claim
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Insurance claim form for submitting extended healthcare expenses to Manufacturers Life Insurance Company group benefits plan.
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Medical Assistant Physical Examination Form
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A comprehensive health screening form for medical assistant students, documenting physical health status and potential medical conditions.
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2024 MAPS STATION REGISTRATION FORM
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A comprehensive registration form for collecting detailed information about a monitoring station, including location, contact, and geographical details.
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PHYSICAL EXAMINATION FORM 2019 2020 Academic Year
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A comprehensive medical examination form for students participating in clinical practice settings at the University of Michigan School of Nursing.
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Department Of State Academic Exchanges Participant Medical History And Examination Form
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A medical form required for participants in U.S. Department of State educational exchange programs to confirm health status and obtain medical clearance.
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Faculty Staff Contribution Form
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A donation form for faculty and staff to make financial contributions to Maria College through payroll deduction, credit card, or check.
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Faculty Staff CONTRIBUTION FORM
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A donation form for faculty and staff to contribute to Maria College's Maria Fund through payroll deduction, credit card, or check.
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Student Physical Exam Information Form
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Comprehensive health form for collecting student physical examination details and medical history for college enrollment.
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Mario Molto Weekend Raffle Purchase Form
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Form for purchasing raffle tickets at a specified price with multiple payment method options.
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Marketplace Medical Claim Form
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A comprehensive form for submitting medical insurance claims, including subscriber and patient information, accident details, and coverage information.
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Miami County Marlins Swim Team Emergency Medical Authorization Form
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A form allowing parents to authorize emergency medical treatment for children during swim team activities when parents cannot be reached.
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ITP 1 Technology Governance And Procurement Review
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Defines the technology governance process and outlines requirements for technology procurement review at Marshall University.
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Donation Submission Form
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A form for submitting charitable donations and participant information for St. Jude Children's Research Hospital fundraising events.
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Maryland Youth Camp Incident Report Form
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Official form for documenting incidents, injuries, or illnesses occurring at youth camps in Maryland.
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Patient Intake Form
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Comprehensive medical history form for collecting patient personal and health information for Dr. Maria Suurna's medical practice.
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MASc Thesis Proposal Form
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A comprehensive form for graduate students in Civil Engineering to outline their research thesis proposal at York University.
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MASH North Arkansas Regional Medical Center APPLICATION CHECKLIST
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Comprehensive checklist for student application to medical shadowing program with required forms and documentation.
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Mass Casualty Event O Red Cell Inventory Form
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A form for hospitals to assess and manage red blood cell inventory during a mass casualty event, calculating needed blood units.
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Craniofacial Fellowship Application Form
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Comprehensive application form for medical professionals seeking a craniofacial fellowship, collecting detailed personal and professional information.
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Master Medical Form
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Comprehensive medical form for camp participation, focusing on epilepsy and health conditions for Epilepsy Alliance Ohio's Camp Flame Catcher/Camp for Champs.
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New Student CHECK LIST
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Comprehensive checklist for incoming students at Rutgers covering email activation, ID, medical forms, and document submission requirements.
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Proposal For Thesis Or Project Research
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Academic document for graduate students to propose and outline their thesis or project research at Washington University's Computer Science and Engineering department.
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Publishing Your MasterS Thesis With UMI Dissertation Publishing
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A comprehensive guide for graduate students on publishing their doctoral dissertations and master's theses through ProQuest/UMI Dissertation Publishing.
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NORTH DAVIS PREPARATORY ACADEMY (NDPA) STUDENT MEDICAL FORM
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A comprehensive medical form for collecting student health information and emergency contact details for North Davis Preparatory Academy.
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Master Thesis Approval Form
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A form for students to request approval and registration for a master's thesis research project with specified technical requirements.
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Adult TB Risk Assessment And Screening Form
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A comprehensive screening form to assess an individual's risk factors and symptoms related to tuberculosis (TB) infection.
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Materials RISE (Research In Science And Engineering) Fellowship Application
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A fellowship application form for students interested in Materials Science and Engineering research at the University of Wisconsin-Eau Claire.
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Material Transfer Request Form
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A form for documenting and requesting transfer of scientific materials between organizations with specific transfer details.
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MA PROGRAM In ART HISTORY THESIS AGREEMENT FORM
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A form for graduate students in Art History to obtain permission and register for thesis research at Hunter College.
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MasterS Thesis Proposal Form
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A graduate student form for proposing and gaining approval for a master's thesis from advisors.
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Incident Report Form Template
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A standardized form for documenting and reporting incidents involving individuals, with details about the event, participants, and follow-up actions.
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Pregnancy Booking Form For Harrogate Hospital
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Comprehensive medical intake form for pregnant patients seeking care at Harrogate Hospital, collecting personal, medical, and lifestyle information.
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Model Archive Verification And Approval Form
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A document for verifying and approving model archives and documentation for scientific projects at USGS.
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Cardiac Requisition
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Medical form for requesting cardiac diagnostic imaging and consultation, including patient history and risk factors assessment
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Sharp Health Plan Reimbursement Request Form
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A form for submitting medical expense reimbursement claims to Sharp Health Plan with detailed instructions and personal information fields.
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Donald C. Balfour Alumni Association Award For Meritorious Research 2024 Nomination
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Nomination form for recognizing exceptional research contributions by early-career medical researchers at Mayo Clinic.
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Edward C. Kendall Alumni Association Award For Meritorious Research 2024 Nomination
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Nomination form for the Edward C. Kendall Alumni Association Award recognizing outstanding research accomplishments by early-career medical and doctoral researchers.
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Contribution Form
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A form for making financial contributions to Mayo Clinic for various programs and purposes.
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Duke Gastroenterology Referral Form
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A medical referral form for gastroenterology services at Duke Health, used by healthcare providers to request clinic evaluations and procedures.
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Proteomics Core Service Request
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A research service request form for proteomics analysis and sample submissions at Mayo Foundation.
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Mayo Clinic Administrative Fellowship Application Form
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Fellowship application form for graduate students seeking leadership roles in healthcare at Mayo Clinic across various programs and settings.
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Human Subjects Research Project Consent Form Checklist
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Checklist for ensuring compliance with informed consent requirements for human subjects research at Monroe Community College.
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Mount Carmel Alumni Association Membership Form
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Form for registering as a member of the Mount Carmel Alumni Association with options for annual or lifetime membership.
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Minnesota Common Grant Application Form
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A standardized grant application form developed by Minnesota grantmakers to simplify the grantseeking process for nonprofit organizations.
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MCH 213G School Health Entrance Form Instructions
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A comprehensive form for documenting student health information, immunization status, and physical examination required for school entry in Virginia.
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Graduate Medical Education Disciplinary Action Form
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Form documenting academic deficiencies, misconduct, and potential disciplinary actions for medical residents.
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LAB REQUISITION FORM
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A laboratory test request form listing multiple lab test options and medical facility locations in Southern California.
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Contribution Form
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A form for making financial contributions to support the Madison Children's Museum's educational programs and experiences.
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TRIO McNair Scholars Program ApplicantS Checklist
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A comprehensive checklist for applicants to the TRIO McNair Scholars Program, detailing required documents and submission guidelines.
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Ronald E. McNair Graduate Assistantship Application Form
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Application form for graduate students seeking a research assistantship at Howard University with specific documentation requirements.
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MCO Discharge Form
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A comprehensive discharge form for behavioral health and recovery services tracking client status, diagnoses, and referral information.
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MEDICAL HISTORY FORM
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Comprehensive medical intake form collecting patient personal, medical, social, and health history details.
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VISION EVALUATION REPORT (Form MCSA 5871)
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A medical form for evaluating the vision capabilities of commercial motor vehicle drivers to determine physical qualification standards.
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VISION EVALUATION REPORT (Form MCSA 5871)
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A medical form for evaluating the vision capabilities of commercial motor vehicle drivers to determine physical qualification standards.
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Medical Expense Claim Form
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A form for employees to claim medical expense reimbursements through their flexible spending account with detailed claim submission instructions.
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Mount Sinai Adolescent School Based Health Center Parental Consent Form
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Parental consent form for students to use school-based health center services at Manhattan area schools.
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Release And Indemnification Agreement
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A legal document releasing The Medical College of Wisconsin from liability for potential injuries or damages during an unspecified activity involving a minor participant.
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MD5M PARADE SHIRT ORDER FORM
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An order form for purchasing parade shirts for men and women in various sizes by the MD5M Lions Club
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MDH Patient Contact Form 2015 02 12 V2.0.Docx
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A contact form for patient enrollment and baseline visit in a sensitive teeth research study, collecting personal contact information and assessment preferences.
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CLAIM FORM PART A
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A comprehensive form for filing health insurance claims, designed to collect detailed patient and insurance information.
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MEDICAL BENEFITS SUBSCRIBER CLAIM FORM
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A comprehensive medical insurance claim form for submitting healthcare expense reimbursement and insurance details.
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Consent For Administration Of Health Treatment AndOr Medication At School
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A form for obtaining parental and physician consent to administer medical treatments or medications to students during school hours.
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Emergency Medicine Medical Education Fellowship Application
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Application form for medical professionals seeking an emergency medicine medical education fellowship at the Medical University of South Carolina.
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NWC EMSS Non Transport Vehicle Inspection Instructions
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Instructions for completing Illinois Department of Public Health (IDPH) non-transport vehicle inspection forms for emergency medical services vehicles
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MEDEVAC REQUEST FORM
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A standardized form for requesting medical evacuation with detailed instructions for field reporting of patient and site conditions.
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ParentalGuardian Consent Form
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A consent form for parents/guardians to authorize student participation in the MedEx Academy program, including medical treatment and promotional permissions.
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Medex Subscriber Claim Form
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A claim submission form for medical services processed by Blue Cross Blue Shield of Massachusetts for Medex subscribers.
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Student Medical Form
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Comprehensive medical form collecting student health details, emergency contact information, and medical history for school purposes.
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Medical Release Form
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A form authorizing the release of medical treatment information to specified facilities or individuals.
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Medicaid Form Order
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A form for ordering various Medicaid-related medical and administrative forms from Montana Medicaid.
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NJCAA Medical Evaluation Form
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Comprehensive medical history and evaluation form for student athletes to assess their health and fitness for sports participation.
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Medical History Form
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Instructions and form for students to provide medical history, immunization records, and insurance information for campus health services.
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NAUI Medical Form
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Medical screening form for diving training applicants to assess potential health contraindications for SCUBA activities.
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Medical Release Form For 4 H Youth Adults
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A comprehensive medical release and health information form for 4-H program participants, collecting emergency contact, medical history, and treatment authorization details.
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COLTS YOUTH ORGANIZATION MEDICAL RELEASE FORM
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A comprehensive medical history and health disclosure form for Colts Youth Organization volunteers and staff members.
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Working Environment, Medical Approval And Fit Testing Forms
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Comprehensive form for assessing employee fitness for respirator use, including work environment evaluation and medical approval.
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Medical Assessment Form
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A medical form used to assess disability status for subsidized child care program eligibility.
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Studentsafe Inbound Medical Risk Assessment Form
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Insurance form for international students to disclose pre-existing medical conditions for coverage under Studentsafe insurance policy.
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USA Ultimate Medical Authorization Form
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A medical authorization form for parents/guardians to provide emergency treatment consent for children participating in Ultimate activities.
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Subscriber Medical Claim Form
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A comprehensive form for submitting medical insurance claims, capturing patient and insurance details.
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Medical CertificationInquiry Form
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A form used to assess an employee's medical condition and potential workplace accommodations by requesting medical professional certification of job function limitations.
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Medical Plan CHANGE Form
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Comprehensive guide for completing and submitting a medical plan change form with detailed documentation requirements.
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H.P.T.R.6 MEDICAL CHARGES REIMBURSEMENT FORM
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A comprehensive form for employees to claim reimbursement of medical expenses with detailed documentation and verification requirements.
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Claim Form To Pay InsuredSubscriber
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A comprehensive form for submitting medical insurance claims, capturing patient and treatment details for reimbursement.
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Medical Claim Form
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Insurance claim form for submitting medical expenses and travel-related healthcare claims with multiple payment options.
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Medical Claim Form
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Form for submitting out-of-network health care claims to UnitedHealthcare for reimbursement of eligible medical services.
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Medical Claim Form
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A form for submitting medical insurance claims with patient and insurance details for reimbursement processing.
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Claim Form To Pay InsuredSubscriber
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A comprehensive insurance claim form for submitting medical treatment claims, capturing patient and treatment details.
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Claim Form To Pay InsuredSubscriber
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A comprehensive medical insurance claim form for submitting healthcare treatment reimbursement or payment requests.
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Claim Form To Pay InsuredSubscriber
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A comprehensive form for submitting medical insurance claims with details about patient, treatment, and coverage information.
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Medical Clearance Form
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A comprehensive medical form for incoming students requiring medical history, immunization records, TB screening, and insurance information.
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Fondren Foundation Special Patient Clinic Dental Referral Form
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A medical referral form for patients with complex medical conditions seeking dental screening and assessment at UTHealth Houston School of Dentistry's Special Patient Clinic.
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Direct Member Reimbursement Form
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A form for AvMed members to request reimbursement for covered medical services by submitting documentation and details of treatment.
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Medical Emergency Contact Form For StudyInternTeach Away
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A medical contact and history form for students participating in study, internship, or teaching programs abroad.
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Medical Plan Enrollment Form
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Comprehensive form for enrolling in medical coverage, changing plans, or adding/dropping dependents for ACERA members.
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Easterseals Wisconsin Camps Medical Examination Form
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Medical form for documenting a camper's health status, medical history, and immunization records for participation in Easterseals Wisconsin Camps.
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Medical Examination Report For Commercial Driver Fitness Determination
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Comprehensive medical assessment form for commercial drivers to determine fitness for driving based on health status and medical history.
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Form MCSA 5875 Medical Examination Report Form
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Medical examination form for commercial driver license (CDL) applicants to assess medical fitness for driving.
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Medical History Form
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A comprehensive medical history form for assessing health status and potential exercise risks, specifically for Central Oregon Community College's Exercise Physiology Lab.
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Seoul International School Authorization For Medical Procedure Student Medical History Health Fo
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Medical authorization and health history document for students at Seoul International School, covering emergency care permissions and medical history details.
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ISTEM Summer Program Medical Form
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Medical form for students attending the UCF iSTEM Summer Program, collecting personal, emergency, and health information.
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Medical Information Form
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A comprehensive medical form for participants in Andes Climb and Atacama Leadership Ventures, requiring full medical disclosure and physician examination.
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COLTS DRUM BUGLE CORPS MEDICAL HISTORY FORM
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Comprehensive medical history form for student members of a drum and bugle corps, covering personal health history and potential medical conditions.
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MEDICAL FORM PERSONAL INFORMATION
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A confidential form to collect medical and personal details for kayaking tour participants to ensure safety and appropriate instruction.
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Medical Information Form
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A detailed medical form capturing patient and treatment information for cancer patients seeking support from Angel Foundation.
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Emergency Contact And Medical Information
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Form for collecting medical information, emergency contacts, and medical authorization for a child during a specific event or period.
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Medical Form
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Comprehensive medical history and health information form for students at St. Mary's College.
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Medical Form
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Form for documenting medical life support needs and service requirements for utility account holders with medical conditions.
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Upward Bound Medical Information Release Form
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A comprehensive medical form for students in the Ohio State ATI Upward Bound Program that provides medical information, emergency contact details, and parental consent for medical treatment.
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Medical Consent Form
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Comprehensive medical form for collecting a child's health history, emergency contact information, and medication permissions.
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New York State Science Olympiad Medical Form
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Medical form for participants and alternates in Science Olympiad tournament, requiring comprehensive health and emergency contact information.
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Injuries Resolution Board Medical Assessment Form (Form B)
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A standardized medical report template for documenting injuries and medical assessments for personal injury compensation claims in Ireland.
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Medical Information Form
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Medical information and consent form for student enrollment, including health details, allergies, and medication permissions
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Medication Emergency Treatment Authorization For Participants In Programs Involving Minors
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A comprehensive medical authorization form for parents/guardians to provide health and emergency contact information for children participating in Boston College youth programs.
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Department Of State Academic Exchanges Participant Medical History And Examination Form
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A comprehensive medical history form required for participants in U.S. Department of State educational exchange programs to confirm health status and obtain medical clearance.
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Medical Form
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A comprehensive medical form for collecting student health information, emergency contacts, and parental consent for medical treatment.
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Adult Confidential Medical Record
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A comprehensive medical form for collecting personal health information and emergency contact details for program participation.
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Diving Medical History Form
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A comprehensive medical screening form for applicant-divers to assess their fitness for diving activities and potential health risks.
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MEDICAL FORM SELF REPORT
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A comprehensive medical self-report form for patients to document their medical history and current health conditions.
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Camp Mak A Dream Summer Staff Medical Information Form 2023
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Comprehensive medical information form for summer camp staff to document health history, immunizations, medical conditions, and emergency contacts.
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Camp Mak A Dream Summer Staff Medical Information Form 2024
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Comprehensive medical history and health information form for summer camp staff members, collecting details about medical conditions, immunizations, and emergency contacts.
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Medical Form
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A comprehensive medical information form for students to provide health details, emergency contact information, and medical treatment permissions.
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Messiah University Young Writers Workshop Medical Form
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A medical form for participants of a youth writing workshop, capturing emergency contact, medical history, and medication information.
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Medical History Form
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Comprehensive medical history questionnaire for patient medical assessment, including health conditions, personal details, and examination data.
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Cottonwood Crossing Summer Institute Health Insurance And Medical History Form
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A form collecting student health information, insurance details, and medical emergency consent for a summer program participation.
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Medical History And Permission Form For Treatment
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Medical authorization and medication details form for parents of summer program participants to provide medical treatment consent and medication information.
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MEDICAL HISTORY
PDF template
Comprehensive medical history form covering personal health, medical conditions, medications, allergies, lifestyle, and previous medical procedures.
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NEW PATIENT MEDICAL HISTORY FORM
PDF template
Comprehensive medical history form for new patients to document current medications, health problems, and medical conditions.
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MEDICAL HISTORY FORM
PDF template
A comprehensive form for collecting patient personal and insurance information for medical purposes.
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DENTALMEDICAL HISTORY FORM
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Comprehensive form for collecting patient dental and medical history information for a student dental hygiene clinic.
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MEDICAL HISTORY FORM
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Comprehensive form for collecting patient personal and insurance information for medical purposes.
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Sport Club Medical History Form
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Medical history and health screening form for participants in sport club activities at CSU Recreation Services.
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MEDICAL HISTORY FORM
PDF template
Comprehensive medical history and personal health information form for students at Vanguard University's Health Center.
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MEDICAL HISTORY FORM
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Comprehensive medical history form for collecting patient personal details, health conditions, and contact information.
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Medical History Form
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A comprehensive medical form documenting a patient's medical condition and impairments for service dog placement evaluation.
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Medical History, Examination, And Fitness For Training
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A medical history and examination form for law enforcement officer training applicants to determine fitness for training at the Criminal Justice Academy.
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Medical History Form
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A comprehensive form for collecting patient medical history, current health status, and therapy-related information.
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Patient Questionnaire Medical History Form
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Comprehensive medical intake form for patient history and current medical condition assessment, used in healthcare settings.
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Student Health History Form
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Comprehensive health history form for students enrolling at Watertown campus, collecting personal and family medical information.
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Medical History Form
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Comprehensive medical intake form for capturing patient personal information, medical history, and contact details for a dermatology practice.
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PARTICIPANT MEDICAL HISTORY FORM
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Comprehensive medical history form for participant health information, emergency contacts, and authorization details for a camp or program.
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Medical History
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Comprehensive medical history form for collecting patient health information, medical conditions, and lifestyle details.
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Medical History
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Detailed medical history document capturing patient health information across multiple body systems and medical conditions.
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Health History Form
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A comprehensive medical history form for students to document their personal health information and medical conditions.
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Medical History Form (For Immigration Examination)
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Comprehensive medical history form for immigration purposes, covering various health conditions and medical background
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Medical History Form
PDF template
Comprehensive medical form for collecting patient's personal and family medical history, including past diagnoses, allergies, and health conditions.
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Medical History Form
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Comprehensive medical form for collecting patient's personal health information, medical history, current symptoms, and social history.
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Health History Form
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Comprehensive medical history form for patients to provide detailed health information prior to a medical appointment.
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Medical History Form
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Comprehensive medical form for collecting patient personal information, medical history, current health status, and pain assessment details.
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Medical History Form
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Comprehensive medical history form for collecting patient personal information, medical background, lifestyle details, and current medications.
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UVM OUTING CLUB MEDICAL HISTORY FORM
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Comprehensive medical information form for University of Vermont Outing Club participants to assess health status and potential risks during outdoor activities.
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Medical History Form
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Comprehensive medical history form for dental patients to provide health background and current medical status.
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MEDICAL HISTORY FORM
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Comprehensive medical history form focusing on patient's hearing health, ear conditions, and communication difficulties.
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Medical History Form
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Comprehensive medical history and health status documentation form for patients at Freedom House for Women
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Medical History Form
PDF template
Comprehensive medical history form collecting patient health information, current treatments, medications, and past medical conditions.
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SLEEP STUDIES PERSONAL HISTORY FORM
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Comprehensive medical history form for patients undergoing sleep studies, collecting personal health information and symptoms.
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Personal Medical History
PDF template
Comprehensive form for collecting patient's personal medical history, surgical history, allergies, and family medical background.
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Intake And History Form
PDF template
Comprehensive medical intake form for collecting patient's personal information, current health concerns, medical history, and past treatments.
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MEDICAL HISTORY FORM
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A comprehensive form for collecting detailed medical history information about a child, including birth history, past medical history, and family medical history.
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Fontbonne University Resident Medical Information
PDF template
Comprehensive medical information and immunization requirements for new resident students at Fontbonne University.
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Medical History Form
PDF template
Comprehensive medical history form for dermatology patients collecting personal health information, medical background, and contact details.
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Adult Medical History Form
PDF template
Comprehensive medical history form for collecting patient health information, medical conditions, surgical history, and current medications.
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Andrew College Medical History Form
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A comprehensive medical history form for student athletes at Andrew College, collecting personal health information and medical background details.
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Medical History And Physical Examination Form
PDF template
Comprehensive medical history and physical examination form for students, collecting personal health information and examination results.
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Medical Incident Report
PDF template
A comprehensive form for documenting medical incidents and patient health status during flight.
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University Of Alaska Southeast Outdoor Education Medical Information Questionnaire
PDF template
A confidential medical form for participants in University of Alaska Southeast outdoor education courses, collecting personal and medical details for safety purposes.
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Medical Inquiry Form In Response To A Disability Accommodation Request
PDF template
A form used by California State University, East Bay to assess an employee's disability status and potential reasonable accommodations under the ADA.
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Medical Inquiry Form In Response To A Reasonable Accommodation Request
PDF template
A medical form used to evaluate an employee's disability status and potential workplace accommodations under ADAAA guidelines.
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Medical Inquiry Form In Response To An Exemption Request To In Person Work For Medical Reasons
PDF template
A medical form used to assess an employee's medical conditions and potential limitations for workplace accommodations or remote work exemptions.
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Medical Inquiry Form In Response To An Accommodation Request
PDF template
Medical form for healthcare providers to assess an employee's disability status and potential workplace accommodations under the Americans with Disabilities Act (ADA).
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Medical Inquiry Form In Response To An Accommodation Request
PDF template
A medical form used to evaluate an employee's disability status and potential workplace accommodations under the Americans with Disabilities Act (ADA).
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Medical Inquiry Form In Response To A Reasonable Accommodation Request
PDF template
A form used to assess an employee's disability status and potential need for reasonable accommodations under the ADAAA.
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Medical Inquiry Form For Employee ADA Accommodation Request
PDF template
Form for healthcare providers to document medical information related to employee accommodation requests under ADA guidelines.
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MEDICAL INQUIRY FORM
PDF template
A form authorizing release of medical information for evaluating workplace disability accommodations and job function capabilities.
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MEDICAL INQUIRY FORM RESPONSIVE TO ACCOMMODATION REQUEST
PDF template
A form for employees to request medical accommodations by authorizing their healthcare provider to release relevant medical information to their employer.
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Medical Inquiry Form In Response To An Employee Accommodation Request
PDF template
A medical form used to assess an employee's disability status and potential workplace accommodations at Portland Community College.
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ORNL Physical Examination Instructions
PDF template
Instructions for new hires at Oak Ridge National Laboratory (ORNL) regarding medical examination preparation and required documentation.
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University Health Center Medical Insurance Form
PDF template
A form for collecting student and insurance policy details for medical services at a university health center.
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PATIENT INTAKE FORM PPOMEDICARESELF PAY
PDF template
Comprehensive patient registration form collecting personal, insurance, and financial information for medical services.
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Medical Panel Transfer Request Form
PDF template
A form for healthcare practices to transfer between medical panels with required practice and Designated Provider Representative (DPR) information.
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Campus Guest Medical Release Form
PDF template
Medical authorization form for campus visitors allowing emergency medical treatment and documenting health information.
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Medical Release FormPermission To Treat
PDF template
A comprehensive medical form for collecting personal, emergency contact, insurance, and medical information with treatment authorization.
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Medical Power Of Attorney
PDF template
A legal document that allows an individual to designate an agent to make medical decisions on their behalf when they are no longer able to do so.
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Medical Practitioner Authorization Form (MPAF) For SBAP Services
PDF template
Authorization form for medical practitioners to approve health-related services for students in the School-Based Access Program (SBAP)
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Pre Authorization Form For Medical Procedures
PDF template
A form for pre-authorizing medical procedures for state employees with work-related injuries
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MEDICAL HISTORY QUESTIONNAIRE ILEA Students
PDF template
A comprehensive medical history form for students to assess health status and readiness for training, ensuring confidentiality and emergency preparedness.
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MEDICAL HISTORY QUESTIONNAIRE ILEA Students
PDF template
A comprehensive medical history form for students to assess health status and readiness for training, ensuring medical confidentiality.
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Medical Release Form
PDF template
A form authorizing the release of medical records from one healthcare provider to another, with patient consent.
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Medical Release Form
PDF template
Authorization for releasing protected health information to a designated company with patient consent.
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PI 118 Medical Referral Of Restricted Participant
PDF template
Official form for medical provider referrals for restricted Missouri Medicaid participants to document medically necessary service transfers.
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H.P.T.R. 6 MEDICAL CHARGES REIMBURSEMENT FORM
PDF template
A form for treasury employees to claim reimbursement of medical expenses incurred for treatment of themselves or dependents.
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Peace Corps Invitee Medical Reimbursement Form
PDF template
A form for Peace Corps invitees to claim reimbursement for medical expenses not covered by primary health insurance.
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Medical Reimbursement Form
PDF template
Form for seeking reimbursement of medical expenses in a domestic relations case, detailing documentation requirements and payment process.
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MEDICAL RELEASE FORM 2024 2025 Lifetime Fitness Program
PDF template
A medical release form for participants in the University of Illinois at Urbana-Champaign Lifetime Fitness Program, requiring physician assessment of medical conditions.
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Virginia Military Institute Medical Release Form
PDF template
Medical form certifying an applicant's physical and mental fitness for the rigorous Virginia Military Institute cadet program.
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Medical Release Form
PDF template
Medical authorization form for children participating in Kinetic Kids sports and recreation programs, allowing parents to specify health conditions and activity clearances.
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Medical Release And Accommodations Related To Injury Or Illness
PDF template
A document detailing the process for students with medical conditions to request accommodations in nursing school classrooms and clinical settings.
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Medical Release Form
PDF template
A form granting permission to release confidential medical information to the Virginia Tech Adult Day Care Center.
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Authorization To Release Medical Information Form
PDF template
A form authorizing the release of medical records and personal health information between healthcare providers or entities.
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Williamsport Volunteer Fire Emergency Services Inc. Medical Release Form
PDF template
A form authorizing the release of medical information from Williamsport Volunteer Fire Emergency Medical Services Inc.
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Authorization For Disclosure Of Health Information
PDF template
A form authorizing the release of personal health information with consent and understanding of privacy rights.
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Little League Baseball And Softball Medical Release
PDF template
Medical authorization form for youth baseball and softball players, allowing emergency medical treatment and capturing critical health information.
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Medical Liability Release Form
PDF template
A medical liability release form for HOSA delegates, parents, and guardians to attend conferences and experiences during the 2019-2020 academic year.
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IM, Inc. ETEAM MEDICAL RELEASE FORM
PDF template
A comprehensive medical information and emergency contact form for gathering participant health details and insurance information.
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Medical Release Form
PDF template
A medical form authorizing camp staff to administer prescribed medications to a child during camp hours.
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Medical Liability Release Form
PDF template
A liability release form for HOSA delegates, parents/guardians, guests, and advisors to participate in conferences and experiences.
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Medical Release Form
PDF template
A legal document authorizing the release of patient's medical records and health information to designated individuals or organizations.
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Medical Release Form
PDF template
Medical release and health information form for adult participants in Eagle Bluff activities, requiring personal and medical details.
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Medical Release Form ADA 3 Pages
PDF template
A medical authorization form for students seeking disability accommodations at Missouri Valley College, allowing healthcare providers to share medical information with college personnel.
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Medical Record Release Form
PDF template
A form authorizing the release of confidential medical records to Complete Dermatology medical offices
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Medical Release Form
PDF template
A form to authorize the release of patient medical information for insurance claim processing.
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HIPAA Privacy Authorization Form
PDF template
Authorization form for releasing protected health information for St. John Fisher College students, complying with HIPAA regulations.
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Honors Symposium Medical Release Form
PDF template
Medical release and health history form for students participating in the Harding University Honors Symposium program
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Christ In Youth Discipline, Liability Medical Release Form
PDF template
A comprehensive release form for participants of Christ In Youth events covering discipline, liability, and medical information.
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Medical Release Form
PDF template
A medical consent form for parents/guardians to authorize medical treatment for a minor in their absence.
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MEDICAL LIABILITY RELEASE
PDF template
Comprehensive medical and liability release form for camp registration, including health information, emergency contacts, and photo/transportation permissions.
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RELEASE FROM LIABILTY And MEDICAL CARE
PDF template
A form allowing individuals to decline medical assistance and release the college from liability for such refusal.
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Medical Release Form
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A medical consent and emergency contact form for students participating in SkillsUSA activities, allowing designated personnel to seek medical treatment if necessary.
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Event Medical Release Permission Form
PDF template
A comprehensive medical release and permission form for students participating in church youth events, covering medical history, contact information, and emergency details.
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Medical Release Form
PDF template
A form authorizing the release and disclosure of patient health information, including medical records and sensitive health data.
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Authorization For Use And Disclosure Of Medical Information
PDF template
A legal document authorizing healthcare providers to release confidential medical records to a specified facility.
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MEDICAL RELEASE FORM
PDF template
Medical form for seniors to obtain physician approval for exercise program participation at Teaneck Senior Services Center.
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Medical Information Release Form
PDF template
A document authorizing the release of medical or personal information by an individual to a specified entity.
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Little League Baseball And Softball Medical Release
PDF template
Medical authorization form for youth baseball and softball players, providing emergency contact and medical information for team participation.
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Medical Release Form
PDF template
Medical release form for children participating in sports and recreation programs, documenting health status and activity clearance.
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Medical Release Form Treatment Of Minor Child
PDF template
A form granting medical treatment authorization for a minor child in case of emergency, including contact and medical information.
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Medical Release Form
PDF template
A form allowing patients to authorize the transfer of medical records to or from Market Street Dermatology.
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Waal Community Academy Medical Release Form
PDF template
A medical release form for documenting student medical information and emergency contact details, with parental authorization for medical treatment.
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MEDICAL RELEASE FORM
PDF template
A legal form authorizing medical treatment for a minor by parent or legal guardian, including medical history and emergency contact information.
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Medical Release Form
PDF template
A legal document authorizing medical treatment for a minor and designating emergency contacts and medical information.
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Youth Junior Volleyball Player Medical Release Form
PDF template
A comprehensive medical release and consent form for youth and junior volleyball players to participate in volleyball activities and competitions.
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FALAB Medical Form
PDF template
Medical examination form for firearm license applicants to assess physical and mental fitness for weapon ownership.
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South Carolina State Guard Medical Service Inquiry
PDF template
A comprehensive medical history inquiry form for South Carolina State Guard members, collecting personal and health-related information.
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IUOE Local 4 Reimbursement Form
PDF template
Medical reimbursement form for IUOE Local 4 members seeking compensation for DOT physical exams, massage therapy, and related services.
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AUTHORIZATION FOR THE RELEASE OF MEDICAL INFORMATION
PDF template
A form allowing students to authorize the release of medical information to the Office of Accessibility for determining disability service eligibility.
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Pikes Peak Regional Law Enforcement Academy Medical Examination Form
PDF template
Medical certification form for law enforcement trainees to verify physical fitness for academy training and activities.
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Direct Member Reimbursement Request Form
PDF template
A form for Medicare plan members to request reimbursement for dental, eyewear, and hearing aid services.
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Medical Reimbursement Request Form
PDF template
A form used to request reimbursement for medical, dental, vision, hearing, and foreign travel care and supplies from a health insurance plan.
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Plan Selection Form Retiree Supplemental Medical
PDF template
A form for retired Oklahoma State University employees to select supplemental medical insurance plans with Medicare eligibility requirements.
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PATIENT INTAKE FORM
PDF template
Comprehensive form for collecting patient personal, medical, and insurance information for medical services or therapy referral.
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Medication Authorization Form
PDF template
Official form for obtaining parental and medical permission to administer medication to a child in a care facility in Washington, DC.
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Medication Inventory Form
PDF template
A detailed form for tracking medication quantities, dosages, and expiration dates for various medical supplies.
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MEDICAL HISTORY FORM
PDF template
A form for patients to document their current medications and medical history details.
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MEDICATIONS REPORT FORM
PDF template
A detailed form for documenting therapeutic medication administration for horses in a veterinary or racing context.
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Claim Form Instructions
PDF template
Detailed instructions for submitting prescription medication reimbursement claims with specific guidance on documentation requirements.
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NEW PATIENT INTAKE FORM
PDF template
Comprehensive medical intake form for collecting patient personal, contact, and medical history information for a healthcare provider.
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UA Affidavit Authorization For Release Of Information
PDF template
Official affidavit and authorization document for releasing information related to physician licensure application for the Maine Board of Osteopathic Licensure.
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Medical Form Requirements Policy
PDF template
Policy update regarding medical form submission requirements for Rhode Island state pilots and medical certification compliance.
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Medical Provider Inquiry Form In Response To An Accommodation Request
PDF template
A form for medical providers to provide details about an employee's medical limitations for workplace accommodation purposes.
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MIT Student Medical Report Form 20242025
PDF template
Medical report form for new and returning MIT students requiring health documentation, immunization records, and medical screening information.
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Chronic Medicine Benefit Application
PDF template
A medical form for applying to a chronic medicine benefit program, to be completed by patients seeking ongoing medication coverage.
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Nouveau Medispa Medical History Form
PDF template
Comprehensive medical history form for patients seeking medical spa treatments, collecting personal and health information.
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MEETING REQUEST FORM
PDF template
A form for medical students to outline their research experience, goals, and interests for potential research opportunities.
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New Patient Medical History Form
PDF template
Comprehensive medical form for collecting patient's personal medical and surgical history, covering a wide range of health conditions and past surgical procedures.
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Member Claim Form
PDF template
A form for Quartz health plan members to submit claims for medical services paid out-of-pocket when providers will not submit claims directly.
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Member Claim Form
PDF template
Insurance claim form for submitting medical service reimbursement requests to BlueCross North Carolina.
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Member Claim Reimbursement Form
PDF template
A form for Scripps Health Plan members to request direct reimbursement for covered medical benefits and provide claim details.
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Member Claim Submission Form
PDF template
A comprehensive form for submitting medical, vision, and other healthcare-related insurance claims with detailed service type options.
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Ohio Valley Entomological Association (OVEA) Annual Membership Form
PDF template
Annual membership registration form for the Ohio Valley Entomological Association for students and regular members.
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4 H Youth Development 2018 2019 Member Health Information Form
PDF template
A comprehensive health form for 4-H youth members to document medical history, conditions, medications, allergies, and emergency information.
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4 H Youth Development 2019 2020 MEMBER HEALTH INFORMATION FORM
PDF template
A comprehensive health form for 4-H youth members to record medical history, medications, allergies, and emergency information.
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Member Inquiry Form
PDF template
A comprehensive form for members to submit inquiries about medical claims, health plans, and personal information updates.
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Member PCP Transfer Request Form
PDF template
A form for healthcare providers to request transfer of a patient's primary care provider due to various clinical or administrative reasons.
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Member Reimbursement Form
PDF template
A form for members to request reimbursement for various medical services and expenses from Network Health insurance plan.
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Member Reimbursement Form
PDF template
A form for Kaiser Permanente members to request reimbursement for medical expenses paid directly to a healthcare provider.
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FORM C APPLICATION FOR MEMBERSHIP And FELLOWSHIP EXAMINATIONS
PDF template
Application form for candidates seeking membership and fellowship examinations with the West African College of Physicians.
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Friends Of The CVW Long Lake Public Library Annual Membership And Volunteer Form
PDF template
Annual membership form for supporting the CVW Long Lake Public Library with various membership levels and volunteer opportunities.
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North American Bluebird Society, Inc. Membership Form
PDF template
Membership registration form for the North American Bluebird Society with multiple membership levels and donation options.
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Annual Membership Form
PDF template
Membership form for supporting the Hahn Horticulture Garden with various membership levels and donation options.
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Friends Of The Library Membership Form
PDF template
Membership form for supporting the Loyola Notre Dame Library through various contribution levels.
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San Diego WomenS Foundation Membership Form
PDF template
Membership registration form for joining the San Diego Women's Foundation with contribution payment options and details.
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Membership Form
PDF template
A membership form for a non-profit environmental education organization offering various membership levels and donation options.
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MEMBERSHIP FORM
PDF template
A form for individuals to apply for membership with various membership tier options.
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Membership Form
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A donation and membership form for joining The Heritage Foundation with various contribution levels and membership benefits.
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Membership Form
PDF template
Annual membership form for supporting Brenner Children's healthcare organization through membership and potential volunteer opportunities.
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INDIAN MEDICAL ASSOCIATION MEMBERSHIP APPLICATION FORM
PDF template
Membership application form for medical professionals seeking to join the Indian Medical Association as life or direct members.
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Annual Membership Form
PDF template
Membership form for joining the Bulgarian Center of New England, a nonprofit organization serving the Bulgarian community.
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Homewood Historical Society Membership Form
PDF template
Membership form for the Homewood Historical Society with various membership levels and donation options.
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White County Public Library Friends Foundation, Inc. Membership Form
PDF template
Membership form for supporting White County Public Library and its local branches through various membership levels and volunteer opportunities.
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Friends Of The University Libraries Membership Form
PDF template
A membership form for supporting and contributing to the University Libraries through various donation levels.
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Membership Form
PDF template
A membership application form for joining the Friends of the Batavia Public Library with various membership levels and contribution options.
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Membership Form
PDF template
Membership registration form for the Nasher Museum of Art at Duke University with multiple membership levels and payment options.
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Friends Of McMinnville Public Library Membership Form (New Or Renewal)
PDF template
Membership form for supporting the McMinnville Public Library through various donation levels and receipt options.
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Remembrance Program Order Form
PDF template
Order form for purchasing a memorial plaque at Knoch Park Field #5 in Naperville, Illinois.
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Membership Form
PDF template
Membership form for joining a local jazz and blues nonprofit organization with various membership levels and volunteer opportunities.
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St. Louis Mercantile Library Contribution Form
PDF template
A form for making financial contributions to the St. Louis Mercantile Library and its associated collections and museums.
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Merchandise Approval From Student Organization Fundraising
PDF template
A form for student organizations to request approval for fundraising merchandise with details about item, quantity, and pricing.
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MESA Exam7 ShippingForm
PDF template
A shipping form for documenting details of a medical exam shipment with recipient contact information and tracking details.
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Cancer, Specified Disease And Intensive Care Coverage
PDF template
Instructions for filing claims related to cancer, specified disease, and intensive care coverage under a MetLife insurance policy.
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OSSAA Physical Examination And Parental Consent Form
PDF template
A comprehensive medical screening form for student athletes to assess their health and fitness for participating in sports.
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Pre Participation Physical Evaluation Form And Parental Consent
PDF template
Official form for student-athletes to obtain medical clearance and parental consent for school sports and marching band participation in Oklahoma.
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MGM790 Feedback Form For Speakers
PDF template
A comprehensive form for providing detailed feedback on academic or professional presentations, covering various aspects of presentation quality and delivery.
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Magellan Scholar BUDGET FORM
PDF template
Detailed instructions for completing a student budget form for research or scholarly work, including salary and fringe benefit calculations.
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MEADOWS GRADUATE STUDENT COUNCIL PROJECT PROPOSAL FORM
PDF template
A form for graduate students to submit project proposals and request funding from the Meadows Graduate Student Council
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Medical History Form
PDF template
Comprehensive form for collecting patient medical background and consent for massage therapy services.
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Research Patient Registration Form
PDF template
A comprehensive form for registering patients participating in medical research studies at Memorial Hermann - TMC.
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Medical History Form
PDF template
Detailed medical form focusing on patient's sleep habits, including snoring, breathing during sleep, daytime sleepiness, and overall sleep quality.
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HEALTH SUPPLY REQUISITION FORM
PDF template
A form for requesting health-related laboratory supplies and test forms from the Florida Department of Health's Bureau of Public Health Laboratories.
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Approval Form For Directed Research In Microbiology
PDF template
A form for students to obtain approval and document details for conducting directed research in microbiology at the university.
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2013 MICP Evaluation Form
PDF template
Evaluation form for assessing case management skills, comportment, and program performance of MICP (Medical Insurance Compensation Program) panels and staff.
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YPPKM Application Requirements
PDF template
Application requirements for Malaysian small traders and vendors seeking financial support from Yayasan Penjaja dan Peniaga Kecil Malaysia (YPPKM)
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PCA 1 24 01338 Clinical FM 05142024
PDF template
A medical referral form used by primary care physicians to authorize specialist consultations and treatments within a health plan network.
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SAMPLE MIDLINE INSERTION CONSENT FORM
PDF template
A medical consent form for patients agreeing to have a midline catheter inserted, detailing potential risks and medical procedure details.
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Mid Project Feedback Form
PDF template
A feedback form for participants in the Career and Technical Education project to evaluate professional development and program implementation.
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Mileage Reimbursement Form
PDF template
A form for researchers to document and request reimbursement for travel expenses related to research activities.
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Mileage Reimbursement Form
PDF template
Form for cancer patients to request reimbursement for medical travel expenses and miles traveled for treatment.
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Elliot Lake Miners Memorial Brick Donation Form
PDF template
A form for mining workers to donate a commemorative or memorial brick for the Elliot Lake Miners' Memorial project.
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Mini Grant Application Guidelines
PDF template
Guidelines for faculty to apply for short-term research funding up to $1,000 for specific research and scholarly project needs.
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Mini SabbaticalGrant Writing Fellowship Application Form
PDF template
An application form for Western Illinois University faculty members to apply for a course reduction to support professional projects and grant writing.
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Minor Care Consent Via Phone
PDF template
A consent form for authorizing medical treatment of a minor patient through phone communication, capturing key patient and guardian information.
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Minor Consent To Travel Form
PDF template
Form authorizing transportation for minors aged 12-15 through Veyo's Non-Emergency Medical Transportation program in Connecticut.
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Minors In Labs Consent And Release Form
PDF template
A consent and release form for minors participating in laboratory activities at the University of Rhode Island, outlining safety procedures and parental permissions.
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Contribution Form
PDF template
Contribution form for the American Physical Therapy Association's Celebration of Diversity event in Milwaukee, Wisconsin.
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Minor Consent Medical Form
PDF template
Medical consent form for students, allowing medical treatment and over-the-counter medication authorization by Caada College Health Center
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Star Island Minor Medical Release Form
PDF template
A medical release and information form for minors attending a Star Island activity or conference, detailing medical history, medications, and emergency contacts.
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Assumption Of Risk, Release From Liability, And Indemnification Form
PDF template
A consent form for parents/guardians allowing minors to participate in research or clinical activities at Yale University with potential exposure to hazardous materials.
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Guidelines For Minors In The Laboratory
PDF template
Comprehensive safety guidelines for minors aged 14-18 participating in laboratory activities at the University of Alabama in Huntsville.
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Safety Agreement And Parental Consent Form For Minors Participating In Laboratories At Farmingdale S
PDF template
A comprehensive safety agreement for minors participating in laboratory research or volunteer opportunities at Farmingdale State College, requiring risk assessment and parental consent.
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Frequently Asked Questions For Minors And Visiting Undergraduates Participating In Research Or Clini
PDF template
A comprehensive guide addressing frequently asked questions about application process, NetID creation, training, and compliance for minors and undergraduate students participating in research or clinical activities at Yale.
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NEW PATIENT INTAKE FORM
PDF template
Comprehensive medical form for new patients to document pain history, symptoms, and current health conditions.
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MIP Enrollment Form
PDF template
Comprehensive form for UN staff members to enroll in medical insurance coverage for themselves and their dependents.
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MissionInsite Request Form
PDF template
A form for requesting specialized demographic reports for churches and ministries with geographical area specifications.
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Minor Participant Forms
PDF template
Comprehensive registration and medical form for minors participating in Global Passion Ministries travel programs.
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Service Request Form For Software Development And System Changes
PDF template
A comprehensive form for requesting software development changes, system modifications, and technical support within an organization.
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Mitsubishi Graduate Research Fellowship Application Form
PDF template
Application form for graduate students seeking research funding from the Mitsubishi Graduate Research Fellowship program.
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Mitsubishi Graduate Research Fellowship Application Form
PDF template
Application form for graduate students seeking research funding from the Mitsubishi Fellowship program.
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MKSAP Money Back Guarantee Refund Request Form
PDF template
A refund request form for medical professionals who did not pass the ABIM exam after completing MKSAP self-assessment questions.
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Digital Patient Intake Form
PDF template
Form for medical providers to submit patient information, treatment details, and request insurance verification for wound care products.
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Digital Patient Intake Form
PDF template
A medical form for provider and patient information collection, insurance verification, and wound treatment documentation.
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Patient Intake Form
PDF template
A medical reimbursement form for verifying insurance coverage and documentation for skin substitute treatments.
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MLD PhD Writing Skills Waiver Form
PDF template
Form for Machine Learning PhD students to waive writing skills requirement by demonstrating a first-author paper acceptance.
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MLD PhD Writing Skills Waiver Form
PDF template
Form for ML PhD students to request waiver of writing skills requirement based on published research paper.
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Patient Medical History Form
PDF template
Comprehensive medical history form collecting patient personal information, medical conditions, medications, allergies, and healthcare provider details.
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OBGYN Medical History Form
PDF template
Comprehensive medical history form for obstetrics and gynecology patients with sections covering medications, allergies, medical history, family history, and social history.
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Mount Sinai Adolescent School Based Health Center Parental Consent Form
PDF template
Parental consent form for students to receive medical services at a school-based health center, allowing medical treatment without changing existing insurance or doctor relationships.
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Missing Person Initial Report Form
PDF template
A confidential form for documenting initial details about a missing person case, including personal information, description, and circumstances of disappearance.
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No Fault Insurance Form
PDF template
A medical insurance claim form for documenting patient information and authorizing insurance benefits for accident-related medical services.
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MMCGME Required Resident Documentation
PDF template
Comprehensive documentation requirements for new, continuing, and graduating medical residents and fellows.
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PreventiveCareAppealForm 20200507 V1.0
PDF template
Form for submitting preventive care exam documentation to Medical Mutual Wellness for wellness program compliance.
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Patient And Insurance Claim Form
PDF template
A standardized form for submitting medical insurance claims with patient and subscriber information details.
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MMS Giving Foundation Grant Application Form
PDF template
A comprehensive form for non-profit organizations seeking financial support from the MMS Giving Foundation, requiring detailed organizational and financial information.
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Mellon Mays Undergraduate Fellowship Application Form
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Application form for undergraduate students seeking fellowship to increase diversity in academic faculties and support research opportunities for underrepresented minorities.
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Policy establishing ownership, commercial development, and royalty distribution for intellectual property created by university employees and students.
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Medical referral form for physicians to submit patient details for Mohs micrographic surgery for skin cancer treatment.
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HACC Foundation Monetary And Pledge Contribution Form
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Contribution Form
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Political action committee contribution form for collecting donor information and financial contributions.
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Sleep Respiratory Requisition
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Medical referral form for sleep apnea testing, pulmonary function tests, and oxygen therapy assessment
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Sleep Respiratory Requisition
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Medical referral form for sleep apnea testing, pulmonary function tests, and oxygen therapy assessment
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Master Of Science Checklist
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Texas Tech University HSC School Of Medicine Year 4 Rotations Student Evaluation Form
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Comprehensive evaluation form for assessing fourth-year medical students' clinical performance across multiple competency areas.
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Form for students to register and get approval for a graduate research project in the MSIT degree program
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A donation form for supporting the Michigan Traditional Arts Program's cultural preservation and cross-cultural understanding initiatives.
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Material Transfer Request Form Incoming Questionnaire
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A form for making a one-time financial contribution to the Missouri Civil War Museum.
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Must Trust Form
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MVHS PTSO Membership Form
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Volunteer Application Form
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Comprehensive application form for individuals interested in volunteering at MVH/IFCH hospital, covering personal details, preferences, and background information.
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Medical Claim Reimbursement Request
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A form for members to request reimbursement for medical expenses paid out of pocket, requiring itemized receipts and proof of payment.
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My Medical Alert Passport
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A comprehensive enrollment form for patients seeking to enroll in VYVGART treatment pathway and services.
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Preparticipation Physical Evaluation PHYSICAL EXAMINATION FORM
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Comprehensive medical evaluation form for athletes to assess physical fitness and health status prior to participation in sports activities.
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Health Examination Form
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Membership Form
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Membership registration form for the North American Butterfly Association, offering various membership levels to support butterfly conservation efforts.
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North American Bluebird Society, Inc. Membership Form
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Membership registration form for the North American Bluebird Society with various membership levels and payment options.
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Application form for researchers seeking funding for COVID-19 clinical research from NACTRC, with requirements for proposal submission.
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A medical health screening form required for admission to a nurse aide training program, including tuberculosis testing and vaccination documentation.
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Consent Form For Participation In Research Study Imagining A Future Wyoming Youth Narratives For 203
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A consent form for a research study inviting youth to submit narratives about Wyoming's future, with the potential for academic publication of de-identified submissions.
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Parental Consent Form For Participation In Research Study
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A parental consent form for a youth narrative research study exploring Wyoming's future through a creative contest and academic research project.
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Application form for pension benefits with detailed instructions for participants seeking retirement benefits from the Carpenters Pension Fund.
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A form for AMIGOS volunteers to request refunds from fundraising overpayments, with specific guidelines for processing and allocation.
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Form for requesting medical expense reimbursement for post-employment health benefits, including insurance premiums and medical expenses.
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Medical form for requesting and documenting details of a native kidney biopsy procedure, including patient medical history and clinical information.
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A form for researchers seeking permission to conduct research activities in Miami-Dade County parks and environmental lands.
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NatureS Healers Patient Intake Form
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PAYROLL DEDUCTION FORM
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Entry form for students submitting technical papers to the INCE-USA Student Paper Competition for NOISE-CON 2020.
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Scholarship application for early career scientists, graduate and undergraduate students to attend the 66th ASA Annual Meeting with financial aid support.
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Detailed overview of doctoral study options, available modules, and academic pathways at New Covenant International University & Seminary.
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Research Proposal Form
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A structured form for submitting doctoral dissertation research proposals with guidelines for content and structure.
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Health Examination Certificate North Carolina Public Schools
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Required medical certification form for school employees verifying health status and ability to perform job duties
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A comprehensive survey collecting statistical data on research and development activities across state governments in the United States.
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Competitive funding program for veterinarians pursuing a PhD in Veterinary Parasitology with clinical training and board certification potential.
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Detailed instructions for collecting, labeling, and shipping tissue biopsy samples for the NINDS Repository.
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Guidelines and instructions for submitting research and education grant proposals to support corn production and industry in North Dakota.
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Licensing form for research-focused nutrition analysis software with details on pricing, support, and licensing process.
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Application for academic licensing of NDSR nutrient calculation software for teaching purposes, valid for one year.
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Comprehensive policy document outlining academic and research guidelines for Master's and PhD students in the Chemistry department.
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Comprehensive checklist for researchers preparing to use the NE-CAT synchrotron facilities at Argonne National Laboratory.
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A form for submitting handmade items for community service projects, detailing fabric type and optional contributor information.
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New England Food Allergy Treatment Center Medical History Form
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Comprehensive medical history form for documenting patient's food allergies, medical history, and current health status.
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Attachment To The Access To Data And Information Research Proposal Form
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An art competition for neuroscience students to showcase artistic creativity through works inspired by neuroscience and brain imagery.
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Agreement for professional conference services provided by Hawaii Pacific Neuroscience, covering event coordination, catering, and service terms.
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A form for contributors to provide details and submit an annual scholarship donation to Bellin College.
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Comprehensive medical evaluation form for assessing an individual's physical fitness and health status prior to participation in an activity.
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Analysis of potential legal approaches for a new international climate change agreement to succeed the Kyoto Protocol.
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A form for making financial contributions to The Rotary Foundation through various payment methods and fund designations.
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A form for making charitable contributions to the Canyons School District Education Foundation, supporting public education initiatives.
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A form for donors to establish and define parameters for a new scholarship at Bellin College
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Comprehensive medical intake form for collecting patient medical history, symptoms, and personal health information.
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Comprehensive medical intake form for gastroenterology patients, collecting personal, demographic, and insurance information.
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A form for new hires to disclose medical conditions, restrictions, and potential job-related health exposures prior to starting employment.
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A comprehensive form for requesting histology laboratory services, including biospecimen processing, staining, and immunohistochemistry analysis.
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Guidelines and application form for research funding from the Heart and Stroke Foundation of South Africa, outlining submission requirements and timelines.
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Comprehensive form for collecting patient personal, medical, and insurance information for healthcare providers.
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A comprehensive form for proposing and initiating new IT projects, capturing project vision, goals, resources, and approval requirements.
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Comprehensive medical information form for minors under 18 years old, collecting health details, emergency contacts, and medical consent.
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New Participant Medical Form
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A comprehensive medical information form for new participants requiring detailed health history and medical details
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Comprehensive form for collecting new patient medical information, health history, and insurance details.
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Patient Information Packet
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Welcome packet for new pediatric speech and occupational therapy patients, including required documentation for therapy services.
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NEW PATIENT REGISTRATION FORM
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Comprehensive medical form for collecting new patient personal, contact, insurance, and emergency contact information.
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Patient Intake Form
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Comprehensive medical intake form collecting patient personal information, insurance details, medical history, and treatment authorization.
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Comprehensive medical consultation form for otolaryngology patients, covering detailed review of systems and medical history.
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A comprehensive intake form for new patients seeking outpatient therapy, collecting personal, insurance, and referral information.
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New Patient Intake Form
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Comprehensive medical intake form for collecting new patient personal, contact, medical, and insurance information.
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Patient Information Sheet
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A patient information and policy document for a gynecological medical practice outlining registration requirements, payment policies, and office rules.
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TRI COUNTY FAMILY MEDICINE NEW PATIENT INTAKE FORM
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Comprehensive medical form for collecting patient medical history, current medications, allergies, and recent medical history
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New Patient Intake Form
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A comprehensive medical form for collecting new patient personal, contact, medical history, and emergency contact information.
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NEW PATIENT INTAKE FORM
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Comprehensive medical intake form for new pediatric patients, collecting personal, medical, and insurance information.
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New Patient Intake Form
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Comprehensive form for collecting new patient medical history, personal information, and health status for medical practice intake.
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Comprehensive patient intake form for dermatology practice including personal information, insurance details, and medical consent.
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New Patient Information Form
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Comprehensive medical intake form for new patients seeking mental health services at Triad Psychiatric Practice.
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New Patient Intake Form
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Comprehensive medical form for collecting patient personal information, medical history, current health conditions, and insurance details.
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New Patient Intake Form
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Comprehensive form for new pharmacy patients to provide personal, medical, and insurance information for prescription services.
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NEW PATIENT INTAKE FORM
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Comprehensive medical intake form for collecting patient personal, insurance, and health information for a medical clinic or practice.
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New Patient Intake Form
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A comprehensive patient intake form for new pharmacy customers, including personal information, contact details, and insurance information.
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NEW PATIENT REGISTRATION FORM
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Comprehensive form for collecting patient demographic, contact, and personal information for new healthcare patients.
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Blase Chiropractic New Patient Intake Form
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Comprehensive intake form for new patients seeking chiropractic services, collecting personal, contact, and employment information.
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NEW PATIENT VISIT INTAKE FORM
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Comprehensive medical intake form for pediatric patients with potential endocrine and metabolic conditions.
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NEW PATIENT INTAKE FORM
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Comprehensive medical intake form for new patients to provide detailed health background and current medical conditions.
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NEW PATIENT INTAKE FORM
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Comprehensive form for collecting new patient personal, medical, insurance, and contact information for healthcare providers.
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New Patient Intake Form
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Comprehensive medical intake form for new patients to document medical history, current medications, and pain assessment details.
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Patient Intake Form
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Comprehensive medical intake form for naturopathic patients collecting personal, medical, and health history information.
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Allina Health John Nasseff Neuroscience Specialty Clinic New Patient Intake Form
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Comprehensive medical intake form for new patients at a neuroscience specialty clinic, collecting personal, medical, and diagnostic history.
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New Patient Intake Form
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Comprehensive medical intake form for documenting patient medical history, pain assessment, and physical limitations.
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New Patient Intake Form
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Medical intake form for collecting comprehensive patient information for an eye care practice.
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NEW PATIENT MEDICAL HISTORY FORM
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Comprehensive medical history intake form for new patients, collecting personal information, medical conditions, allergies, and current medications.
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NEW PATIENT MEDICAL HISTORY FORM
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Comprehensive medical history form for new patients seeking weight management treatment, detailing weight history, triggers, and previous weight loss attempts.
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NEW PATIENT INTAKE FORM
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Comprehensive intake form for new patients at Chicago Gastro, collecting personal and medical contact information along with financial policy acknowledgment.
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PATIENT INTAKE FORM
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Confidential form for collecting comprehensive patient personal and demographic information for medical record purposes.
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New Patient Questionnaire
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Comprehensive medical history intake form for new patients covering various health conditions and medical background.
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NEW PATIENT REFERRAL FORM
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Comprehensive medical referral form for new patients seeking cardiothoracic surgical consultation, collecting patient, insurance, and medical information.
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Patient Intake Form
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A comprehensive patient intake form for collecting personal, medical, and insurance information with communication preferences and service consent.
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White Bird Medical Clinic NEW PATIENT INTAKE FORM
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Comprehensive intake form for new patients at White Bird Medical Clinic, collecting personal, demographic, and medical background information.
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NEW PATIENT INTAKE FORM (With TriCare Insurance)
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Comprehensive medical intake form for new patients, collecting detailed personal and medical history information.
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NEW Patient Pediatric Orthopaedic And Sports Medicine Medical History Form
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Comprehensive medical history form for pediatric patients in orthopaedic and sports medicine practice, capturing patient details, medical history, and family health information.
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Medical Examination Form Examining Physician Must Fill Out
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A comprehensive medical assessment form for evaluating an individual's fitness for missionary service, requiring detailed physical examination and medical history.
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NEW ELBOW PATIENT INTAKE FORM
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Medical intake form for patients experiencing elbow-related symptoms, designed to gather comprehensive information about the patient's condition and medical history.
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NEW HIP PATIENT INTAKE FORM
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Comprehensive medical intake form for new patients experiencing hip-related symptoms or concerns.
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New Patient Intake Form
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Comprehensive medical intake form for new patients at Rowan Tree Medical, collecting personal, medical, and contact information.
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HIPAA AUTHORIZATION FOR MEDICAL RECORDS
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A form authorizing the release of patient medical records with specific conditions and consent parameters.
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Demographic Form
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Comprehensive patient intake form collecting personal, contact, insurance, and medical information for Centeno-Schultz Clinic.
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New Scholarship Review Form
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A form for donors to establish and fund scholarships at an educational institution, with options for endowed, annual, or one-time scholarship contributions.
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Single Crystal Submission Form
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Form for submitting single crystal samples for X-ray diffraction analysis at the University of Alabama's Chemistry Department.
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APPLICATION FOR RESEARCH ETHICS COMMITTEE REVIEW OF RESEARCH PROJECT
PDF template
A comprehensive application form for submitting a research project for ethics committee review and approval.
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APPLICATION FOR RESEARCH ETHICS COMMITTEE REVIEW OF RESEARCH PROJECT
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A comprehensive form for submitting a research project for ethics committee review, covering project details, investigator information, and funding specifics.
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California State University, Fullerton New Trust Account Agreement Form
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A form for establishing a new trust account at California State University, Fullerton, outlining fund details, purpose, and authorization
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Volunteer Participation Agreement And Acknowledgement Of Risks
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A legal document for volunteers to acknowledge risks and waive liability when participating in research activities at the university.
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Patient Information Form
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A comprehensive medical intake form collecting patient personal, insurance, and workplace injury details for healthcare providers.
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NOAA Form 57 10 05 Medical Form For Minors
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A comprehensive medical information and consent form for minors participating in NOAA ship voyages, capturing health details, emergency contacts, and parental permissions.
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NFHS Medical Release Form For Wrestler To Participate With Skin Lesion(S)
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A standardized medical form developed by NFHS Sports Medicine Advisory Committee to manage skin lesions and communicable skin disorders in wrestling.
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Consent Agreement Form (Kyodaku Sho)
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A consent form for Waseda University doctoral students to authorize electronic publication and public access to their dissertation.
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NH AFL CIO Linda Horan Scholarship Contribution Form
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A form for making tax-deductible contributions to support educational scholarships through the NH AFL-CIO EAP Services organization.
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Step 1 Topic Proposal Form
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A form for students to propose research topics for historical projects, documentaries, exhibits, and performances.
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NHFM Membership Form
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Membership form for joining the New Hampshire Farm Museum with various membership levels and donation options.
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Contribution Form
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A form for making tax-deductible donations to support New York state parks and historic sites through the Natural Heritage Trust.
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Roswell Park Cancer Institute Volunteer Application Form
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Comprehensive form for potential volunteers to provide personal, contact, and background information for Roswell Park Cancer Institute.
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DETAILED BUDGET FOR INITIAL BUDGET PERIOD
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Detailed budget form for research grant application tracking personnel costs, expenses, and direct costs for an initial budget period.
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NIH Modular Budget Examples
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A detailed guide for preparing modular budgets for NIH grant applications with example budget calculations and form completion instructions.
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NIH R15 AREA Research Enhancement Award
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Application instructions and guidelines for NIH Area Research Enhancement Award (AREA) R15 grant program.
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NIL DECLARATION FORM
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Form for reporting zero oil contributions for a specific year in a member state to the 1992 Fund or Supplementary Fund.
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Requests To Use NILOA Survey Items
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A formal document outlining requirements for researchers seeking permission to use National Institute for Learning Outcomes Assessment survey items.
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Blood Collection And Shipping Instructions Ambient International Shipping
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Detailed instructions for collecting, packaging, and shipping blood samples internationally at ambient temperature for research purposes.
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Payroll Deduction Authorization
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A form for employees to authorize payroll deductions for NIU Foundation contributions and specify donation allocations.
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Arizona National Interest Waiver Program Transfer Form
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A transfer form for healthcare professionals participating in Arizona's National Interest Waiver program to change their service site location.
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Preparticipation Physical Evaluation PHYSICAL EXAMINATION FORM
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Comprehensive medical form for evaluating an individual's physical fitness and health status prior to participating in sports or athletic activities.
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New Jersey Medical Power Of Attorney
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A legal document allowing an individual to designate an agent to make healthcare decisions on their behalf in New Jersey.
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NJPEC 1634 19 Therapy Services Request Form
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A healthcare form for requesting and documenting therapy services, including patient and provider information, diagnosis, and treatment details.
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HEALTH, ACCIDENT, DISABILITY CLAIM FORM
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Comprehensive claim form for health, accident, and disability insurance claims from National Teachers Associates Life Insurance Company.
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Part I Medical History And Release Form
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A comprehensive medical history form for participants in the National Leadership Challenge, designed to aid medical treatment and emergency response.
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NMAI Andrew W. Mellon Postgraduation Fellowship In Conservation Fellowship Budget Form
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Budget breakdown for a conservation fellowship application, detailing expenses for conferences, workshops, and research supplies.
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Smithsonian National Museum Of The American Indian Membership Form
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Membership form for joining or renewing membership with the National Museum of the American Indian, with donation and payment options.
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Membership Form
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A form for becoming or renewing membership with donation options and contact information collection.
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2024 NMHC PAC Contribution Form
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A form for making voluntary political contributions to the National Multifamily Housing Council Political Action Committee (NMHC PAC)
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NMR Sample Submission Form
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A form for submitting samples to the UTSW Department of Biochemistry Small-molecule NMR Core Facility for nuclear magnetic resonance analysis.
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NMR Service Request Form
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A form for requesting NMR spectroscopy analysis of chemical samples at the University of Pittsburgh Chemistry Department.
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NMRWB 2021 Application Form Research Fund
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Application form for research funding from the Nunavik Marine Region Wildlife Board, requiring detailed project description and methodology.
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SRC Approval Form
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A comprehensive form for students to submit science research project proposals for review and approval by the Scientific Review Committee (SRC)
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Namibian Motorsport Federation Accident Report Form
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A comprehensive form for documenting accidents and medical incidents during motorsport events in Namibia.
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Informed Consent, Release Agreement, And Authorization
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A legal document for participant consent, medical authorization, and risk acknowledgment for Scouting activities and expeditions.
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Emergency Contact Form
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A comprehensive form for collecting student emergency contact details, medical information, and parental consent for medical treatment.
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FY2021 Weather Program Office Research Programs
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Federal funding opportunity for research programs related to weather and air quality through the National Oceanic and Atmospheric Administration's Weather Program Office.
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NOAA Form 57 10 20 OMAO Privacy And Consent Form
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Privacy act statement for collecting health and medical records at the National Oceanic and Atmospheric Administration (NOAA)
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NOBLE 39th Annual Scholarship Awards Dinner Dance Sponsorship Form
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Sponsorship and advertisement form for the National Organization of Black Law Enforcement Executives New York Chapter annual event
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No Fault Insurance Form
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A form for filing a no-fault insurance claim with personal and injury details for insurance processing.
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Governance Report On Technology Transfer And Economic Development
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Annual comprehensive report detailing technology transfer and economic development activities of Iowa's three state universities for the fiscal year 1999-2000.
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TMS J.L. NOLAND STUDENT FELLOWSHIP APPLICATION FORM
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A comprehensive application form for students seeking a fellowship in masonry research and studies.
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Capital Request Form Template
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A template for creating project proposals to persuade clients or companies to invest in a project or research recommendation.
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United Nations Prize In The Field Of Human Rights 2013 Nomination Form
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Official nomination form for the United Nations Prize in the Field of Human Rights recognizing significant contributions to human rights
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Non ACGME Fellowship Application
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A comprehensive application form for medical professionals seeking specialized fellowship training in various oncology and medical subspecialties.
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Non Cash Gift Agreement
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A form for donors to document and transfer non-cash gifts to the University of Kentucky for philanthropic purposes.
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Toquaht Nation Government Non Insured Health Benefit Application Form
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Application form for Toquaht Nation citizens to request health benefits funding for various medical services and expenses.
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Non Medication Preauthorization Request
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A form for healthcare providers to request preauthorization for non-medication medical services and procedures from the Motion Picture Industry Health Plan (MPI).
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Private Medical Consultations Price List
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Comprehensive pricing guide for private medical services, consultations, certificates, and travel-related medical procedures
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Quarterly Report And Non Participant Supplemental Invoice
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A form for reporting quarterly research personnel activities, financial information, and invoicing for grant-funded projects.
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Non Radiation Worker Agreement Form
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A form for non-radiation workers to acknowledge safety protocols and restrictions in radioactive material work areas.
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CSRD FAQs On Enrollment Of Non Veterans
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Detailed guidelines for enrolling non-Veterans in Clinical Science Research and Development (CSRD) funded studies at the Department of Veterans Affairs.
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REGISTRATION FORM
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Registration form for filing health care directives with the North Carolina Secretary of State, including various medical and end-of-life documents.
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2024 2025 Northside ISD Medical History
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Annual medical history form required for student athletes to participate in school sports activities
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Northside Boxing Club Membership Form Waiver
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Comprehensive membership form for boxing club participants, including personal information, medical history, and liability waiver.
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Requisition Form For Surgical Pathology, Cytopathology, And Hematopathology
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A form for requesting additional ancillary studies on archived pathology cases more than 30 days after initial sign-out.
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Notice Of Emergency Procurement
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A document detailing an emergency medical procurement for a life-flighted patient at Utah Valley Medical Center
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Excess Secondary Insurance Plan For Sports Club Athletes
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Insurance policy document outlining coverage details for San Diego State University sports club athletes, explaining secondary insurance provisions and claim procedures.
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Authorization Request Form
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Medical service authorization request form for providers to submit routine and urgent pre-service requests for patient care.
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Order Form
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Subscription order for Raiser's Edge NXT software with multi-year pricing and service details for National Peace Corps Association.
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Consultation Referral Form
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A medical referral form for patients seeking specialized consultations in sleep, pulmonary, and allergy evaluations.
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New Research Proposals
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Guidelines for submitting research proposals on a quarterly timeline from 2021 to 2024.
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Designation (Family And Medical Leave Act)
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Official form for employers to designate and communicate Family and Medical Leave Act (FMLA) leave status and entitlements to employees.
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National Pancreas Foundation Center Audit Form
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A comprehensive document outlining reporting capabilities, responsibilities, and qualifications for centers participating in the National Pancreas Foundation program.
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NPFVGA Research Proposal Form
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A standard research proposal form for agricultural research projects seeking funding from the Niagara Peninsula Fruit and Vegetable Growers Association.
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PATIENT INTAKE FORM
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Comprehensive patient demographic and health assessment form for chiropractic wellness center intake process.
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NPNL Lab Policies
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Comprehensive policy document outlining expectations, commitments, and culture for lab members at USC's Neural Plasticity and Neurorehabilitation Lab.
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Patient Intake Form
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Comprehensive patient intake form for prosthetics services, collecting medical history, contact details, and amputation information.
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Patient Intake Form
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Comprehensive intake form for patients seeking prosthetic services, capturing medical history, contact information, and amputation details.
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Patient Intake Form
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Confidential form for collecting patient personal and contact information for healthcare purposes.
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NPRE PROGRAM NOMINATION FORM
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A nomination form for recommending pre-freshman students to participate in a science research learning program.
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Grand Bargain Self Reporting Explanatory Guidance
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Guidance document for signatories to complete annual self-reporting on humanitarian commitments and progress.
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PLANNED GIVING CONTACT FORM
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A form for individuals interested in making planned gifts or bequests to the National Organization for Rare Disorders (NORD)
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Narrow Ridge Earth Literacy Center Confidential Health Information And Medical Release Form
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Comprehensive medical history questionnaire for participants in Narrow Ridge Earth Literacy Center activities, including medical release authorization.
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Thesis Declaration Form
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A form for neuroscience students to document thesis committee, topic, and advisor approval for their research project.
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NATIONAL SCIENCE FOUNDATION POLAR PHYSICAL EXAMINATION
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Medical examination form for individuals participating in polar research or expeditions, including comprehensive health assessment.
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Pathology Fellowship Application
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A comprehensive application form for medical professionals seeking a fellowship in pathology specialties at the University of Chicago (NorthShore)
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NSGFA MEDICAL HISTORY FORM
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A comprehensive medical history and emergency contact form for players, collecting personal and medical information for emergency purposes.
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John H. Daniels Fellowship Application Form
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Application form for a fellowship supporting research and scholarship in equestrian, angling, and field sports literature and culture.
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National TrustBritish Library Doctoral Fellowships 202324 Application Form
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Application form for PhD students seeking a joint fellowship opportunity between the National Trust and British Library
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North Texas Heart Center Medical Test Request Form
PDF template
Medical test request form for cardiology examinations at North Texas Heart Center with patient and diagnostic details.
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Templates For Key Information Section Of Informed Consent Document
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Guidelines for creating the key information section of research study consent documents, as required by the updated Federal Policy for Protection of Human Subjects.
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Department Of Art History Reimbursement Worksheet
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A worksheet for submitting and tracking travel expenses for art history research funding and reimbursement.
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Memorial Bench Purchase Form
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A form allowing alumni, faculty, staff, and friends to purchase commemorative granite benches at the Norwich University Cemetery.
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External Work And Consultancy Guide
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A comprehensive guide outlining the university's policies, benefits, and procedures for academic external work and consultancy activities.
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New Student Athlete Health History Questionnaire Form
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Confidential medical history questionnaire for student-athletes at Northwest University, focusing on cardiovascular risk factors and health screening.
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Medical Examination Form Nurse Aide
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A comprehensive medical history and examination form for students entering the Nurse Aide program at Virginia Western Community College.
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Medical Rehabilitation Nurses Section Referral Form
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A form for documenting medical rehabilitation referrals for injured employees through the North Carolina Industrial Commission.
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CLINICAL ASSESSMENT FORM FIRST YEAR
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A comprehensive healthcare assessment form for collecting patient medical information, history, and current health status for first-year health sciences students.
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Nurse Assistant Program Application Checklist
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Comprehensive checklist and requirements for students applying to the Nurse Assistant Program at Citrus College.
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NURSING INSTRUCTOR CONFIDENTIALITY AGREEMENT
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A confidentiality agreement for nursing instructors outlining the handling of sensitive information at Windsor Regional Hospital.
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Allied Health And Nursing Student Medical Form
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Medical form for Allied Health and Nursing students at Montgomery College to document health status and capabilities.
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Spinraza Pre Authorization Form
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A medical pre-authorization form for requesting Spinraza medication treatment, used for documenting patient details and motor ability assessments.
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Nutritional Referral Form
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Medical referral form for nutrition therapy services, used by physicians to refer patients for specialized nutritional counseling.
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DESI Membership In A Nutshell
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Document outlining membership policies, participation requirements, and expectations for the DESI scientific collaboration.
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Managed Service Provider Request For Proposal
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Request for proposals from qualified Managed IT Services Providers to provide IT services to the Naugatuck Valley Council of Governments.
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Authorization To Use And Disclose Protected Health Information
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A form authorizing Nathaniel Witherell to disclose or obtain patient health information for various purposes.
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N Wave Network Services Portal
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Comprehensive guide to NOAA's network service provider, detailing support channels, dashboards, and service request options.
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NWCD Requisition Form
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A medical requisition form for cardiac and vascular diagnostic procedures from North West Cardio Diagnostics.
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NWS Fly Assessment Form
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Field form for documenting fly population characteristics, activity levels, and environmental conditions during scientific survey.
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Member Medical Reimbursement Claim Form
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A claim form for Wellcare By Fidelis Care members to request reimbursement for out-of-pocket medical expenses.
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Continuation Of Disability Claim Form
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A form for reporting ongoing disability status, medical treatments, and work return details for an insurance claim.
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NYIT College Of Osteopathic Medicine Enrollment Form
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Insurance enrollment form for medical students at NYIT College of Osteopathic Medicine to select coverage options and list dependents.
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Disability Claim Form
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Comprehensive form for employees to report disability, medical information, and related benefit claims.
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NYS School Health Examination Form
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Required health examination form for New York State school students documenting medical history and physical assessment.
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Required NYS School Health Examination Form
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Comprehensive health examination form for New York State school students documenting medical history, physical exam, and health status.
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UnitedHealthcare Community Plan Of New York Specialist Referral Form
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A referral form for UnitedHealthcare Community Plan of New York members to obtain specialist services with specific guidelines and requirements.
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Update On Department Of Energy Laboratories Presentation
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A document discussing the mission, research, and national security work of Lawrence Livermore National Laboratory and other UC-affiliated DOE National Laboratories.
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2023 OADD Aging And Developmental Disabilities Abstract Submission Form
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A submission form for presenters interested in sharing research or insights about aging and developmental disabilities at a hybrid conference in Kingston.
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Research Proposal Form
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A form for medical researchers to submit details about their proposed research project, including objectives, methods, and publication plans.
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Patient Medical History Form
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A comprehensive form for capturing patient's current health status, medical conditions, medications, and medical history.
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OB Pre Registration Form
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A comprehensive patient information form for expectant mothers to pre-register for maternity services at Howard County Medical Center.
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English Patient Intake Form
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A comprehensive medical intake form for collecting patient personal and contact information.
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OBS 0901 COVID19RPP Test Requisition Form
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A comprehensive medical form for requesting COVID-19 and respiratory pathogen panel (RPP) testing, collecting patient and clinical information.
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Observation Experience Policy OBSERVATION AGREEMENT FORM
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Form for individuals seeking to observe healthcare professionals at a medical facility, outlining health requirements and confidentiality agreements.
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Contribution Form
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A form for making tax-deductible contributions to endowment funds managed by the Oklahoma City Community Foundation.
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Employee Medical Condition Questionnaire
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Comprehensive medical history and health status form for employees, covering medical conditions, treatments, and workplace accommodations
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NEW PATIENT INTAKE FORM
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Comprehensive medical intake form capturing patient health history, nutrition, lifestyle, and wellness information.
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Scientific Research Proposal
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A form for researchers to propose and obtain permits for scientific research involving fish species in Vermont.
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RICHARD AND DONNA FALVO OUTSTANDING DISSERTATION AWARD NOMINATION FORM
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A form for nominating doctoral students for an outstanding dissertation award, requiring comprehensive documentation of dissertation research.
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Celebrate ODea Wish List
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A comprehensive guide for donors explaining how to support Celebrate O'Dea through purchases, donations, and procurements for a fundraising auction.
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Waiver Service Request Form
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A form and guide for documenting and processing requests for changes or new services in a waiver program.
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Ocean Discovery Visitors Center Volunteer Form
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Volunteer application form for the Ocean Discovery Visitors Center, seeking attendants for the Welcome Desk at FAU's Harbor Branch Oceanographic Institute.
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Trinity College Outdoor Programs Medical History Form
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A comprehensive medical history form for participants in Trinity College outdoor programs, designed to assess health risks and preparedness for wilderness activities.
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Office Environment Assessment
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A comprehensive assessment tool for evaluating healthcare facility physical accessibility, appearance, space adequacy, and record-keeping practices.
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IBEW Local No. 683 Health Welfare Fund Weekly Disability Benefits Claim Form
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Claim form for obtaining weekly disability benefits from the IBEW Local No. 683 Health & Welfare Fund, providing compensation for disabled workers.
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Official Health Records Request
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A form for students to request release of immunization and health records from Herkimer College.
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Official Indiana Animal Bites Report
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Official state form documenting details of an animal bite incident, including victim and animal information for potential rabies exposure.
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WAIVER, INDEMNIFICATION, AND MEDICAL TREATMENT AUTHORIZATION CONSENT FORM
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Legal document releasing liability for participants in a cultural diversity colloquium sponsored by Texas A&M Rangel College of Pharmacy.
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Followup Patient Intake Form
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A comprehensive medical form for tracking patient status, medications, pain levels, and post-operative health details.
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TRAVEL FORM Observership Program
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A travel form for participants in the Open Medical Institute's Observership Program, detailing travel arrangements to Austria.
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TRAVEL FORM Observership Program
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Travel documentation form for participants in the Observership Program, requiring travel details and ticket information.
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One Medical Passport Downtime Instructions
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Instructions for hospital staff to follow during extended One Medical Passport system downtime, providing alternative procedures for booking requests and document submission.
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OMSI Outdoors Health And Medical Form
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A comprehensive health and medical form for students and adults participating in OMSI Outdoors programs, collecting personal, medical, and emergency contact information.
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On Campus Animal Transfer Request Form
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A form for transferring research animals between different campus vivariums and research locations
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ONE Program Patient Intake Form
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A comprehensive medical intake form for assessing patient risk factors related to opioid medication use and potential interactions.
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Medinah Shriners Onion Sales
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Form for selling onions as a fundraising activity for the Medinah Shriners organization.
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Contribution Form For Violence Policy Center
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A fundraising form for making tax-deductible contributions to support efforts to stop gun violence.
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MIT Overnight Program Medical Release Form
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A medical release form required for minors participating in the MIT Overnight Program, collecting medical and emergency contact information.
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Ontario Works Medical Travel Form
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A form for social services clients to claim medical travel expenses and transportation costs for reimbursement.
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EPO REFERRAL FORM
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A referral form for healthcare providers to request out-of-network specialist services through Common Ground Healthcare (CGHC)
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OP 74.04 Intellectual Property Rights
PDF template
Policy governing intellectual property rights for research, inventions, and scholarly work by faculty, staff, and students at Texas Tech University.
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Capital Campaign Pledge Form
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A donor pledge form for contributing to Union University's new library capital campaign, allowing various contribution methods and payment schedules.
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Open Society Fellowship Application Form
PDF template
A comprehensive application form for individuals seeking fellowship funding from the Open Society Foundations.
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UNC Ophthalmology Referral Form
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A comprehensive referral form for patients seeking ophthalmology services at UNC Health locations.
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WFU Outdoor Pursuits Medical Form
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A comprehensive medical form for WFU Outdoor Pursuits participants collecting personal, emergency contact, and insurance information.
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QuarkNet Opportunities Feb Mar 2022
PDF template
Information about virtual teacher institutes, mini-grants, and stipends for QuarkNet program participation
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Project Application Form
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A comprehensive application form for proposing and detailing a community project, including project goals, timeline, and impact assessment.
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Patient Intake Form
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Comprehensive medical intake form for collecting patient personal, contact, and insurance information for medical treatment.
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Patient Intake Form
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Comprehensive medical intake form for collecting patient personal, contact, and insurance information with consent and assignment sections.
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Referral Form
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A medical referral form for patient consultation and transfer of medical information between healthcare providers.
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OPT OUT AFFIDAVIT
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A form for healthcare practitioners to formally opt out of Medicare billing and payment systems for a two-year period.
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Oracle Software Configuration Service Request Approval Stepper
PDF template
Instructions for submitting and processing Oracle software configuration service requests within an organization's information technology workflow.
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Division Of Oral Medicine And Dentistry New Patient Intake Form
PDF template
A comprehensive medical intake form used by oral medicine and dentistry practices to collect patient health history and contact information.
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Regina Scrip Inventory Sales Purchase Form 2022
PDF template
A comprehensive inventory form for purchasing gift cards from multiple retailers with percentage rebates.
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ORARC Tip Sheet REMOTE INFORMED CONSENT
PDF template
Guidelines for conducting remote informed consent processes in research studies, addressing regulatory requirements and best practices for obtaining participant consent remotely.
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ORARC Tip Sheet REMOTE INFORMED CONSENT
PDF template
Guidance for conducting remote informed consent processes in research, addressing regulatory requirements and best practices for obtaining participant consent when not in person.
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ORAU Corporate Participant Travel Guidance
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Comprehensive travel guidance document for ORAU corporate research participants and fellows detailing travel policies, procedures, and transportation options.
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American College Of Surgeons Order Form
PDF template
Order form for purchasing publications and products from the American College of Surgeons with payment and shipping instructions.
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Alumni Friends Circle Order Form
PDF template
Order form for purchasing engraved bricks, trees, benches, and light posts to support Western Connecticut State University alumni programs.
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Order Form Invoice
PDF template
Official form for requesting archival copies and digital images from the Mississippi Department of Archives and Records Services Division
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Sales Order Form
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A sales order form for purchasing items from Cuckfield Museum, a registered charity located in West Sussex.
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SalesOrder Form For Individuals
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Order form for purchasing publications from the Arkansas Archeological Survey, with shipping and payment instructions for individuals and institutions.
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Order Request Form
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A form for requesting and processing product orders within the College of Polymer Science & Polymer Engineering.
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Order Request Form
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A form for requesting scientific research services at a university facility, including user and billing information.
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BP S606.010 INFORMED CONSENTCONSENT TO RELEASE INFORMATION FOR RESEARCH
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A detailed form outlining the requirements and guidelines for obtaining informed consent in research studies conducted within the Federal Bureau of Prisons.
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Organ Restoration Contribution Form
PDF template
A fundraising form for contributions toward the restoration of an organ at the First United Methodist Church, Chicago Temple.
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Sample Form B Signature Page
PDF template
Official signature page for a thesis, documenting approval by academic committee and research dean.
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Original Dozen Sales Order Form
PDF template
A sales order form for tracking fundraising sales of dozens of items to support an organization's fundraising efforts.
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Medical History Form
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Comprehensive medical form for collecting patient's personal and family health information, medical conditions, medications, and social history.
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ORL Research Internship Application Instructions
PDF template
Application guidelines and form for research internship at the Leni & Peter W. May Department of Orthopaedics Research Laboratories
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NEW PATIENT QUESTIONNAIRE
PDF template
Comprehensive medical intake form for new patients seeking orthopaedic surgery consultation, collecting patient medical history, goals, and current health information.
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Orthopedics Medical History Form
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Comprehensive medical history form for documenting orthopedic patient's injury, pain, and medical condition details.
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UTHSC Orthodontic Referral Form
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A comprehensive medical referral form for orthodontic evaluation and treatment at the University of Tennessee College of Dentistry.
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OSF System Laboratory Client Clinical (Green) Requisition Form Instructions
PDF template
Comprehensive instructions for completing a clinical laboratory requisition form with detailed field guidance and billing requirements.
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OSF System Laboratory Client CytologyPathology Requisition Form Instructions
PDF template
Detailed instructions for submitting cytology and surgical pathology specimens to OSF System Laboratory with specific guidelines for form completion.
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UW Osher Center Small Grant Application
PDF template
Annual grant program funding up to 3 small research projects by University of Washington faculty, fellows, and residents in integrative medicine.
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NEW PATIENT INTAKE FORM
PDF template
Comprehensive medical intake form for new patients seeking spine-related medical care, capturing patient history, pain details, and symptom assessment.
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Medical Form
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Confidential medical form for collecting student health information prior to educational travel programs, enabling emergency preparedness and medical screening.
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Patient Intake Form
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Comprehensive form for collecting patient personal, medical, and insurance information for healthcare providers.
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Pedicab Medical Form
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A medical examination form to determine physical fitness for pedicab operation, completed by a licensed physician.
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Patient Intake Form
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Comprehensive medical intake form for collecting patient medical history, pain assessment, and personal health information.
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OSU Chemistry And Biochemistry Inspection Form
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A comprehensive safety inspection form for chemistry laboratories covering signage, documentation, work practices, and emergency preparedness.
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Health Examination Form
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A comprehensive medical history and physical examination form for students entering the Occupational Therapy Assistant program at Delgado Community College.
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Record Of Other Insurance Form
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A comprehensive form for collecting student and family insurance and employment details for the Foothill-DeAnza Community College District.
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Other Service Order Form
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Service order form for requesting laboratory and data analysis services from Applied Biomics.
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Excess Accident Medical Expense Insurance Claim Requirements Guidance
PDF template
Guidelines for submitting medical insurance claims for sports-related injuries with detailed documentation requirements for students.
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Domain Name Service Request Form (OTS 39)
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Form for requesting domain name services from the Louisiana Office of Technology Services, including domain creation, modification, and removal.
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IRB TEMPLATE FOR DEVELOPMENT OF THE ADULT CONSENT FORM
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A template guide for creating adult consent forms for social science and behavioral research studies at Oakwood University.
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Material Transfer And Non Exclusive License Agreement
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A legal agreement between Texas Biomedical Research Institute and a recipient organization for the transfer and use of research materials.
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Out Of Network Referral Form
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A form for requesting authorization to see an out-of-network healthcare provider with detailed patient and service information.
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Out Of Pocket Expenses Reimbursement Form
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A form for submitting and requesting reimbursement of out-of-pocket expenses for employees or researchers of the Research Foundation of CUNY.
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Out Of State Immunizations Record Transfer Request (680 Form) Instructions
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Instructions for transferring out-of-state immunization records for a child with the Florida Department of Health in St. Johns County.
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Medical Diagnostic Test Requisition
PDF template
A comprehensive medical test order form for healthcare practitioners to request various diagnostic tests including hematology, urine, microbiology, and specialized screenings.
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Medical Power Of Attorney
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Legal document authorizing a designated agent to make medical decisions on behalf of a patient who is a minor or incapacitated adult.
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Outpatient Order Form For Procedural Visits Only (PVO)
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Medical order form for requesting specific tests, procedures, and services at a healthcare facility for outpatient visits.
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Outpatient Physician Requisition Form
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A medical form used to request various diagnostic tests and surgical clearance for outpatient medical services.
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Outpatient Referral Form
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A comprehensive referral form for patients seeking outpatient services at Children's Hospital Los Angeles, collecting physician, patient, clinical, and insurance information.
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Outpatient Referral Form
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Medical referral form for patients seeking outpatient services at Children's Hospital Los Angeles.
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Legacy Rehabilitation Services Referral Form
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Medical referral form for rehabilitation services across multiple Legacy Health locations in Oregon and Washington.
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OUTPATIENT THERAPY PATIENT INTAKE FORM
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A comprehensive form for collecting patient medical information, injury history, and current health status for outpatient therapy services.
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Outstanding Thesis Award Nomination Form
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A nomination form for recognizing outstanding master's thesis work at an academic institution.
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Overseas Treatment Benefit Application Form 2024
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Application form for members seeking medical treatment coverage outside their home country under the Executive and Comprehensive Plans.
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Referral Form
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A medical referral form for veterinary patients detailing clinical information and diagnostic history.
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Referral Form
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A comprehensive medical referral form for veterinary patients, capturing detailed patient and clinical information for specialist consultation.
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Accident Report Form
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A comprehensive form for documenting transportation-related accidents, including provider, member, and incident details.
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Pre Authorization Form Revision
PDF template
Notice of revision to the pre-authorization/prior approval request form with new form number and submission guidelines.
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Emergency Medical Form
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A form enabling parents to authorize emergency medical treatment for children when parents cannot be reached during youth athletic activities.
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2018 Raffle Donation Form
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A donation form for raffle items supporting the Parent Advisory Council scholarship fund for the Parent Cooperative Preschools program.
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XXAS Thunderbird Elementary School PAC Minutes
PDF template
Minutes from the Parent Advisory Council meeting detailing school activities, fundraising efforts, and administrative updates
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PA CARE Partnership Permission To Contact Form
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A form for obtaining consent from youth and caregivers to participate in a service quality improvement study across multiple Pennsylvania counties.
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PAC Physical Examination Form
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Comprehensive medical assessment form for documenting a child's physical health, medical history, and screening results.
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PRE AUTHORIZED DEBIT (PAD) AGREEMENT
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A pre-authorized debit agreement for making recurring or one-time donations to Hope Story organization.
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Pre Authorized Debit Form
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A form allowing donors to set up monthly automatic bank withdrawals for donations to Safe Families Canada.
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IHCP Prior Authorization Request Form Instructions
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Detailed instructions for completing a prior authorization request form for Indiana Health Coverage Programs, covering submission requirements and field details.
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Proposal Authorization Form
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Comprehensive form for authorizing and documenting research project proposals, including project details, subject research, and budget information.
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Instructions Telephone Charitable Solicitations
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Guidelines for registering telephone charitable solicitations in South Dakota, including required documentation and compliance procedures.
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New Patient Intake Form
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Comprehensive medical form for new patients to document pain history, symptoms, and pain characteristics for pain management assessment.
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Prior Authorization Form
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Comprehensive instructions for completing a Medicaid prior authorization request form with detailed field guidance.
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Imaging Consultation Services Form
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Medical imaging consultation form for patient radiographic services, including patient and referral information, consent, and fee schedule.
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Notarized Parental Consent Form
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A form allowing parents to grant permission for a minor to travel and authorize medical decisions during a mission project.
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HGTC Pantry Volunteer Information Sheet
PDF template
An informational document explaining the operations of the HGTC Pantry and the roles of volunteers in supporting community food services.
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Prescription Reimbursement Claim Form
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A form for submitting prescription medication reimbursement claims, detailing patient and pharmacy information for insurance processing.
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PAPERWORK REQUEST FORM
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A form for requesting medical paperwork with payment options and submission methods for Leawood Pediatrics.
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PAP SLIDE SUBMISSION FORM
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A form for submitting gynecologic cytology slides for pathology review and analysis.
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White Cross Shipping Details Form
PDF template
A shipping form for tracking and documenting parcels containing medical and humanitarian supplies for donation.
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Activity Consent Form And Approval By Parent Or Legal Guardian
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A comprehensive form for parents/guardians to provide consent and medical information for a child's participation in an activity or program.
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School Parental Consent Form (Grades PK 12)
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A comprehensive form for collecting student medical, contact, and insurance information for school admission purposes.
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Parental Permission Form Process Of Early Word Learning
PDF template
A consent form for a University of Houston research project studying how children learn new words across different languages.
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DCFHSAC Needs Assessment Parental Consent Form Youth Participation In Focus Group
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A consent form allowing parents to permit their child's participation in a community needs assessment focus group conducted by the Department of Children and Families and Human Services Advisory Council.
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Parental Consent Form
PDF template
A consent form for parents to allow children to participate in a research study assessing the PAWS University summer program learning components.
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Parental Consent For Child To Participate In A Research Study
PDF template
A template document for obtaining parental consent for a child's participation in a research study at Smith College.
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Informed ConsentAssent For Participation In Research
PDF template
Research study exploring factors that increase STEM career interest among rural middle school students through surveys, interviews, and focus groups.
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ParentLegal Guardian Consent
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Consent form for parents to allow their child to participate in a research training program funded by NIH and share application data for research purposes.
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CSD Parent Contact Form
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A form for parents to provide contact information for potential participation in research studies related to children.
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Sample ParentGuardian Permission Document
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A template document for obtaining parental consent for a child's participation in a research study at a university.
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PARENTGUARDIANSTUDENT INFORMATION FORM
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A comprehensive form for collecting student, parent, and guardian contact and medical insurance details for athletic purposes.
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Insurance Information
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Guidelines for sport-related injury insurance claims and reporting procedures for students at Chattanooga State.
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Parent Letters Project Celebration
PDF template
A guide for communicating with parents about a school event called Project Celebration, providing timing and content recommendations for parent letters and involvement.
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St. James Preschool ParentPhysician Medical Form 20212022
PDF template
Medical form for child enrollment at St. James Preschool, requiring parent and physician details and health verification.
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892 Snowy Owl Squadron Sponsoring Committee ParentGuardian Volunteer Form
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A form for parents and guardians to indicate their willingness to volunteer or donate to support the 892 Snowy Owl Squadron Air Cadet program.
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Curriculum Vitae Of Logan O. Park, Ph.D.
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Comprehensive academic curriculum vitae detailing educational background, professional experience, and research contributions in forestry and recreation management.
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Accessible Parking Form
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Application form for students, faculty, and staff to obtain an accessible parking permit due to mobility impairments or medical conditions.
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Parking Accommodation Medical Form
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Medical form used to verify disability status and facilitate parking accommodations at the University of Michigan under ADAAA guidelines.
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Park Nicollet Foundation Giving Form
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A donation form for contributing to the Park Nicollet Foundation, supporting healthcare innovation and community programs.
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USDA National Food Study Consent Form
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Consent document for a USDA-sponsored study collecting information about household food purchasing, consumption, and dietary habits.
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Participant Enrollment Form
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Form for collecting personal and contact information for participants in a research study at VCU.
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Sona Systems For Participants Frequently Asked Questions
PDF template
A comprehensive guide for students using the Sona Systems research participation platform, covering account creation, study signup, and parental consent requirements.
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National Food Study Respondent Feedback Form
PDF template
Survey for collecting participant feedback about their experience with the National Food Study, focusing on food tracking and household participation.
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Participant Information Sheet And Consent Form Templates
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A comprehensive template and guidance document for researchers developing participant information sheets and consent forms for research studies.
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LSU Psychology Research Participation System Participant Instructions
PDF template
Instructions for LSU students participating in psychology research studies through the SONA research participation system.
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Participant Medical Form
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Medical form for children's summer recreational program documenting health status and medical clearance from a licensed healthcare provider.
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Participant Information Medical Form
PDF template
Comprehensive form for collecting participant and parent/guardian information for performing arts activities
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Standing Order RequestCancellation Form
PDF template
A form for requesting medical transportation services with options for service type, pickup/dropoff details, and special needs accommodation.
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Patent Project Inquiry Form
PDF template
Form for UIW faculty and administrators to submit potentially patentable project details to the Office of General Counsel for review.
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Patient Referral Form
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A medical referral form for scheduling a Modified Barium Swallow Study with specific documentation requirements.
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Checklist For Pathology Consultation
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A detailed checklist for submitting materials and documentation for pathology consultation at MD Anderson Cancer Center.
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Pathology Consultation Request
PDF template
A comprehensive form for submitting pathology consultation materials and patient information for diagnostic review.
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SAMPLE SUBMISSION FORM
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A form for submitting fish samples to the Alaska Department of Fish and Game Fish Pathology Laboratory for diagnostic and research purposes.
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Standardized Application For Pathology Fellowships
PDF template
Comprehensive application form for medical professionals seeking specialized pathology fellowship training across various subspecialties.
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Pathology Consultation Request
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A detailed medical form for submitting pathology specimens and requesting consultation from Mayo Clinic Laboratories.
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Pathology Specimen Transport Guide
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Comprehensive guide for properly handling and transporting pathology specimens to RPCI Laboratories with specific packaging and labeling requirements.
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2016 Pathways Of Patriots Sponsorship Ticket Purchase Form
PDF template
A fundraising form for sponsoring and purchasing tickets to a nonprofit museum's speaker series honoring veterans.
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PATIENT MEDICAL HISTORY FORM
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A comprehensive form for collecting patient personal and medical information, including previous physicians, pharmacies, and insurance details.
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Patient Information Medical History Form
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Comprehensive medical intake form for collecting patient personal and contact information, medical history, and demographic details.
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Patient Billing Inquiry Form
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A form for patients to submit billing questions, statements, and account-related inquiries to the Finance Department.
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Patient Complaint Form
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A form for patients to file complaints about privacy policies or procedures at California State University, East Bay Student Health & Counseling Services.
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Patient Confidential Medical History Form
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Comprehensive patient medical history form gathering information about health status, medical conditions, medications, and family history.
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Consent Form
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A legal document allowing publication of medical information for educational purposes with explicit privacy and consent guidelines.
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CONSENT TO PUBLISH FORM
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A form for obtaining consent from patients or study participants to publish their identifiable details in a medical journal or research article.
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Patient Contact Form
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Form for patients to authorize contact methods and designate individuals who may receive medical information.
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Patient Contact Form
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Comprehensive form for collecting patient personal information, contact details, medical history, and symptom assessment.
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Demographic Insurance Form
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Comprehensive form for collecting patient personal, emergency contact, medical provider, and insurance information.
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Patient Demographic Insurance Billing Form
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A comprehensive form for patient demographic information, insurance details, and billing for diagnostic services.
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NEW PATIENT INTAKE FORM
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Comprehensive form for collecting new patient demographic and contact information for medical practice
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Patient Intake Form
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Comprehensive patient registration and medical history form for Swank Chiropractic Sports Medicine & Wellness Center
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Patient Medical History Form
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Comprehensive medical history form for patient intake, covering personal and family medical information, symptoms, and lifestyle factors.
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CONSENT FORM
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Legal document granting Massachusetts Medical Society permission to publish patient medical material anonymously in The New England Journal of Medicine.
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Patient Interview Form
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Comprehensive patient intake form collecting personal, demographic, and medical contact information for healthcare providers.
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MEDICAL FORM
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A comprehensive medical form for collecting patient personal information, contact details, and healthcare status.
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PATIENT INTAKE FORM
PDF template
Comprehensive form for collecting patient personal, insurance, and medical history information for healthcare providers.
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Patient Intake Form
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Comprehensive medical intake form collecting patient personal information, medical history, medication details, and allergies for healthcare purposes.
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PATIENT INTAKE FORM
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Comprehensive form for collecting patient personal, medical, insurance, and contact information for healthcare purposes.
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Initial Intake Form
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Comprehensive form for collecting patient personal, contact, insurance, and medical visit information.
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ONE Program Patient Intake Form
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Comprehensive intake form for assessing patient risk factors and medical history related to opioid medication use
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PATIENT INTAKE FORM
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Comprehensive patient intake form for chiropractic services, collecting personal, medical, and insurance information.
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Family Medicine Patient Intake Form
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Comprehensive medical intake form for patients to report current symptoms, health concerns, and medical history
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Chase Lay, MD Associates Patient Information Form
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Comprehensive medical history and contact form for facial plastic surgery consultation
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Operation Sight Intake Form
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Form for documenting details of charitable cataract surgery cases under the ASCRS Foundation's Operation Sight program.
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Patient Intake Form
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Comprehensive medical intake form for collecting patient personal, medical, and health history information.
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Patient Intake Form
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Comprehensive patient registration form for medical application requiring personal, contact, and insurance information for OMMA (Oklahoma Medical Marijuana Authority) submission.
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PATIENT INTAKE FORM
PDF template
Comprehensive medical form for collecting patient health history, personal background, and lifestyle information.
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PATIENT INTAKE FORM
PDF template
A standard form for collecting patient personal, contact, and medical visit information for healthcare providers.
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Patient Intake Form
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Comprehensive medical intake form for collecting patient health history, contact information, and medical details.
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PTOT Patient Intake Form
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A comprehensive medical intake form for patients seeking physical, occupational, or speech therapy services at Beauregard Memorial Hospital.
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Patient Intake Form
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Comprehensive patient information form for dental practice intake and demographic data collection.
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Patient Data Form
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Comprehensive patient demographic and personal information collection form for healthcare services.
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Patient Intake Form
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Comprehensive medical intake form collecting patient health history, personal information, and consent for treatment.
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Patient Intake Form
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Comprehensive medical intake form for a plastic surgery practice collecting patient personal, contact, and referral information.
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Patient Intake And History Form
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Comprehensive patient medical intake form for collecting personal and health history information at Meeker Family Health Center.
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Patient Intake Form
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Comprehensive medical intake form for collecting patient health history, current symptoms, work status, and personal medical background.
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Patient Information Form
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Comprehensive medical intake form collecting patient personal details, medical history, and insurance information.
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PATIENT INTAKE FORM
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Comprehensive medical intake form collecting patient personal information, health history, family medical background, and current health concerns.
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NEW PATIENT INTAKE FORM
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Comprehensive form for collecting new patient personal, medical, insurance, and emergency contact information.
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Medical History Form
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Comprehensive medical history form capturing patient health details, medical conditions, and personal health information.
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PATIENT MEDICAL HISTORY FORM
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A comprehensive medical history form for collecting patient personal, medical, and family health information.
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Patient Medical History Form
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Comprehensive medical history form for patients to document health conditions, medications, allergies, and family medical history.
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Patient Medical History Form Pre Anesthesia Clinic
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Comprehensive medical history questionnaire for patients preparing for surgical procedures, collecting detailed health information across multiple medical domains.
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Patient Referral Form
PDF template
A comprehensive form for patients seeking specialist medical referrals through We Care Manatee health services.
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Patient Referral Form
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A comprehensive form for veterinarians to refer patients to VCA California Veterinary Specialists for specialized medical services.
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PATIENT Refund Request Form
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A form for patients to request a refund for medical services, to be submitted to patient accounts.
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Clinic Patient Registration Form
PDF template
A comprehensive medical form for collecting patient personal, contact, and health information for clinic registration purposes.
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PATIENT REGISTRATION FORM
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Comprehensive form for collecting patient personal, contact, insurance, and payment responsibility information for medical or dental services.
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Patient Registration Form
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Comprehensive patient information and insurance registration document for healthcare services.
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Patient Registration Form (ECW)
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A comprehensive form for collecting patient personal, contact, and emergency information for healthcare providers.
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Patient Registration Form
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A form for collecting patient insurance details and establishing financial responsibilities for medical services.
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Patient Registration Form
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Comprehensive form for collecting patient personal information, contact details, insurance, and demographic data for healthcare providers.
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Patient Registration Form
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Comprehensive form for collecting patient personal, contact, employment, emergency contact, and insurance information for healthcare providers.
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ECRMC Patient Feedback Form
PDF template
A form for patients to provide feedback or file a complaint about their healthcare experience at El Centro Regional Medical Center (ECRMC).
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PATIENT STANDING ORDER REQUEST FORM
PDF template
A medical form for requesting laboratory tests with options for one-time and standing orders from NorthShore University HealthSystem.
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PATIENT STANDING ORDER REQUEST FORM
PDF template
A form for physicians to submit laboratory test orders for patients, with options for one-time and standing orders.
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PHAS Empowered Patient Online Toolkit Insurance Form
PDF template
A comprehensive document for collecting and organizing personal insurance details across multiple insurance types and providers.
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Patient Voice Feedback Form
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A form for patients to provide feedback, compliments, or concerns about healthcare services and staff at NEW Health facilities.
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Shawnee Community College Patron Of The Arts
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A membership program for supporting arts performances at Shawnee Community College with various donation levels and associated benefits.
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Patron Registration Form
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Registration form for accessing special collections materials at the University of Houston Libraries, with guidelines for material usage and copyright restrictions.
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PATS Verification Of Attendance
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A form for documenting patient travel and accommodation details for reimbursement and healthcare travel support.
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Medical Form A And B PAX Abroad
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Comprehensive medical history and physical examination form for foreign exchange student applicants, to be completed by a licensed physician.
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Paxman Hub Enrollment Form
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Comprehensive enrollment form for patient information, insurance, and treatment details for Paxman medical services.
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Payment Plan Agreement
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A formal agreement outlining payment terms for medical services at Partnership Health Center, establishing a schedule for resolving outstanding medical account balances.
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Payroll Contribution Form
PDF template
A form for employees to set up or modify payroll deductions for contributions to ENC (Eastern Nazarene College).
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Employee Payroll Deduction Form
PDF template
A form allowing employees to set up recurring payroll deductions for donations to Wabash College's annual fund and special programs.
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Employee Payroll Deduction Form
PDF template
A form allowing employees to set up recurring payroll deductions to support various funds at Wabash College
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UNM Payroll Deduction Form And Instructions
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A form for UNM faculty and staff to authorize payroll deductions for charitable contributions to university funds.
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TWU Employee Giving Payroll Deduction Form
PDF template
A form for TWU employees to set up monthly payroll deductions for various university support funds
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Employee Payroll Deduction Gift Authorization Form
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A form for Western Illinois University faculty and staff to authorize charitable payroll deductions to the WIU Foundation.
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Foundation Payroll Deduction Form
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A form for employees to authorize recurring charitable contributions through payroll deductions for various institutional funds and scholarships.
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University Of Rochester Payroll Deduction Form
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A form allowing University of Rochester employees to make recurring payroll donations to various university departments and affiliated organizations
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Voluntary Payroll Deduction
PDF template
A form allowing employees to authorize voluntary payroll deductions for tribal programs and charitable organizations.
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Payroll Deduction Form
PDF template
A form allowing George Mason University employees to authorize payroll deductions for charitable donations to various university funds and initiatives.
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Campus Payroll Deduction Form
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A form for employees to set up ongoing payroll deductions for charitable fund contributions
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Contribution By Payroll Deduction Authorization
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A form allowing employees to authorize charitable contributions through payroll deductions to various hospital and medical programs.
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Payroll Deduction Form
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Form for employees to authorize monthly charitable donations through payroll deductions to the COC Foundation.
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Employee Giving Deduction Pledge Form And Payroll Deduction Authorization
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A form allowing employees to authorize recurring or one-time payroll deductions to support the Fort Thomas Education Foundation.
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Payroll Deduction Form
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A form for employees to authorize automatic payroll deductions for charitable donations to the university
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PAYROLL DEDUCTION AUTHORIZATION
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Authorization form for employees to make recurring or one-time payroll deductions to support various university funds and scholarships.
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Annual Giving Payroll Deduction Form
PDF template
Form for University of Alabama in Huntsville employees to set up recurring charitable donations through payroll deductions.
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Payroll Deduction Plan
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A form for employees to set up monthly payroll deductions to support scholarships, departments, or programs at Orange Coast College.
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Logan University Payroll Deduction Form
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A form for employees to authorize recurring monthly donations to a university fundraising campaign through payroll deduction.
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LSU Foundation Payroll Deduction Form
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A form allowing LSU employees to authorize single or continuing payroll deductions for foundation contributions.
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Employee Payroll Deduction Form
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A form allowing employees to authorize recurring payroll deductions for charitable donations to the Healing Hand Foundation.
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Employee Payroll Deduction Form
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A form allowing employees to authorize payroll deductions for charitable donations to Pierpont Foundation scholarship and support funds.
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Payroll Deduction Form
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A form for employees to authorize recurring payroll deductions for donations to Oberlin College.
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Payroll Deduction Form
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A form for employees to authorize payroll deductions for charitable donations to Drury University
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Employee Payroll Deduction Form
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A form for Elizabeth City State University employees to authorize recurring or one-time payroll deductions for charitable giving to university programs and priorities.
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Payroll Deduction Form
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A form allowing employees to authorize voluntary monthly payroll deductions to various college foundation funds and scholarships.
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Southern Employee Giving Form
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A form for Southern employees to make charitable donations through payroll deduction, credit card, or check to support various university funds and initiatives.
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Canton College Foundation Payroll Deduction Form
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A form allowing employees to authorize bi-weekly payroll deductions for donations to the Canton College Foundation.
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Employee Gift Payroll Deduction Form
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Authorization form for NYIT employees to set up automatic payroll deductions for charitable donations
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Faculty Staff Contribution Form
PDF template
A payroll deduction form for University of Alaska Anchorage employees to make charitable contributions to various university funds and programs.
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Payroll Giving For Employers
PDF template
A guide for employers to set up payroll giving donations to support brain injury survivors through Headway East London's charitable services.
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Payroll Giving
PDF template
A comprehensive guide explaining payroll giving, its benefits for employers and employees, and how to support charitable donations through workplace salary deductions.
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The Patient Care Associate Workforce Environment Survey Form (PCA WES)
PDF template
A research instrument designed to measure Patient Care Associates' perceptions of their work environment across five key components.
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PresidentS Circle Commitment Form
PDF template
A form for becoming a President's Circle member by making an annual $1,000 contribution to support the college's educational mission.
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PhysicianS Medical Evaluation For Assisted Living
PDF template
Comprehensive medical assessment form for patients seeking admission to or continuing care in an assisted living facility.
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MO HealthNet Primary Care Health Home Discharge Protocol
PDF template
Protocol for discharging patients from a Primary Care Health Home, outlining procedures for submission and communication of discharge forms.
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Putnam County Library Friends Membership Form
PDF template
A membership form for supporting the Putnam County Library through various donation levels and potential volunteer opportunities.
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Giving By Payroll Deduction
PDF template
A form allowing employees to set up recurring charitable donations to various Prescott College funds through payroll deduction.
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New Patient Intake Form
PDF template
Comprehensive medical intake form for new patients seeking primary care at Alice Peck Day Memorial Hospital's multi-specialty clinic.
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PATIENT MEDICAL HISTORY FORM
PDF template
A comprehensive medical form for collecting patient health information, medical conditions, and current medications.
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ReConNecT IT T32 APPLICATION FORM
PDF template
Application form for research training program targeting medical residents and clinical fellows.
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Pre Travel Form
PDF template
Comprehensive form for collecting personal and travel details to assess health risks and preparation for international travel.
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Employee Payroll Deduction Form
PDF template
A form allowing employees to authorize recurring payroll deductions to support the Greenwood Education Foundation.
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Child Life Fellowship Application Form
PDF template
Application form for candidates seeking a fellowship in child life services at UNC Hospitals, requiring professional and academic details.
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Referral Form UNC Hospitals Dental Clinic
PDF template
A specialized referral form for patients with specific medical conditions requiring dental care at UNC Hospitals Dental Clinic.
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Rheumatology New Patient ReferralConsultation
PDF template
A comprehensive referral form for new patients seeking rheumatology consultation, including patient and provider information.
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Patient Demographic Form
PDF template
Comprehensive form for collecting patient personal, contact, and medical referral information for healthcare providers.
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Sleep Center Referral Form
PDF template
Medical referral form for sleep disorder diagnosis and testing, used by healthcare providers to request sleep studies and consultations.
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Payroll Deduction Form
PDF template
A form allowing WesternU faculty and staff to authorize voluntary payroll deductions for scholarship donations.
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PDS Research Or Training Advisor Signature Form (2024 25)
PDF template
A form for students to obtain faculty approval and signatures for research or training activities seeking funding support.
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REQUISITION PEACE DIAGNOSTIC IMAGING
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Medical form for patient information, clinical details, and procedure requisition for diagnostic imaging services.
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Emergency Patient Referral Form
PDF template
A comprehensive form for referring a pet patient to an emergency veterinary clinic, capturing veterinarian, client, and patient details.
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Medical History Form Forma De Historia Mdica
PDF template
A bilingual medical history form for collecting pediatric patient health information and medical background.
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Incoming Referral Form
PDF template
A comprehensive form for collecting patient demographics, insurance details, and referral information for medical practices.
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Pediatric Health Risk Assessment Form
PDF template
A health risk assessment form for pediatric patients under Partnership HealthPlan of California to understand a child's health and wellness needs.
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Pediatric Health Risk Assessment Form
PDF template
A health assessment form to collect information about a child's health, wellness needs, and potential difficulties in daily activities.
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Pediatric Patient Intake Form
PDF template
Comprehensive medical intake form for pediatric patients to collect personal, insurance, and medical history information.
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Pediatric Referral Form
PDF template
Comprehensive medical form for pediatric patients seeking dermatology consultation, capturing patient information, referral details, and specific skin condition assessments.
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PEDIATRIC PATIENT REFERRAL FORM
PDF template
A medical form used to collect patient information and referral details for pediatric medical consultation.
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Pediatric Vaccine Order Form
PDF template
Comprehensive order form listing various pediatric vaccines with their CPT codes, manufacturers, and packaging details.
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Plan For Enhancing Diverse Perspectives (PEDP)
PDF template
A comprehensive strategy for expanding research inclusivity through collaboration, recruitment, mentoring, and engagement of traditionally under-represented groups in biomedical sciences.
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Physician Order Form For Pediatric Imaging Services
PDF template
A comprehensive form for ordering pediatric diagnostic imaging services with patient and clinical details
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Post Employment Health Plan (PEHP) Claim Form
PDF template
Form for requesting health plan reimbursements for medical expenses or insurance premiums after employment separation.
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PELVIC EXAMINATIONS CONSENT FORM
PDF template
A medical consent form for patients undergoing pelvic examinations, detailing the nature of the examination and patient consent.
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PELVIC EXAMINATIONS CONSENT FORM
PDF template
A medical consent form for patients undergoing pelvic examinations, detailing the nature of the examination and patient consent.
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GUIDANCE FOR CLUB APPROVED CLINICS FOR COMPLIANCE WITH THE AMERICAN CLUB PRE EMPLOYMENT MEDICAL EXAM
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Guidance document for clinics conducting pre-employment medical examinations for seafarers working on American Club vessels.
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Incident Report Form Percutaneous Injury Bloodborne Pathogen AndOr Body Fluid Exposure
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Form for documenting workplace or medical training-related incidents involving potential bloodborne pathogen exposure or bodily fluid contact.
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Postdoctoral Scholars Annual Performance Review Form
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Annual performance review document for evaluating postdoctoral scholars' work, responsibilities, and achievements at NC State University.
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Auction For The Arts
PDF template
A fundraising event featuring drinks, dessert, entertainment, and a silent auction to support the Performing Arts Department at Lincoln High School.
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Perinatal Hepatitis B Prevention Initial Report Delivery Form
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A medical form for reporting and tracking infants born to mothers with Hepatitis B surface antigen positive status.
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Periodic Report Form
PDF template
A standardized form for researchers to document project status, achievements, and recommendations during a specific research period.
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Department Of Periodontics Referral Form
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Medical referral form for periodontal examination and treatment, used to collect patient dental information and treatment history.
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Permission Form For Youth Outing
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A form allowing parents/guardians to grant permission for youth to attend an outing and provide medical consent in case of emergency.
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CLAIM FORM
PDF template
Insurance claim form for students with international visa status, covering injury and medical claims.
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PATIENT INJURYMEDICAL HISTORY FORM
PDF template
A comprehensive form documenting patient details and medical information following a vehicle accident.
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Personal Medical History Form
PDF template
Comprehensive medical history form for students to document health conditions, allergies, and medical background for program enrollment.
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Personal Photography Policy And Agreement
PDF template
Policy outlining conditions and requirements for personal photography of manuscript and artifact collections at the Newport Historical Society.
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Personal Survey Form
PDF template
Form for documenting radiation exposure and contamination during radioactive material handling.
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Patient Intake Form
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A comprehensive medical intake form for patients undergoing PET/CT imaging, collecting patient medical history, current health status, and pre-scan details.
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Petition To Return Health Evaluation Form
PDF template
Form for students seeking to return to UNC Charlotte after a medical withdrawal, requiring health provider documentation of recovery and readiness to resume studies.
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Pet Tribute
PDF template
A donation form to honor a pet with a tribute in the Whispering Garden at the KSU College of Veterinary Medicine.
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Presidential Fellowship Guidelines Fall 2016
PDF template
Guidelines for doctoral student fellowships at Florida International University, detailing eligibility, benefits, and expectations for top-quality graduate students.
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INITIAL STATEMENT OF REASONS Supervision Of Trustees And Fundraisers For Charitable Purposes Act
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Proposed regulations implementing Assembly Bill 488 to establish oversight and procedures for charitable fundraising platforms and platform charities.
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Paws For Life USA, Inc Client Application Part B Medical History Form
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Medical history form for clients seeking service dog training, requiring physician documentation of patient's medical conditions and authorization for information release.
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14th International Conference On Preimplantation Genetic Diagnosis Hotel Booking Form
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Hotel reservation form for attendees of the 14th International Conference on Preimplantation Genetic Diagnosis in Chicago, USA.
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Inventory Of Radioactive Sealed Sources Devices
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A comprehensive form for tracking and documenting radioactive sealed sources and devices for regulatory compliance.
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AIMST University Research Proposal Form
PDF template
A comprehensive form for submitting research project proposals at AIMST University, capturing researcher and supervisor details, research information, and project overview.
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Risk Assessment Form
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A comprehensive form for assessing and documenting potential risks associated with academic fieldwork and research activities.
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PhD Advisor Declaration Form
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A form for documenting PhD student's advisor information and obtaining advisor signatures.
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Doctoral Student Evaluation Form Instructions
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Detailed instructions for doctoral students in Civil and Environmental Engineering to complete annual evaluations, preliminary exams, and dissertation defenses.
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OAA HEALTH SERVICES RESEARCH POSTDOCTORAL FELLOWSHIP APPLICATION FORM
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Application form for postdoctoral fellowship in health services research at the Durham VA Health Care System's Center of Innovation to Accelerate Discovery and Practice Transformation (ADAPT).
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Ph.D. Assessment Form
PDF template
Comprehensive assessment form for evaluating Ph.D. student research, knowledge, and publication capabilities across multiple outcomes.
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DISSERTATION PROPOSAL FORM
PDF template
A form for graduate students to document their dissertation proposal approval by their major advisor and dissertation committee members.
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PhD Fellowship Application Form
PDF template
Application form for doctoral research fellowship program, collecting candidate biographical and academic information.
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First Year Research Proposal Form
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A form documenting approval of a first-year graduate student's research proposal by their major advisor and second reader.
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First Year Research Report Form
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A form for documenting and obtaining approval of a graduate student's first-year research report by their advisor and second reader.
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BSGP Mentor Agreement Form
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A formal agreement between a research mentor and a graduate student in the Biomedical Sciences Graduate Program at the University of New Mexico School of Medicine, outlining financial support and research responsibilities.
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NRSA PROPOSAL FORM
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A form for graduate students to submit their National Research Service Award (NRSA) proposal for advisor approval and certification.
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Ph.D. Program Requirements
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Comprehensive guide outlining requirements, policies, and procedures for doctoral degree programs at Tulane University.
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Research Proposal PhD Project
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A comprehensive form for documenting and proposing a doctoral research project at the University of Groningen.
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Second Year Lab Rotation Report Form
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A form for graduate students to document and receive approval for their second-year laboratory research rotation
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EaES Ph.D. Annual Self Assessment Form
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A form for Ph.D. students to document their academic progress, achievements, and future goals on an annual basis.
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Statistics Defense Approval Form
PDF template
A form for graduate students to obtain approval from their dissertation committee after completing their statistics defense.
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Interdisciplinary Ph.D. Student Handbook
PDF template
Comprehensive handbook outlining policies, procedures, and resources for interdisciplinary Ph.D. students at the University of Missouri-Kansas City.
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Petition For Personal Time Off
PDF template
Form for graduate students to request personal time off with advisor approval and stipend implications.
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PhD Supervisory Committee Membership Form
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A form for proposing and documenting the membership of a PhD student's supervisory committee.
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PhD Thesis Research Proposal Approval Recommendation
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A formal academic document for evaluating and recommending approval of a PhD thesis research proposal within the Faculty of Social Work.
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Informed Consent, Release Agreement, And Authorization
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Legal document for participant consent and medical authorization for Boy Scouts of America activities, covering emergency medical treatment and risk acknowledgment.
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Consent To Disclose Personal Health Information
PDF template
A legal form authorizing the disclosure of personal health information in compliance with the Personal Health Information Protection Act (PHIPA)
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Photocopy Order Form
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Form for requesting photocopies of archival materials from Riley-Hickingbotham Library with copyright acknowledgment.
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Photocopy Request
PDF template
A form for requesting photocopies from the Smithsonian Institution Archives with detailed copyright usage guidelines.
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Photocopy Service Request Form
PDF template
A form for requesting photocopies of academic journal articles or book chapters with copyright usage guidelines.
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PHOTODUPLICATION ORDER FORM
PDF template
A form for requesting photocopies of materials from the Ransom Center, with detailed copyright usage instructions and delivery options.
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Photograph Inventory Form
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A form for documenting and tracking patient photographs in a clinical research setting, including details about photographic documentation of medical examinations.
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PHS Grant Application Checklist
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A comprehensive form for submitting research grant applications, detailing application type, program income, and administrative details.
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PHS 398
PDF template
Comprehensive form for submitting new, renewal, or revised grant applications to the Public Health Service (PHS)
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PHS Assignment Request Form
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A form for researchers to suggest awarding components and study section assignments for grant applications to the NIH.
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Financial Disclosure Addendum For PHS Funded Research (Form 520)
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A form for researchers to disclose potential financial conflicts of interest related to PHS-funded research projects.
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Phoenix PBM Pre Authorization Form
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A form for healthcare providers to request pharmacy benefit pre-authorization for medication coverage through Phoenix Benefits Management.
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Student Health Center Document
PDF template
Document related to student health services at North Carolina A&T State University.
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School Sports Pre Participation Examination Part 1
PDF template
Medical history and physical examination form for students participating in school sports activities.
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Pre Participation Physical Evaluation Form
PDF template
Medical form for evaluating a student's fitness to participate in school sports and athletic activities
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Required NYS School Health Examination Form
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Comprehensive health examination form for students in New York State, covering medical history and health assessments.
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Preparticipation Physical Evaluation PHYSICAL EXAMINATION FORM
PDF template
Comprehensive medical examination form for athletes to assess physical fitness and health status prior to participation in sports activities.
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PHYSICAL EXAMINATION FORM
PDF template
Comprehensive medical examination form for NCAA athletes and students, documenting health history and current medical status.
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Physical Examination Form
PDF template
Comprehensive medical examination form for students, including health screening and sports clearance details.
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NORTH CEDAR COMMUNITY SCHOOL DISTRICT HEALTH SERVICES MEDICAL EXAMINATION FORM
PDF template
Comprehensive medical examination form for students, capturing health history, physical examination details, and screening information.
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Physical Examination Form
PDF template
Medical form documenting a student's health status and physical examination required by Saint Louis Archdiocese Health Advisory Committee for school enrollment.
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Physical Examination Form
PDF template
Comprehensive medical examination form for students, including general health assessment and athletic participation clearance.
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Physical Examination Form
PDF template
Comprehensive physical examination form for medical clearance and athletics participation at Virginia Military Institute
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School Sports Pre Participation Examination Part 1 Student Or Parent Completes
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Medical history and examination form required for student-athletes participating in school sports in Oregon
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Physical Examination Form
PDF template
A form to be completed by a healthcare provider detailing a participant's physical examination and medical details.
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Physical Examination Form For Driver
PDF template
Medical examination form to assess a driver's physical fitness and ability to safely operate a vehicle, specifically for school bus drivers.
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Physical Examination Form For Driver Applicant
PDF template
A comprehensive medical examination form to assess a school bus driver's physical fitness and ability to safely operate a vehicle.
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PHYSICAL EXAMINATION FORM
PDF template
Comprehensive medical evaluation form for students participating in school sports activities
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YMCA Camp Takodah PHYSICAL EXAMINATION FORM
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Medical form for assessing a child's health and fitness for participation in summer camp activities.
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Alabama Independent School Association Physical Examination Form
PDF template
A comprehensive medical examination form required for students participating in interscholastic athletics in Alabama.
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Nursing Student Health Examination Form
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A comprehensive health examination form for nursing students documenting medical clearance, TB testing, and immunization records.
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Preparticipation Physical Evaluation PHYSICAL EXAMINATION FORM
PDF template
Comprehensive medical screening form for assessing an individual's physical health and fitness for participation in activities.
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HISTORY FORM
PDF template
Comprehensive medical history and health screening form for athletes to complete prior to participation in sports activities.
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ALABAMA INDEPENDENT SCHOOL ASSOCIATION PHYSICAL EXAMINATION FORM
PDF template
A comprehensive medical examination form for students participating in interscholastic athletics, completed by a physician to certify student fitness for sports.
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Arizona Interscholastic Association Annual Preparticipation Physical Evaluation
PDF template
Medical screening form for student-athletes to assess physical fitness and health conditions prior to sports participation.
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Physical Examination Form Pre K Grade 5
PDF template
Medical form for recording student health history, physical examination details, and vaccination records for pre-kindergarten through fifth-grade students.
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Student Physical Education Medical Clearance Form
PDF template
Medical form for assessing student's physical capabilities and participation in physical education activities.
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PhysicianS Approval Form
PDF template
A form requiring physician verification of a patient's medical fitness to participate in physical activity programs at a fitness center
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PhysicianS Approval Form
PDF template
A medical form for health verification and clearance for participation in fitness programs, required for members with specific health conditions or over 70 years old.
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Physician Authorization Form
PDF template
Medical form for documenting participant health status and program participation eligibility for special recreation services.
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PhysicianS Evaluation Form
PDF template
Medical assessment form for individuals with developmental disabilities, documenting health status, diagnoses, medications, and medical support needs.
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Physician Examination Form
PDF template
A comprehensive medical form for camp participation requiring detailed health assessment by a licensed medical professional.
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Physician Referral Form
PDF template
A medical referral form for patients being considered for Transcranial Magnetic Stimulation (TMS) therapy, primarily for Major Depressive Disorder.
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Home Care Referral Form
PDF template
Comprehensive referral form for home healthcare services, collecting patient information, medical history, and service requests.
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PhysicianS Referral Form
PDF template
A medical form for physicians to refer patients to a fitness evaluation and preventive exercise program at McHenry County College.
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Physician Report Form
PDF template
A comprehensive medical examination form for students entering healthcare training programs to verify physical fitness and health status.
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In Home Care Permit Medical Affidavit Form
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A medical affidavit form used to apply for residential parking permits for individuals requiring healthcare-related parking accommodations.
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HEALTH FORM
PDF template
Medical form for assessing a child's fitness to participate in camp activities, documenting health history, immunizations, and physical examination details.
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PIAB Medical Assessment Form (Form B)
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A standardized medical report template used by Ireland's Personal Injuries Assessment Board (PIAB) for documenting medical details in personal injury compensation claims.
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Patient Interview Form
PDF template
Comprehensive medical intake form for patient demographics, medical history, and diagnostic information for gastroenterology clinic.
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Patient Interview Form
PDF template
Comprehensive medical form for collecting patient demographic, contact, medical history, and personal health information.
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Researcher Checklist Informed Consent Writing Guidance
PDF template
A comprehensive guide for researchers on preparing readable and understandable informed consent forms that meet specific readability standards.
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GENERAL EVALUATION FORM For Hands On Workshop On Computational Biophysics
PDF template
Evaluation form for assessing a computational biophysics workshop's effectiveness, covering outcomes, lectures, and hands-on sessions.
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Notice Of Claim For Short Term Disability Benefits
PDF template
A form for employees to file a claim for short-term disability benefits with insurance details and medical information.
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A Plan For Action On Climate Change
PDF template
A comprehensive strategy by MIT leadership to address climate change through research, collaboration, and engagement with industry and government.
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PLANNED GIVING CONTRIBUTION FORM
PDF template
A form for donors to specify their planned charitable giving and estate contributions to the Lucy Daniels Center.
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S2 Treatment Provider Declaration Form
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A form for healthcare providers to document details of planned medical treatment for patients seeking cross-border healthcare within the European Economic Area.
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NEW PATIENT INTAKE FORM
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Comprehensive medical intake form for new patients seeking plastic surgery services at Wang Ambulatory Care Center in Boston.
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Attending PhysicianS Statement Of Disability
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Medical form used by physicians to document and certify a patient's disability status and work limitations for insurance purposes.
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Hockey Canada Medical Information Sheet
PDF template
A comprehensive medical information and health screening form for hockey players to capture medical history, emergency contacts, and potential health conditions.
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USAV YOUTH JUNIOR VOLLEYBALL PLAYER MEDICAL RELEASE FORM
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Medical release and emergency contact form for youth and junior volleyball players participating in sanctioned competitions and practices.
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YOUTH JUNIOR VOLLEYBALL PLAYER MEDICAL RELEASE FORM
PDF template
A comprehensive medical release and consent form for youth and junior volleyball players, detailing medical information, emergency contacts, and participation permissions.
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Hockey Canada Medical Information Sheet
PDF template
Comprehensive medical information form for hockey players to document health history and potential medical conditions.
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Capital Campaign Pledge Form
PDF template
A donation pledge form for contributing to the Renewing Minds library capital campaign at Union University.
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FacultyStaff Payroll Deduction Form
PDF template
A form for faculty and staff to make charitable contributions through payroll deductions to support university scholarships and programs.
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Gift Pledge Form
PDF template
A form for making financial contributions to Alice Lloyd College through gift or pledge options, including credit card payment method.
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Requisition Form PlexAPRTM
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A diagnostic test requisition form for PlexAPR testing procedure.
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Patient Intake Form
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Comprehensive medical intake form for collecting patient demographic, contact, insurance, and referral information for physical therapy services.
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PMPB Material Transfer Agreement Form
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A form for documenting and regulating the transfer of biological samples outside of Malawi, detailing transfer conditions and requirements.
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Request For Loan Agreement Form
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A form for requesting a property loan agreement at Lawrence Berkeley National Laboratory, detailing loan terms and organizational support.
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Contribution Form
PDF template
A donation form for supporting Pacific Northwest Ballet's Annual Fund and New Works Initiative through various contribution levels.
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Family Medical Leave Request Form
PDF template
Form for employees to request leave under the Family and Medical Leave Act for personal or family health reasons.
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Research Conditions And Guidelines In PNG
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Official document outlining conditions and requirements for foreign researchers seeking research visa approval in Papua New Guinea.
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Medical History Intake Form
PDF template
Comprehensive medical intake form for collecting patient medical background, current symptoms, and health history.
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Social Sciences Purchase Order Request Form
PDF template
A form for requesting purchase orders within a social sciences department or research context.
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Poinsettia Contribution Form
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A form for church members to order poinsettia plants as gifts in honor or memory of loved ones during the Christmas season.
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Intellectual Property Policy
PDF template
A comprehensive policy defining the university's approach to intellectual property, research outcomes, and knowledge sharing.
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University Housing Policy And Procedures Manual Purchasing Information Technology Equipment
PDF template
Establishes procedures for requesting and purchasing information technology equipment within University Housing units.
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CCMS Non Approved Vendor Source Rodent Importation Policy
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Policy outlining procedures for importing non-approved vendor mouse lines through sperm in vitro fertilization (IVF) re-derivation at CCMS.
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Policy For Housestaff Travel Reimbursement
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Policy detailing travel expense reimbursement for medical residents presenting at conferences with CME credits.
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NYU Policy On Academic Conflict Of Interest And Conflict Of Commitment
PDF template
University policy establishing guidelines for managing academic conflicts of interest and commitment for faculty and researchers.
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PRC Call For Research Proposals
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Guidelines for submitting research proposals to the Polio Research Committee, focusing on polio eradication and vaccine research.
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POM 821.71 Physical Examination Requirements
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A personnel operations memorandum establishing physical examination requirements for active duty and Ready Reserve Corps officers and candidates seeking commission in the USPHS Commissioned Corps.
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PONI Conference Series Application And Research Agenda
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An application guide for professionals to submit presentation proposals for the PONI Conference Series focusing on nuclear enterprise topics.
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PONI Conference Series Application And Research Agenda
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A call for presentation proposals for the PONI Conference Series, targeting young professionals in the nuclear enterprise research community.
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UTKUTIA Faculty Search Pool Approval
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A form used to request approval for initial screening interviews and review applicant pool demographics for a faculty search process.
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Pooled Income Fund Additional Gift Agreement Form
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A form for making irrevocable contributions to the Fidelity Charitable Pooled Income Fund with a $20,000 minimum initial donation.
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Power Of The Purse Contribution Form
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A form for making charitable donations of cash, purses, or other items to United Way of East Central Iowa's fundraising event.
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Faculty Job Opening Ad Template For Tenure Track Positions On The Investigator Track
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Job advertisement for a tenure-track Assistant or Associate Professor position in Cognitive and Clinical Neuroscience Research at Northwestern University's Feinberg School of Medicine.
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Patient Discharge Form
PDF template
A form used to document patient discharge details, care instructions, and follow-up services.
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Postdoctoral Fellowship Application Form
PDF template
Application form for postdoctoral researchers seeking fellowship opportunity in specified research areas and disease themes.
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2022 Postdoc Poster Competition Entry Form
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Entry form for Tufts University postdoctoral researchers to submit an abstract and participate in a poster competition event.
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CSIS Undergraduate Conference On Research, Scholarship, And The Arts Poster Approval Form
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A form for faculty mentors to approve and endorse student research poster submissions for an undergraduate conference.
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Poster Competition Entry Form
PDF template
Form for students to submit entries for the American Statistical Association's poster competition across different grade categories.
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Poster Presentation Feedback Form
PDF template
A comprehensive form for providing detailed feedback on academic research poster presentations, covering design, presentation, delivery, and overall performance.
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Poster Submission Form
PDF template
Form for submitting research posters to a global health symposium hosted by UT Southwestern.
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Poster Submission Form
PDF template
Form for submitting research posters to a global health symposium hosted by UT Southwestern.
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Declaration Of Medical Condition
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Medical certification form for peace officer candidates in Montana documenting physical qualification for service.
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Post School Outcome (PSO) Billing Form
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Billing form for individuals who completed tasks on the Post-School Outcome survey for the New Mexico Public Education Department.
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Preparticipation Physical Evaluation (Interim Guidance) Physical Examination Form
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Medical examination form for assessing an individual's fitness to participate in sports activities, including comprehensive health screening questions.
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Preparticipation Physical Evaluation PHYSICAL EXAMINATION FORM
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Comprehensive medical evaluation form for athletes to assess physical fitness and potential health risks prior to participation in sports activities.
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Competitor Medical History
PDF template
A comprehensive medical history form for competitors to provide health details for safety and medical screening purposes.
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Medical Form
PDF template
A comprehensive medical history form for event participants, collecting personal health information and emergency contact details.
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MEDICAL HISTORY FORM
PDF template
Comprehensive medical history form for collecting patient health information, medical conditions, recent symptoms, and personal details.
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Mortimer Hays Traveling Fellowship Practice Application Form
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An application form for the Mortimer Hays-Brandeis Traveling Fellowship, providing instructions for candidates seeking research or arts-related travel funding.
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Practice Location Fact Sheet
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A form for physicians to provide detailed information about their practice location and its alignment with university missions.
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Practicum Agreement Form
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A formal document outlining the terms and expectations of a graduate student's practicum project for degree completion.
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Patient Information And Medical Information Form
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A comprehensive medical reporting form for documenting patient medical details, demographic information, and disease reporting requirements in Florida.
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Patient Information And Medical Information Form
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Comprehensive medical reporting form for collecting patient personal, medical, and provider information for health tracking and disease reporting in Florida.
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Pregnancy Risk Assessment Monitoring System (PRAMS) Proposal Application Form
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Application form for researchers seeking to use PRAMS data for pregnancy and maternal health research.
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Product Development Agreement
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Agreement between a customer and PakLab for developing unique product formulations according to Good Laboratory Practices.
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FCL Pre Authorization Form
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A medical insurance pre-authorization form for requesting approval of medical procedures and services
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Pre Authorization Form
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Release form for youth participation in Mid-America Regional Assembly event, including medical authorization and parental consent.
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Form for registering to access historical manuscripts and printed materials from before 1950 in an archive reading room.
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Membership form for Rice Creek Associates, offering various membership levels and donation options for a nature and research organization.
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PATIENT MEDICAL HISTORY FORM
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Comprehensive medical history document for collecting patient health information, medical conditions, and social history details.
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Health Intake Form
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Comprehensive medical history and health assessment form for new patients of the Riordan Clinic.
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Alumni membership form for joining the Rust College International Alumni Association with various membership levels and donation options.
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Rawls College Of Business Incident Report Template Guidelines
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Research Development SalesUse Tax Exemption Form
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Form for businesses to request sales tax exemption for research and development equipment purchases.
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Official registration form for research projects involving recombinant DNA molecules, requiring detailed documentation of research protocols and biosafety levels.
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Great Lakes Ballast Water Research And Development Plan Research Area 1, Project 3
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Research proposal solicitation for testing ballast water management system technologies in the Great Lakes to reduce invasive species risks.
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REACH Project Research Study Recruitment Form
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Research recruitment document seeking children ages 3-17 with developmental or behavioral conditions for genetic study participation.
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Reading And Research Proposal
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A research project course for Bachelor of Liberal Arts degree candidates with strong academic records, designed to pursue an original research topic under faculty supervision.
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Reasonable Accommodation Medical Authorization Form
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A formal application for employees to request workplace accommodations for disabilities, requiring details from both the employee and their medical professional.
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Electronic Commerce Agreement
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A United Nations recommendation providing guidelines and framework for electronic commerce agreements and legal considerations.
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Comprehensive procedures for establishing and managing research service facilities, including rate calculation, cost allocation, and billing guidelines.
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Donated Leave Program Recipient Affidavit Form
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A form for employees to request donated leave time from colleagues during a serious health condition or injury.
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Record Of Approval For The Doctoral Thesis Research Proposal
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A form used to document and obtain approval for a doctoral thesis research proposal by a student's thesis committee.
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Insurance form for participants in the Hammonton Recreation Program, covering medical liability and insurance information.
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A confidential progress report form for tracking scholarly research, training, and development activities over a six-month period.
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Instructions for copying projects and forms in REDCap for backup, modification, and data collection process reproduction.
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NAA Research And Education Foundation Contribution Form
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A donation form for making charitable contributions to the NAA Research and Education Foundation with multiple payment options.
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PORTAL REFEREE ASSESSMENT FORM
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TCHA Reference Research Policy
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Policy document outlining research library usage, hours, fees, and regulations for the Tippecanoe County Historical Association's research facilities.
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TCHA Reference Research Policy
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Policy document outlining research library access, usage regulations, and guidelines for researchers at the Tippecanoe County Historical Association.
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SCAN Referral Authorization Request Form
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A medical service referral and authorization form for SCAN Health Plan to request prior approval for medical services or procedures
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LCR.FORM.11 Referring Veterinarian Information Form
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Form for submitting animal laboratory samples and patient information to Virginia Tech Animal Laboratory Services.
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A medical referral form for patients seeking dermatological services, to be completed by a healthcare professional.
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Referral Form
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Aetna Better Health Of Florida Referral Form
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A referral form for healthcare providers to refer patients to specialists or diagnostic services within the Aetna Better Health of Florida network.
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REFERRAL FORM
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Medical referral form for home health services detailing patient information, medical needs, and service requirements.
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Referral Form
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A form used by healthcare providers to refer a patient to another medical professional or service for specialized care or consultation.
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Department Of Human Genetics Referral Form
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Comprehensive referral form for genetic consultation and screening, listing various genetic conditions and required documentation for scheduling.
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A medical referral and authorization form for Medicaid patients seeking healthcare services through the CommunityCARE program
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A comprehensive referral form for veterinary diagnostic procedures including CT scan, endoscopy, and internal medicine consultation.
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Medical Respite Referral Request Form
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Client Referral Form
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A comprehensive form for collecting client personal, contact, insurance, and referral information for healthcare or social services.
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Patient Referral Form
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Patient Referral Form
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A comprehensive medical form for requesting neuropsychological assessments, including patient information, referral reasons, and assessment details.
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Walker Memory Center Referral Form
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Medical referral form for memory evaluation and neuropsychological testing at Walker Memory Center.
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Referral Form
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Referral Form
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Medical referral form for transferring patient information between healthcare providers for specialty consultation or treatment.
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Sutter Specialty Services Referral Form
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EDRC 253 REFERRAL FORM
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Comprehensive medical referral form used to collect patient demographics, insurance information, and clinical details for healthcare services.
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Physician Referral Form
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A form for healthcare providers to refer patients to other medical departments or providers with patient and referral contact details.
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HSD Property Control Contractor Form C 063 IT
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Form for tracking and managing transfer, donation, destruction, or recycling of IT equipment valued under $5,000
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Regence BlueShield Incident Report
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Member Reimbursement Form
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Independent Study Proposal Form
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A form for graduate students to propose and gain approval for an independent study project at Eastern Kentucky University.
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ATHLETE WAIVER MEDIA RELEASE FORM
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REGISTRATION APPEAL MEDICAL VERIFICATION OR MEDICAL CARETAKER VERIFICATION FORM
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REGISTRATION FORM
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LSA LSC Adult Soccer Medical Release Form And Waiver Hold Harmless Agreement
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Medical release form and liability waiver for adult soccer players detailing personal and emergency contact information and medical consent.
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LSA LSC Youth Soccer Medical Release Form And Waiver Hold Harmless Agreement
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Medical release and consent form for youth soccer players, including emergency contact and medical information
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The Future Of Pharma Compliance An Interactive Quiz
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Form for volunteers to submit expenses and request reimbursement for wish-related purchases with specific guidelines.
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Hopelink Reimbursement Form
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Guidelines for requesting reimbursement for parking, bridge tolls, and ferry expenses related to medical appointments.
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DOHEO Medical Release Form For ADA Purposes
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Renewal Risk Assessment For Research Animal Contact
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A form for assessing health risks and clearance for individuals working with research animals at Florida Institute of Technology.
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Rental Assistance Form
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Report Approval Form (RAF)
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Report Form FAQ
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Form for requesting reproductions of archival materials with detailed copyright and usage restrictions
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UNC Archives And Special Collections Reproduction Order Form
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A form for requesting reproductions of archival materials from the University of Northern Colorado's Archives and Special Collections.
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Family And Medical Leave Request Form
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A form for employees to request family or medical leave, detailing reasons for absence and relevant employee information.
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Request For Oral History Interview About The COVID 19 Pandemic
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Stock Transfer Request Form To East Bay Asian Local Development Corporation
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A form for transferring stock shares directly to East Bay Asian Local Development Corporation's brokerage account.
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Aflac Benefit Services Request For Reimbursement Form
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Request For Renewal Of An Approved Research Project Form Instruction Guide And Checklist
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Request For Student Organization Fundraising Project
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Request For Qualifying Examination Form
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Request To Conduct Research
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Class 3B Or Class 4 Laser Requisition Form
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MEDICAID HOSPICE DISCHARGE FORM
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Official form documenting the discharge of a patient from a Medicaid hospice program, including reasons for termination of services.
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Elements Of The Informed Consent Form And HIPAA Authorization
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Comprehensive guidelines for creating informed consent forms that meet research regulations and HIPAA requirements.
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Required Additional Documents For Funding Applications
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Guidelines for required supporting documents for various types of funding applications including travel, professional development, and research.
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Anatomic Pathology Requisition Form
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Medical requisition form for submitting biopsy and pathology specimens with patient and provider information for diagnostic testing.
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COVID 19 RNA AND ANTIBODY DETECTION REQUISITION FORM
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Medical form for collecting patient information and requesting COVID-19 RNA and antibody testing
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HFA 414 E MAIL REQUISITION FORM
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A form used by Hennepin Healthcare Research Institute for submitting purchase requests and procurement documentation.
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Ultrasound AndOr Mammography Requisition
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Instructions and patient preparation guidelines for various ultrasound and mammography examinations with patient information section.
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RequisitionPre Authorization Form
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A form for requesting additional medical testing at Regional Medical Laboratory, including patient and insurance information verification.
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University Of North Dakota Radioactive Material Requisition Form
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A form for requesting and tracking radioactive material purchases at the University of North Dakota, requiring approval from the Radiation Safety Officer.
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Research Assistant Professor Appointment And Promotion Documents
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Comprehensive checklist of required documents for initial appointment and promotion of Research Assistant Professors in an academic institution.
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UC HIPAA Research Authorization 2014
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A form granting permission to use personal health information for research purposes under HIPAA regulations.
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Research Economic Development Service Agreement
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Service agreement detailing budget allocations and service descriptions for research units at the University of North Dakota from FY2020 through FY2024.
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Research Agreement Form
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A form for researchers to document their research intent and agree to rules when using Special Collections and Archives materials.
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Compliance Form For Full Time Faculty For Reporting Of Research Or Consulting With Outside Public Or
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A form for full-time faculty to report and obtain approval for consulting or research activities outside the university.
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Research And Development (RD) Equipment Sales Use Tax Exemption Form
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A form for documenting tax exemption eligibility for research and development equipment in South Carolina.
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Research And Laboratory Compliance Form
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A form for documenting research regulatory compliance requirements for sponsored research programs at the University of Tennessee, Knoxville.
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Administrative Directive 18 19 Research And Program Evaluation
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Policy governing research and evaluation activities for Arkansas Community Correction, outlining guidelines for conducting research involving employees and offenders.
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Research Related Budget
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A comprehensive budget form for tracking personnel costs and budget details for a research project or grant application.
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2016 Cunningham Research Residency Application
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Application form for a research residency at the New York State Library, inviting scholars to propose research projects using library collections.
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Imbak Canyon Conservation Area Research Application Flow Chart
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Detailed step-by-step procedural guide for researchers seeking to conduct studies in the Imbak Canyon Conservation Area in Sabah, Malaysia.
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Maliau Basin Conservation Area Research Application Flow Chart
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Comprehensive flow chart detailing research application and approval steps for conducting scientific research in the Maliau Basin Conservation Area.
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Research Assistance For Credit
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Guidelines for law students earning academic credit by assisting faculty with research and writing projects.
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Authorization Form For The Use And Disclosure Of Patient Health Information For Research Purposes
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A form that provides consent for the use and disclosure of patient health information in a research study at the University of WisconsinMilwaukee.
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RESEARCH COMPETITION HERITAGE TOURISM Entry Form 2019
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Entry form for students participating in a heritage tourism research competition organized by the Global Travel and Tourism Partnership in South Africa.
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Request For Research Contract Review
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A form for submitting research contract review requests, including details about the study, ethics status, and contract type.
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Human Research Protection Program Good Clinical Practice Research Definitions
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A comprehensive guide defining key terms and processes in clinical research and good clinical practice.
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UNM Department Of Anthropology Graduate Student Research Development Grant Application
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An annual grant application for UNM anthropology graduate students to support field research expenses.
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FEINBERG SCHOOL OF MEDICINE RESEARCH ELECTIVE ASSESSMENT FORM
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A comprehensive assessment form for evaluating student research performance and project outcomes at Feinberg School of Medicine.
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Researcher Evaluation Form
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A survey to assess the value and effectiveness of family leader reviewers in the grant proposal process.
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Poster Presentation Feedback Form
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A comprehensive form for providing detailed feedback on academic poster presentations, covering design, presentation, delivery, and overall performance.
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Researchers Performance Review Form
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Annual performance review document for various research positions, outlining a collaborative evaluation process for researchers and their supervisors.
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Swiss Government Excellence Research Scholarships For Foreign Students
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Research scholarship program offered by the Swiss Government for foreign students to pursue PhD or medical specialization research at Swiss universities and institutes.
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NIU Research Fellowship Program Application
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Application for research fellowship at the Ann Caracristi Institute for Intelligence Research
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Research Fellowship Application Form
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Comprehensive application form for researchers seeking a fellowship position at Doheny Eye Institute or UCLA
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Research Fellowship Application Form
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Comprehensive application form for research fellowship candidates seeking placement at Doheny Eye Institute or UCLA, including personal, professional, and funding details.
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Royal Commission For The Exhibition Of 1851 Research Fellowships In Science Or Engineering
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Guidelines for early career scientists and engineers to apply for research fellowships in physical and biological sciences, mathematics, applied science, and engineering.
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Investigator Initiated Research Grant Application Form
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A comprehensive form for researchers seeking funding and approval for investigative research projects from Paragon28.
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Research Grant Budget Form
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Research In Ministry (RIM) Submission Form
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A form for submitting Doctor of Ministry and Doctor of Missiology project abstracts to the Research in Ministry indexing service.
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Conditions And Guidelines For Overseas Researchers In Papua New Guinea
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Official guidelines and requirements for international researchers seeking to conduct research in Papua New Guinea, including visa application procedures and research conduct expectations.
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RESEARCH INQUIRY WALSH LAB
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A research inquiry form for collecting patient information and medical history for potential participation in a Walsh Lab study.
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Research Order Form
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Procedure for generating Research Order Forms for billable services across USC investigator locations for clinical research studies.
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Research Order Form
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Instruction document for creating Research Order Forms (ROF) for billable services in clinical research studies at USC investigator locations.
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University Research Committee Research Projects Application Packet
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Official document outlining the purpose, membership, duties, and operational procedures for the University Research Committee responsible for internal research funding.
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SEFA Campaign Participation Form
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Form for state employees to make charitable contributions through payroll deduction or one-time check donation
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Research Poster Abstract Submission Form
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A form for submitting research poster abstracts to the Journal of Restorative Medicine for potential publication.
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Research Presentation Feedback Form
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A comprehensive form for providing detailed feedback on a research presentation's content, delivery, and slide design.
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Research Project Proposal Form
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Research Project Proposal Form
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Academic form for Bachelor of Science in Social Sciences students to propose and register their research project for 06 credit hours across two semesters.
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Winston Salem State University Research Project Submission Form
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A form for students to submit research project details and secure necessary approvals for graduate program completion.
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Thesis Or Dissertation Proposal Approval Form
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A form for graduate students to submit and receive approval for their thesis or dissertation research proposal from their steering committee.
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UNIVERSITY COMMITTEE ON RESEARCH REQUEST FOR FUNDS 2024 2025
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A comprehensive research funding request form for university faculty seeking financial support for academic research projects.
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RESEARCH PROPOSAL FORM
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Applying For Existing Sarphati Cohort Data Research Proposal Form
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A form for researchers to apply for access to existing Sarphati Cohort research data and share their research ideas with Sarphati Amsterdam.
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The MyDiv Experiment Research Proposal Form
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A research proposal form for submitting project details to the MyDiv Experiment research initiative.
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Research Proposal Form
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A comprehensive form for submitting research proposals involving human subjects for institutional review and approval.
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IASP40905090 Independent Research On International Studies Research Proposal Form
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A form for students to propose an independent research project in Asian, Chinese, or International Studies at The Chinese University of Hong Kong.
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Research Proposal Form
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A research proposal form for submitting research projects to Wingham Wildlife Park in Kent, UK.
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Research Proposal Form
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A formal document for submitting and obtaining approval for a doctoral research project proposal.
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Research Request And Proposal Form
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A comprehensive form for researchers seeking to conduct a research project at the Belle W. Baruch Foundation's Hobcaw Barony site.
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TBTAK 2216B TUBITAK TWAS Postgraduate And Postdoctoral Fellowship Programmes Research Proposal For
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Research Request Form
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A form for requesting genealogical research about an individual in Cattaraugus County, New York.
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Enforcement Research Request Form
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A form to request research on property violations and liens for specific folio numbers in Miami-Dade County.
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Mansfield Independent School District Research Review Instructions
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Guidelines for submitting research proposals to Mansfield Independent School District, including required documentation and procedures.
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Mansfield Independent School District Research Proposal Form
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A formal document for submitting research proposals to the Mansfield Independent School District's Assessment, Accountability, & Analysis Office.
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Research Volunteer Application
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Application form for potential research volunteers at the University of Texas Health Science Center San Antonio's Department of Anesthesiology Division of Research.
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Child Assent Parent Consent Instructions Samples
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Comprehensive guide for obtaining parental consent and child assent for research involving participants under 18 years old.
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IRB Guidance For Researchers
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Comprehensive guidelines for conducting research involving minor participants, outlining required protections, consent procedures, and ethical considerations.
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Vantage Learning International Channels Program
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A strategic program by Vantage Learning to expand international channels and partner with organizations for educational technology services.
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Fontbonne University Resident Medical Information
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Comprehensive medical information and immunization requirements for first-time resident students at Fontbonne University.
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RADIOLOGY LEAVE REQUEST FORM
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A comprehensive form for radiology residents to request various types of leave with multiple approval levels.
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BWF Form 175
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A budget form for documenting direct costs for a research grant or funding application.
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Standardized Application For Pathology Fellowships
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A comprehensive application form for pathology residents seeking specialized fellowship training in various pathology subspecialties.
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Medical Society Of New Jersey Resolution Submission Form
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MEDICAL DENTAL APPOINTMENT FORM
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A comprehensive form for documenting a child's medical or dental appointment details including patient information, appointment specifics, and medical recommendations.
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School Activity Request Form
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A form for requesting and documenting school-based activities involving sales, third-party agreements, or financial transactions.
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OSHA Medical Evaluation Form
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A confidential medical questionnaire for employees required to use respirator masks, assessing their medical readiness for mask fitting.
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Research Proposal Form
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A form for graduate students in Computer and Information Science to submit their research proposal within the first 12 hours of graduate study.
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Hospital Discharge Intake Form
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A form for evaluating patient eligibility for short-term respite care after hospital discharge, including medical stability and independence requirements.
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Restricted Registration Agreement Form
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A registration form for students enrolling in special academic programs such as independent studies, research, internships, and dissertation work.
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Results Of The Directed Research Project Form
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A form for evaluating a student's directed research project, including oral and written presentation assessments and final results determination.
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Photograph Inventory Form
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Form for submitting retaken photographs to a Reading Center with patient and photographic details.
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WEAC Retired PAC Voluntary Contribution Form
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Voluntary contribution form for supporting pro-public education candidates through the Wisconsin Education Association Council Political Action Committee.
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RETIREE ACH AUTHORIZATION FORM
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A form authorizing HealthTrust to process monthly medical and dental contribution payments via automated bank transfer.
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RETIREE ANNUAL APPEAL CONTRIBUTION FORM
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A gift contribution form for making financial donations to Alfred State College, with options for scholarship and payment methods.
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Reimbursement Form
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A form for requesting reimbursement for medical care, supplies, and healthcare expenses from an insurance provider.
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Retraining Leave 2025 2026
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A comprehensive form for academic professionals seeking professional development leave, requiring detailed project and funding information.
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Annual Retreat Registration Form
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Registration form for an annual retreat organized by ACH, including payment options and event details.
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How To Create A Retrospective Pre Post Survey In Google Forms
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Step-by-step instructions for creating a retrospective survey using Google Forms with multiple choice grid technique.
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Reviewer Checklist (Form IRB5)
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A comprehensive checklist for Institutional Review Board (IRB) reviewers to evaluate research protocol applications for ethical and methodological soundness.
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Reviewer Consent Checklist (Form IRB6)
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A comprehensive checklist for reviewing and validating consent forms for research studies, ensuring all critical elements are properly documented.
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Payroll Deduction Request Form
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A form allowing Wiley employees to authorize payroll deductions for institutional contributions.
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COMMON WELL ENROLLMENT CONSENT FORM
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A consent form for patients to authorize sharing of medical information through the CommonWell health information network for continuity of care.
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Revised ProceduralSurgical Consent Form Frequently Asked Questions
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Document explaining revisions to a medical consent form and addressing frequently asked questions about signature and content changes.
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Patient Medical History Form
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Comprehensive medical history document capturing patient's medications, allergies, past medical conditions, surgical history, family health history, and lifestyle details.
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Completed Pre Proposal Form
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A research proposal exploring the connection between melatonin levels and pre-term labor, with the goal of developing interventions to reduce premature births.
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Diving Medical Exam Overview For The Examining Physician
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Medical examination document assessing fitness for scientific diving certification at the University of New Hampshire.
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Sales Agreement For Services
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A standard services agreement between a purchaser and the Research Corporation of the University of Hawaii for professional services.
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SALES AGREEMENT
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A sales agreement between a purchaser and the Research Corporation of the University of Hawaii, outlining services, compensation, and performance terms.
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Animal Purchase Approval Form
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Form for obtaining approval to purchase animal subjects for research projects at the Research Foundation of CUNY.
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Managed Service Provider Request For Proposal
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Request for Proposal for selecting a Managed IT Services Provider for a school district serving approximately 520 students.
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Research And Creative Honors RH Application Form
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Application form for students seeking to pursue a research or creative honors thesis project at the University of Nevada, Las Vegas.
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VantageCare RHS Plan Claim Form
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Form for submitting medical expense reimbursement claims to the VantageCare RHS Plan administered by Meritain Health.
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Service Request Form
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A form for requesting research services from the Radioimmunoassay and Biomarker Core at The Smilow Center for Translational Research.
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Student Internship Application Form
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A paid internship opportunity for undergraduate and graduate students to work with historical archives at the Nixon Foundation, focusing on research and digital resource creation.
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RIDOH State Health Laboratories Test Requisition
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A comprehensive medical test requisition form for submitting patient specimens to Rhode Island State Health Laboratories for various diagnostic tests.
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Standard Operating Procedure For Patent Application
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A comprehensive procedure for filing patent applications at GTIIT, outlining the process of invention disclosure and evaluation.
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Outpatient Physician Visit Referral Form
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A medical referral form used to schedule patient appointments and transfer clinical information between healthcare providers.
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Incident Report
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A comprehensive form for documenting and reporting critical incidents involving service recipients, detailing medical, legal, and social aspects of the event.
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RINGETTE BC MEDICAL FORM
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A confidential medical form for Ringette BC athletes to collect personal health and emergency contact information.
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Risk Acknowledgement And Emergency Contact Form
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A university form documenting participant risk acknowledgement, emergency contact information, and medical authorization for university-sponsored programs.
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Risk Assessment For Research Animal Contact
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Form for assessing health risks and requirements for individuals working with or near research animals at Florida Institute of Technology.
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National Security Guidelines For Research Partnerships Risk Assessment Form
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A form to identify and assess potential national security risks in research partnerships and develop mitigation measures.
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Biological Safety Agent Specific Risk Assessment Form
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A comprehensive form for assessing risks associated with biological agents in laboratory settings at Oklahoma State University.
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Accident Claim Form
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A claim form for submitting accident-related insurance claims with specific filing instructions and requirements.
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Rutgers Institute For Translational Medicine And Science Summer Research Program Student Application
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Application form for high school and undergraduate students seeking to participate in the Rutgers Institute for Translational Medicine and Science Summer Research Program.
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CLIENT BILL REQUISITION FORM
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A medical form for ordering laboratory tests with patient and practitioner information collection fields.
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Insurance Bill Requisition Form
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A medical laboratory test request form for collecting patient information, test orders, and billing details.
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Insurance Bill Requisition Form
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A comprehensive form for collecting patient and practitioner information for medical laboratory testing and insurance billing purposes.
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LASER INCIDENT REPORT FORM
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A form used to document and report incidents involving laser equipment and potential safety exposures at UNLV.
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Medical Expense Reimbursement Form
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Step-by-step guide for submitting a medical expense reimbursement claim using a PDF form on the Benserco website.
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Iowa 4 H Medical InformationRelease Form
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A comprehensive medical information and emergency contact form for non-4-H club youth participants.
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RoboCamp RIT Medical And Health Insurance Form
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Comprehensive medical history and health information form for students attending RoboCamp at RIT
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ROBOTICS GRADUATE PROGRAM MANUAL
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Comprehensive guide for Master's and PhD students in the Robotics graduate program, covering academic policies, degree requirements, and research guidelines.
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Robotics MSE Graduate Student Evaluation Form
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Comprehensive evaluation form for tracking academic progress, research accomplishments, and professional development of graduate students in Robotics Master of Science in Engineering program.
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RAIRO Operations Research Open Access Form
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A form for authors to submit their manuscript for open access publication with EDP Sciences under the Subscribe to Open program.
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New Membership Form
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Membership form for a non-profit organization supporting local schools through fundraising and donations.
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North Carolina High School Athletic Association Sport Preparticipation Examination Form
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A medical screening form for student-athletes to assess their health and fitness for sports participation.
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ROMEO Research Proposal Form
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A comprehensive form for submitting research proposals to ROMEO Ophthalmology, detailing project specifics, contributors, and data management plans.
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The Rotary Foundation Contribution Form
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A comprehensive form for making financial contributions to The Rotary Foundation through various payment methods and donation types.
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Rotation Evaluation Form
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A form for research mentors to provide feedback on student research rotation performance and engagement.
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Local Approvals Checklist
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Institutional form for documenting and approving grant support applications prior to submission to potential sponsors.
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Guidelines For External Research And Data Collection In Chicago Public Schools
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Document outlining procedures and guidelines for conducting research and data collection within Chicago Public Schools.
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Hospice Referral Form
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A comprehensive form for initiating hospice care referral, collecting patient medical, personal, and insurance information.
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NEW PATIENT REGISTRATION FORM
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Comprehensive medical intake form for new patients, including personal information, insurance details, and arbitration agreement.
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Experiment Enclosure Survey Form
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A comprehensive survey form for documenting radiation experiment parameters, beam characteristics, and safety locations.
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BUDGET FORM FOR RSCA PROPOSALS Spring 2015
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A budget request form for faculty to seek funding for research-related expenses and potential release time.
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RS FORM 200 RADIONUCLIDE INVENTORY FORM
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A detailed form for tracking radionuclide purchases, usage, and disposal in a university research setting.
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EMPLOYEE MEDICAL RELEASE FORM
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A form authorizing an employer to obtain and review medical information related to an employee's ability to perform job tasks safely.
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Research Proposal Form
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Formal document for submitting a research project proposal for graduate studies, including details about the research type and committee approval.
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KCIA Research Fee Refund Request Form
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Procedures for requesting a refund of research support fees paid during crop certification process by Kansas Crop Improvement Association.
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Patient Enrollment Form
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Enrollment form for patients seeking treatment with RUCONEST for hereditary angioedema (HAE)
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Fund Maintenance Request Form
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Form for creating, updating, or deactivating university foundation funds with detailed administrative approval process.
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Gift In Kind Contribution Form
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Form for donors to document and contribute non-monetary gifts to the Radford University Foundation
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Financial Assistance Application Form
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Comprehensive form for patients to apply for financial assistance, collecting detailed personal, employment, and income information.
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2018 Rustic Cuff Fundraiser Purchase Form
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Fundraising purchase form for buying bracelets to support Counseling & Recovery Services
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Participant Code Of Conduct
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A code of conduct document outlining participant expectations and guidelines for a mathematics research program for undergraduates.
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Allergy Reimbursement Claim Form
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A form for submitting claims for allergy treatments and medications for reimbursement by an insurance provider.
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Preparticipation Physical Evaluation Physical Examination Form
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Comprehensive medical screening form for athletes to assess physical fitness and health status prior to participation in sports activities.
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BW RYSTIGGO V.I23
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Medical referral and patient information form for Rystiggo (rozanolixizumab-noli) treatment for Generalized Myasthenia Gravis
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Accidental Injury Claim Form
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Insurance claim form for reporting and processing an accidental injury claim with Aflac
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Initial Disability Checklist
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A comprehensive form for filing a disability insurance claim, collecting details about the nature of disability, patient, and policyholder information.
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Senate Bill No. 1098
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Legislation authorizing primary care providers to provide information about bone marrow donation and establish guidelines for patient registry inquiries.
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Continuing Disability Claim Form
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A claim form for filing a continuing disability insurance claim with Aflac, requiring policyholder and patient information.
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Schedule 4 Loan Consent Form
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A form documenting consent and details for a loan to a campaign finance entity by a lender.
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Sabbatical Leave Application Form
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An application form for faculty members seeking a sabbatical leave from Valencia College, requiring approval from multiple administrative levels.
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Cadet Initial Entry Training (CIET) Medical Operations Pre Participation Physical Form Medical Hi
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Comprehensive medical history form for cadets participating in initial entry training, capturing health conditions, injuries, and personal medical information.
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Informed Consent For Immunization With COVID 19 Vaccine
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A medical consent form for receiving COVID-19 vaccination, including patient personal and medical information.
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Sail Caribbean Medical Form
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A comprehensive medical form required for students participating in Sail Caribbean adventures, collecting health history and emergency contact information.
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Student International Experience Petition Form
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Form for faculty and students to propose and document international academic experiences at Northeast Ohio Medical University.
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SALES ORDER FORM
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A form for ordering surgical implants and equipment with detailed item tracking and customer information.
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FoKAB Sales Order Form
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Sales order form for purchasing postcards, notebooks, and merchandise from the Friends of King Alfred Buses charitable organization.
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Missing Persons Inquiry Form
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A comprehensive form for collecting detailed information about a missing person to assist in locating them.
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Sample Analysis Submission Form
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A detailed form for submitting chemical samples for scientific analysis, including sample details, handling instructions, and analytical methods.
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Example Application Form
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Application form for students participating in a program focused on addressing global challenges through interdisciplinary study and research.
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Harvard Forest Sample Archive Submission Form
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A form for researchers to submit scientific samples to the Harvard Forest Archive with accompanying guidelines for sample submission and storage.
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Obtaining Informed Assent From Children Or Minors
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Guidelines and sample forms for obtaining informed consent and assent from children or minors participating in research projects.
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Institutional Review Board (IRB) For Human Subjects Research Minimal Risk Research Protocol Proposal
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A comprehensive form for submitting minimal risk research protocols for review by an Institutional Review Board, detailing submission requirements and research team guidelines.
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Confidential Disclosure Agreement
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A legal agreement between Harvard University and a receiving party to protect confidential information during potential research or licensing discussions.
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Sample Informed Consent Form
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An informed consent document for a research study examining adults' attitudes toward legal testimony, involving survey participation and trial transcript review.
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Informed Consent Form Student Writing Analysis
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Consent form for a research study examining the impact of writing environment on student writing quality at Oklahoma City Community College.
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Consent To Participate In A Research Study
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Consent form template for adult participants in a social behavioral research study at the University of North Carolina at Pembroke.
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Sample Consent Form
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A template for obtaining informed consent from research study participants, outlining study details, risks, benefits, and participant rights.
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Consent To TattooPierce
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A legal consent form detailing risks, requirements, and patient acknowledgment for tattoo and piercing procedures in Montana.
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Informed Consent Form (Quantitative Study)
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A research study examining chemical exposure, health impacts, and protective measures for farm workers in Saskatchewan.
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Sample Discharge Form
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A comprehensive discharge form for shelter guests documenting medical conditions, transportation needs, and post-evacuation services
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Sample Emergency Action Plan
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A comprehensive emergency preparedness document detailing contact information, emergency procedures, and roles for managing potential incidents.
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UD X Ray Crystallography Sample Submission Form
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A scientific form for submitting samples for X-ray crystallography analysis with details about sample characteristics and preparation.
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Informed Consent Form Template
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A template and guidelines for creating an informed consent document for research studies, outlining key sections and requirements.
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Sample Informed Parental Consent Form
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A consent form for parents to allow their child to participate in a research study examining children's conflict resolution reactions to a videotaped story scenario.
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Visual Feedback Goggle For Treatment Of Benign Paroxysmal Positional Vertigo
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A research study consent form for a clinical trial investigating a visual feedback goggle treatment for benign paroxysmal positional vertigo.
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Medical Release Form
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A medical clearance document for patients seeking to start a personalized fitness training program, requiring physician review and approval of exercise activities.
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Parental Consent Form For Participation In The Research Study
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A template consent form for parents to authorize their child's participation in a research study at Salem State University.
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SAMPLE BUDGET FORM
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A comprehensive template for creating a budget for grant applications, including income, revenue, and expense categories.
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Referral Form (Sample Format)
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A standardized form for documenting patient referrals between healthcare service providers with client authorization.
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Reliance Sample Request Form
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A form for researchers to request Institutional Review Board (IRB) reliance for a research study across different institutions.
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RESEARCH AGREEMENT
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A research agreement between a sponsor organization and the University of Tennessee Health Science Center outlining terms of a research project.
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UWChemMRF Remote User Sample Shipping Form
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Form for shipping chemical samples to the University of Wisconsin Chemistry NMR Facility for analysis and testing.
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SAMPLE SUBMISSION FORM
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A form for submitting scientific or research samples with detailed specimen tracking information.
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Sample Submission Form
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A form for submitting biological samples for research analysis, including sample and payment details.
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Sample Submission Form
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Form for submitting samples to the University of Idaho Analytical Sciences Laboratory for testing and analysis.
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Zero Contact Sample Drop Off Protocol And Form
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Protocol for submitting samples to the Proteomics Resource Center with zero-contact procedures implemented during COVID-19 pandemic.
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SAMPLE SUBMISSION FORM WALSH LAB
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A medical research form for collecting family genetic sample information and consent for genetic studies.
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Irvine Unified School District Drive Up COVID 19 PCR Testing Authorization Form
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Authorization form for Irvine Unified School District employees to receive COVID-19 PCR testing at Sand Canyon Urgent Care Medical Center.
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Sassafras Audubon Society Grant Application Form
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A grant application form for individuals and organizations seeking funding for research, education, or habitat projects from the Sassafras Audubon Society.
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Parental Consent Form To Receive Health Care Services
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A comprehensive form for parents to provide consent and medical information for student health care services at school-based clinics.
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Contribution Form
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A form for individuals and organizations to make financial contributions to Southside Behavioral Health Systems, a non-profit organization.
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Patient Assessment Form (New Patients Only)
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Comprehensive medical intake form for new patients at Stony Brook Surgical Associates, collecting patient demographic and health information.
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REPORT OF ACCIDENT
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A comprehensive form documenting details of an accident, including personal information, injury specifics, and medical treatment
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HOSPICE ORDER FORM
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A medical form for referring a patient to hospice care services, including patient information, orders, and physician details.
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UVA Biorepository Tissue Research Facility (BTRF) Scanning Service Request Form
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A form for researchers to request slide scanning services at the University of Virginia's Biorepository & Tissue Research Facility.
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Employee Voluntary Payroll Deduction Form
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A form for employees to authorize voluntary monthly payroll deductions to support scholarships and foundation programs.
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DONOR CONTRIBUTION FORM
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A form for employees to make charitable donations through payroll deductions or one-time contributions to designated agencies.
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State Charitable Campaign Donor Contribution Form
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A form for employees to make charitable donations through payroll deduction or one-time gifts to selected charities.
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SCDEC In Kind Contributions
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Form for documenting non-monetary contributions to the Seminole County Democratic Executive Committee (SCDEC)
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DCOM Student Scholarly Activity And Research Project Form OMS I II
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A form for medical students to document and obtain approval for scholarly research activities with mentor and institutional review board guidance.
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Undergraduate Scholars Grant Application Form
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Application form for students seeking funding for research or creative projects at the University of Central Missouri
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H.E.L.P. The Lawrence J. Dippold Health Education Loan Program
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Scholarship program providing financial assistance for health-related career training at Guthrie Cortland Medical Center
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College Scholarship Enrollment
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Form for scouts to report annual sales and enroll in a college scholarship program through the National Capital Area Council BSA.
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Scholarship Application For Individuals Pursuing A Career In The Healthcare Field
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A scholarship application for students pursuing careers in healthcare, sponsored by Lawrence General Hospital Medical Staff.
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Annual Scholarship Form
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Form for donors to contribute scholarship funds to Santa Monica College with options to specify fund criteria and recipient selection preferences.
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New Named Scholarship Form
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Form for donors to establish a named scholarship, specifying award details and donor information.
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School Partnership Agreement
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A collaborative agreement between the 'My Asthma in School' research programme and a school for conducting an asthma management research study with students.
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PREVENTATIVE HEALTH CARE EXAMINATION FORM
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A comprehensive health examination form for students entering Kentucky public schools, documenting medical history, immunizations, and health screenings.
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Pupil Personal Accident Report Form
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A comprehensive form for reporting and claiming medical expenses for student accidents at school
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Scientific Or Educational Project Proposal Form
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Form for researchers to request scientific collection permits for wildlife research activities in Kentucky.
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Science Fair Project Approval Form
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A form for students to document and obtain approval for their science fair project details and methodology.
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Science ItS A Girl Thing
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A four-day residential science camp for girls in 5th through 11th grades, hosted at Texas Tech University to promote interest in scientific careers.
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Payroll Deduction Form For NC State Employees
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A form allowing NC State employees to authorize voluntary payroll deductions for university fund contributions.
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Scientific Collection Annual Report
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Official form for documenting scientific wildlife collection activities in Nevada, detailing species capture and habitat information.
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Special Consideration Medical Form
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A medical form for students seeking special consideration due to acute illness or injury at the University of Canterbury.
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Adult Minor Medical Release
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Medical release and emergency contact form for participants in international travel or mission trips
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Contribution Form
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A donation form for individuals to contribute financial support to Scripps Research organization via check, money order, or credit card.
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Take Charge Follow Up, Diagnostic, And Treatment Training (ODH Form No. 274C)
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Training document for healthcare professionals on completing the Take Charge! Follow up, Diagnostic, and Treatment form.
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PRESCRIPTION SUBMISSION FORM
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A form for submitting and tracking pharmaceutical prescriptions with specific endorsement and signing requirements.
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South Carolina Retail Political Action Committee Contribution Form
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A form for making political contributions to the South Carolina Retail Political Action Committee, supporting political candidates at state and federal levels.
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Remote Access To European Microdata
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A document detailing Eurostat's new remote access system for secure microdata files, enabling researchers to access detailed statistical data remotely with enhanced security controls.
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San Diego County Public Health Laboratory Test Requisition Form
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A comprehensive form for submitting medical test specimens to the San Diego County Public Health Laboratory with patient and specimen details.
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Student Transfer Request Form Medical, Emotional, Or Social Adjustment
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A form for requesting student school transfer based on medical, emotional, or social adjustment needs, requiring documentation from a healthcare provider.
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Seat Sales Order Form
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A form for purchasing and sponsoring theater seats with multiple donation levels and payment options.
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Maryland Uniform Consultation Referral Form
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A comprehensive form for medical consultation and referral between healthcare providers, capturing patient, carrier, and referral details.
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Group Insurance Disability Claim Form
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A comprehensive form for submitting a disability insurance claim by an employee, physician, and employer or plan administrator.
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UW Resilience And Compassion Initiatives Seed Grant Application Form
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Grant application form for university researchers seeking funding for projects related to resilience and compassion initiatives.
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SEER MHOS Data Application Form
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Application form for researchers seeking access to Surveillance, Epidemiology and End Results - Medicare Health Outcomes Survey data files.
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Auction Procurement Form
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Form for collecting donation item details and donor information for a charitable auction fundraiser.
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Medical Claim Form
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A comprehensive medical claim form for reimbursement of medical expenses through Seib Insurance & Reinsurance Company in Qatar.
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SEI Educational ProgramProject Proposal
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A form for proposing educational programs or projects that demonstrate sustainability and educational value to students at Western Carolina University.
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Medical Assessment Form (PA 635)
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A form used by the Pennsylvania Department of Public Welfare to assess an individual's medical condition and ability to participate in employment and training activities.
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Laboratory Safety Inspection Form
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A comprehensive safety inspection form for laboratory environments to ensure compliance with safety protocols and regulations.
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MEES Seminar Attendance Record
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Tracking form for documenting student attendance at research seminars for MEGR graduate courses.
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Auction Donation Form
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Form for donors to provide details about items being donated to a local Rotary Club auction fundraiser.
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ST. ELIZABETH MISSION SOCIETY GRANT APPLICATION FORM
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A comprehensive grant application form for Franciscan Sisters of Allegany members seeking funding for organizational projects.
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SENECA MEDICAL FORM
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Medical form for collecting student health information, tuberculosis screening, and immunization history at Seneca College.
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PBCI SENIOR MEDICAL TRAVEL FORM
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Comprehensive medical screening form for senior travel participants detailing health status, medical history, and emergency contact information.
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Senior Thesis Or Senior Honors Thesis In Biochemistry Research Proposal Form
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A form for students to submit their senior thesis or honors thesis research proposal in biochemistry, requiring advisor approval and proposal details.
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Sequencing Service Request Form
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A form for requesting genomic sequencing services at the University of Pittsburgh's High Throughput Genome Center with sample and service details.
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SEQUENCING SUBMISSION FORM
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A comprehensive form for submitting samples for genomic sequencing, detailing sample type, library preparation, and submission information.
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PhD Research Proposal Form
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A research proposal for developing novel titanium or zirconium metal-organic frameworks (MOFs) with potential applications in energy production and catalysis.
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QBC Hematology System Service Agreement
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A service agreement for QBC hematology diagnostic equipment repair and replacement services with single or double swap options.
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MARSHALL UNIVERSITY RESEARCH CORPORATION SERVICE AGREEMENT
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A service agreement form for independent contractors performing work for Marshall University Research Corporation with compensation and tax details.
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Marshall University Research Corporation Service Agreement
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A service agreement document for independent contractors performing work for Marshall University Research Corporation
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Service Billing For UHAffiliated Programs
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Procedural guidelines for billing and expense recovery for University of Hawaii affiliated research programs using animal and supply services.
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Community Volunteer Service Project Inventory Form And Shipping Instructions
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A form for documenting and shipping supply donations to Operation Smile's warehouse for community volunteer projects.
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OFFICE OF RESEARCH SERVICES SERVICE REQUEST FORM
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Form for researchers to request technical services and procedures involving animal research at the Godley Snell Research Center.
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University Of Michigan CLASS Laboratory Service Request Form
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A form for requesting laboratory services from the University of Michigan CLASS Labs for research purposes.
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Veterinary Muscle And Nerve Test Request Form
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A specialized form for veterinarians to request detailed muscle and nerve diagnostic tests for animals.
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Veterinary Muscle And Nerve Test Submission Form
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Comprehensive form for submitting veterinary muscle and nerve diagnostic tests with detailed pricing and payment options.
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Payroll Deduction For Donation To The State Emergency Service
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A form allowing employees to authorize regular donations to the Queensland State Emergency Service through payroll deductions.
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Supervision Of Normal Pregnancy And Delivery Form
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A healthcare form for documenting pregnancy details, medical information, and patient consent for medical services related to pregnancy and delivery.
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Santa Fe Conservation Trust Medical Form
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A comprehensive medical form for participants of Santa Fe Conservation Trust trips, collecting health history and emergency contact details.
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Registration Of Written Advance Health Care Directive
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Official state form for registering, amending, or revoking an advance health care directive with the California Secretary of State.
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Medical Reimbursement Account Claim Form
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Comprehensive instructions for submitting medical expense reimbursement claims through a Medical Reimbursement Account (MRA)
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NIGMS HGCR Submission Form
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A detailed form for submitting genetic samples and medical information to the National Institute of General Medical Sciences Human Genetic Cell Repository.
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SFSU Incident Report Form
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A form for reporting information security incidents at San Francisco State University that potentially compromise IT asset confidentiality, integrity, or availability.
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SGFS Data Submission Form
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A form for researchers to submit genomic sequence data to SGFS with specific guidelines and restrictions on data volume and quality.
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Application For Approval Of Research Proposal
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A comprehensive form for submitting and obtaining approval for a research proposal at Shahid Gangalal National Heart Centre.
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OWU Connection Programs Small Grant Program Application Form
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Application form for students seeking funding for academic projects at Ohio Wesleyan University
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Life Science Sample Submission Form
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A form for submitting scientific samples for laboratory analysis, specifying shipping, storage, and processing requirements.
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DA 325 Shared Leave Request Form
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A form for state employees to request shared leave benefits for serious medical conditions affecting themselves or family members.
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Shared Leave Request Form
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A form for City of Tacoma employees to request shared leave due to severe illness, injury, or medical condition that has exhausted their accrued leave.
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Printable Contribution Form
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A donation form for contributing to the Sharing Network Foundation, with options for credit card and tribute donations.
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Travel Funds Policy For Investigators
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Policy outlining travel fund reimbursement guidelines for research investigators attending scientific meetings.
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Investment Guidelines
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Comprehensive guidelines for investment streams and application process for the Shaw Rocket Fund.
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UF Student Health Care Center (SHCC) Exposure Ordering Form
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Medical form for ordering laboratory tests following potential blood-borne pathogen exposure for UF employees and students
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Faculty And Staff Annual Giving Form
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A form for Shepherd University faculty and staff to make annual charitable contributions through various payment methods, including payroll deduction.
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Shipped Donation Inventory Form
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A form for documenting and tracking archival donations to the World Service Conference Archive
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UWM Animal Resource Center Animal Shipping Form Exporting
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A form for documenting the export of research animals, including their health status, genetic modifications, and shipping details.
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INTERNATIONAL HEALTH SERVICE SHIPPING FORM
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A form for documenting and shipping medical and personal supplies for International Health Service logistics
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Insulin For Life USA Donation Form
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A form for donors to provide personal information and shipping details for donating insulin supplies to Insulin for Life USA.
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Instructions For Shipping Samples For Porphyria Testing
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Comprehensive instructions for collecting, processing, and shipping blood and urine samples for porphyria laboratory testing at the University of Texas Medical Branch.
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Ship Plans Inquiry Form
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Form for requesting historical maritime vessel research and documentation from the Puget Sound Maritime Historical Society Research Center.
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EVENT PARTNERSHIP PROPOSAL FORM
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A form for organizations to propose event partnerships with Second Harvest Food Bank of Metrolina for fundraising, education, or food drives.
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SHOE MODIFICATION ORDER FORM
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A detailed form for ordering customized shoe modifications for patients with specific medical needs or conditions.
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In Case Of Emergency Contact Form
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A form to be placed on a child's car seat with emergency contact and medical information for first responders.
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Patient Intake Form
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Comprehensive medical intake form for chiropractic patients, collecting personal, employment, medical, and lifestyle information.
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Granite School District Short Term Disability Claim Form
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A form for Granite School District employees to file a claim for short-term disability benefits, documenting medical condition and work absence details.
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Short Term Disability Claim Form
PDF template
A policy document detailing short-term disability benefits for employees, including eligibility, compensation, and leave requirements.
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Short Term Disability Income Claim Form
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A document used to file a claim for short-term disability benefits, requiring details from the employee, employer, and attending physician.
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Short Term Disability Leave Request Form
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A form for employees to request short-term disability leave, including tracking PTO and leave details.
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Preparticipation Physical Evaluation Physical Examination Form
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Comprehensive medical evaluation form for athletes to assess physical fitness and health status prior to participation in sports activities.
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Sick Leave Pool Contribution Form
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A form allowing employees to voluntarily donate sick leave hours to a shared organizational sick leave pool.
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University Of Tennessee Sick Leave Transfer Request Form
PDF template
A form for University of Tennessee employees to donate sick leave hours to other eligible employees through the Sick Leave Bank program.
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Signature Authority Authorization Form
PDF template
Form allowing a project director to authorize a designee to sign various research-related documents and forms.
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Signature Sample Form
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A form used to collect and document an individual's signature for clinical research credentials and records.
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Signatures On A Consent Form
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Document explaining signature procedures for consent forms in RSS, detailing changes effective February 2024.
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Specialist International Medical Graduate (SIMG) 2024 Application For Fellowship
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Application form for international medical graduates seeking fellowship with the Royal Australian and New Zealand College of Psychiatrists (RANZCP)
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Catastrophic Leave Request Form
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Form for employees to request catastrophic leave of absence for personal or family medical reasons, in accordance with West Virginia state regulations.
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Sip Savor Smoke 2021 TicketTable Purchase Form
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A fundraising form for purchasing event tickets and making donations to CASA of the Tenth Judicial Circuit
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SIRB Consent Form Guidance
PDF template
Guidelines for creating informed consent documentation for research studies at University of Texas Southwestern, focusing on master and site-specific consent form requirements.
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SELF INSURED SERVICES COMPANY REIMBURSEMENT FORM
PDF template
A form for employees to submit medical expense claims for reimbursement through a self-insured employer benefit program.
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Client Application Form
PDF template
Confidential client intake form for medical and contact information at a recovery center specializing in brain and spinal cord injury rehabilitation.
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Personal Health History Form
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A comprehensive health form required for students participating in SIT Study Abroad programs, consisting of multiple parts to be completed by students and medical providers.
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Human Subjects Review Application Form
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Instructions for completing a human subjects research application for ethical review and approval process.
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St. Joseph Center Contribution Form
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A tax-deductible donation form for contributing to St. Joseph Center's various support programs and initiatives.
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Confidential Medical History
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Comprehensive medical form capturing patient's personal and family health history, with a specific focus on eye-related conditions and general health status.
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NFHS Medical Release Form For Wrestler To Participate With Skin Lesion(S)
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A medical release form for wrestlers with skin lesions, developed by the NFHS Sports Medicine Advisory Committee to provide guidelines for participation with skin conditions.
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NFHS Medical Release Form For Wrestler To Participate With Skin Lesion(S)
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A standardized medical form developed by the National Federation of State High School Associations to manage skin lesions and communicable skin disorders in wrestling.
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DIAANFHS Medical Release Form For Wrestler To Participate With Skin Lesion(S)
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A standardized medical release form for wrestlers with skin lesions, developed by the National Federation of State High School Associations to protect athletes and manage communicable skin disorders.
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Donation Procurement Form
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Form for collecting donor information and details about item donations for a non-profit charitable organization
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Perreard Professional Billing Insurance Form
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A medical billing form for collecting patient and insurance information for professional healthcare services.
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Analysis Service Request Form
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A form for requesting various water and particulate sample analyses with multiple analytical options.
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MEDICAL HISTORY FORM
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Comprehensive medical form for collecting patient personal information, medical history, vaccination status, and surgical history.
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Fluorochromes Slide Digitization Submission Form
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A form for submitting slides for digital scanning and imaging with details about project, contact information, and scanning specifications.
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Emergency Contact And Medical Release
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A medical release and emergency contact form for participants in a service-learning program, allowing medical treatment authorization.
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Salt Lake Regional Medical Center Student Orientation Module
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Comprehensive orientation guide for healthcare students preparing for clinical placement at Salt Lake Regional Medical Center.
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CEMRC RAM Order Transfer Form
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A form for documenting the transfer and tracking of radioactive materials at the Carlsbad Environmental Monitoring & Research Center.
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Form 2E Smallpox Case Household And Primary Contact Surveillance Form
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A CDC form for tracking and documenting household or primary contacts of a smallpox case, including daily temperature monitoring and contact information.
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Final Grade Course Final Grade Application Form SMART
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Application form for the Science and Math Achievement and Resourcefulness Track (SMART) Program for students interested in research opportunities.
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ING Corporate Card Program SmartData Reporting File Delivery Application Change Form
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Form for managing corporate card program services, including SmartData reporting and file delivery administrator settings.
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Smart Variables A Review Of REDCap Field Variables And Field Notation
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A technical document explaining REDCap's field notation, variable names, and smart variables used in data collection and research platforms.
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Payroll Deduction Gift Form
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A form for employees to authorize charitable payroll deductions and gift designations to Saint Mary's College
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DoctorS Examination Form
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Medical examination form to assess child's fitness for participating in a Soap Box Derby race.
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2020 Pre Order Form
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Pre-order form for Smile Cookies supporting local charities, with 100% of proceeds being donated to community programs across Canada.
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Pre Order Form
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A pre-order form for holiday smile cookies supporting Leduc Santa's Helpers and Tims Camps in Leduc, Alberta.
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Pre Order Form
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Form for pre-ordering Smile Cookies to support the Canadian Mental Health Association York and South Simcoe charity campaign.
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2024 Smile Cookie Pre Order Form
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Pre-order form for Tim Hortons Smile Cookies to support Ridge Meadows Hospital Foundation, with 100% of proceeds donated to local charities.
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Payroll Deduction Form
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A form allowing employees to authorize recurring payroll deductions for donations to Smith College.
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Smith Lab Volunteer Application Form
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Application form for volunteer positions in a marine biology research laboratory at Scripps Institution of Oceanography, seeking motivated students interested in marine research.
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Smith Lab Volunteer Application Form
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Application form for volunteer positions at a marine biology research lab focused on benthic marine ecosystems at Scripps Institution of Oceanography.
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Curriculum Vitae Alistair M. Smith
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Detailed academic curriculum vitae for Alistair Smith, a Professor in Forest, Rangeland, and Fire Sciences at the University of Idaho.
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Management Benefits Fund Superimposed Major Medical Plan (SMMP) Claim Form
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A comprehensive medical claim form for submitting healthcare expenses and patient information to the Management Benefits Fund insurance plan.
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Annual Financial Report Of Expenditures
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Annual financial report detailing expenditures and budget allocation for the Scaling Up Nutrition Movement Secretariat for the year 2019.
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PROCEDURES FOR RESEARCH
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Guidelines and procedures for conducting research, surveys, and studies within the Stafford Municipal School District's schools.
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Summer Manuscript Support (SMS) Funding Opportunity Announcement
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Funding opportunity for faculty to receive support for preparing and submitting peer-reviewed manuscripts related to human health research.
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Summer Manuscript Support (SMS) Funding Opportunity Announcement
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Funding opportunity to support faculty in preparing and submitting peer-reviewed manuscripts related to human health research.
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Student Certification For Business Related Travel
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A form for certifying student travel as business-related for grant or reimbursement purposes at Southern Methodist University.
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Vision Group Insurance Form
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A comprehensive form for submitting vision insurance claims, to be completed by employees and vision care providers.
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REFERRAL FORM BARIATRIC SURGERY
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A comprehensive medical referral form for patients seeking bariatric surgery evaluation, detailing patient requirements and documentation needs.
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Soil Sample Submission Form
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A form for submitting soil samples to Oregon State University's Soil Health Laboratory for various scientific analyses.
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Medical Form For US Programs
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Comprehensive medical form for Special Olympics athletes to document health information, conditions, and assistive needs.
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Special Olympics Incident Report Form
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Comprehensive form for documenting accidents and injuries during Special Olympics events, capturing details about the injured person, incident, and witnesses.
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Research On Thinking Maps Leadership And Learning Request For Proposals No. 2013 1
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A request for research proposals focused on Thinking Maps in educational settings from pre-kindergarten to college level.
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FACS Project Form
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A detailed form for researchers to document cell sorting experimental parameters, goals, and requirements for biomedical research.
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SOM Family Campaign Payroll Deduction Form
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Payroll deduction form for making charitable contributions to the School of Medicine Scholarship Campaign
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SoonerCare Health Risk Assessment
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A comprehensive medical assessment form collecting patient demographics, health status, family information, and medical conditions for SoonerCare patients.
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Fife RD SOP07, Version 2 Standard Operating Procedure For Assessment Of Risk Associated With Researc
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A procedural document outlining the process for conducting risk assessments for research studies sponsored by NHS Fife and developing corresponding mitigation plans.
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Standard Operating Procedure For Research Passports, Honorary Research Contracts And Letters Of Acce
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Document describing processes for obtaining research passports, honorary research contracts, and letters of access for researchers in NHS Fife.
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JRMO SOP 39 Personal Access Arrangements For Undertaking Research
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Defines the process for applying for and processing research access requests for Barts Health NHS Trust, including Research Passport authorization.
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SOP For Export And Import
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Detailed procedure for shipping items outside the United States, outlining review requirements and export control processes.
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Nomination Form For The SoP Graduate Research Award
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A form for nominating and evaluating graduate students for research and outstanding student awards based on multiple performance criteria.
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Contribution Confirmation Form
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A form for individuals or businesses to make financial contributions to Shelters of Saratoga non-profit organization.
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SOT Statement Proposal Form
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A form for proposing scientific statements by the Society of Toxicology, outlining objectives, target audience, and potential publication venues.
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VISION CLAIM FORM
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Insurance claim form for submitting vision-related medical service claims and patient information.
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VISION CLAIM FORM
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A standard form for submitting vision insurance claims with patient and insurance details.
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NASA Space Grant Story Submission Guidelines
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Guidelines for NASA Space Grant program participants to document and share their STEM experiences and program impacts.
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Sacroiliac Joint Injection Consent Form
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Medical consent form for sacroiliac joint injection procedure detailing treatment, risks, and patient acknowledgment.
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DIVING MEDICAL HISTORY FORM
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A comprehensive medical history questionnaire designed to assess an individual's fitness for scuba diving and training programs.
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Special Collections Donor Agreement Form
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A legal form for donating materials to the Colorado College Library's Special Collections, transferring ownership and usage rights.
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Special Category Volunteer Medical Packet
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A comprehensive medical packet for volunteers detailing health screening and immunization requirements for special category volunteers at a healthcare facility.
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Affiliate Special Event Budget Form
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A comprehensive form for non-profit affiliates to plan and track financial details of special fundraising events.
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PLATELET TEST REQUISITION FORM
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A comprehensive form for collecting patient information and requesting platelet-related laboratory testing at Cincinnati Children's Hospital Medical Center.
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Special Issue Proposal Form
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A form for academic journal editors to propose and outline details for a special issue publication.
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Special Order Request Form
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Form for ordering laboratory supplies and chemicals with multiple entry sections for detailed procurement tracking.
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UNIVERSITY OF GUAM SPECIAL PROJECT (UNDERGRADUATE) COURSES CHECKLIST
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Comprehensive guide for undergraduate students undertaking individual research or special project courses at the University of Guam.
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Specialty Referral Form
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A medical referral form for patients being referred to a specialist within the Holston Medical Group network.
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Specialty Care Referral Form
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A medical referral form for patients seeking specialized dental care at Creighton Dental Clinic.
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Specialty Referral Form
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A medical referral form for specialty healthcare services, including periodontics and endodontics referrals.
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Supply Order Form For Diagnostic Immunology Collection Kits
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Form for ordering diagnostic testing supply kits for blood, urine, and multi-test swab specimens from the West Virginia Department of Health Office of Laboratory Services.
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Requisition Form For Specimens From BioBank
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A form for requesting biospecimens from the Children's Research Institute's Pediatric BioBank & Analytical Tissue Core for research purposes.
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PIN Specimen Inventory Form
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Laboratory documentation form for tracking and recording specimen details, storage locations, and collection information for research study specimens.
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Sponsored Programs And Foundation Relations Procedure Manual
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Comprehensive guide for faculty and staff on submitting external grant proposals, detailing the process and responsibilities of the Sponsored Programs and Foundation Relations office.
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Rainier Scholars SPIRIT OF 12 PARTNER PROGRAM VOLUNTEER FORM
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Volunteer recruitment form for Rainier Scholars to support gameday activities at CenturyLink Field, with proceeds benefiting the organization.
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The Spitzer History And Theory Travel Fellowship 2023
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Application form for students seeking a travel fellowship in architecture and related fields, offering up to $5,000 for research travel.
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Volunteer Application
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A comprehensive form for individuals interested in volunteering, designed to match volunteers' skills and interests with organizational needs.
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2021 SPONSORSHIP FORM
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A sponsorship form for Benzie Senior Resources' 2021 Walk-A-Thon, allowing businesses and donors to contribute at different sponsorship levels.
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Hope Partnership Agreement
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Sponsorship form for Hope organization with multiple sponsorship levels and donation options.
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Peer Support Volunteer Application Form
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Confidential application form for individuals interested in becoming volunteer peer support workers in neonatal care settings.
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SLU Sports Medicine Medical History Form
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Comprehensive medical history form for sports medicine patients documenting personal health details, injuries, and medical background.
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Preparticipation Physical Evaluation (Interim Guidance) Physical Examination Form
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A comprehensive medical examination form for athletes or participants to assess physical fitness and health status before participating in sports or activities.
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Sports Physical Examination Form
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Medical form required for student-athletes to participate in team sports, documenting medical history and fitness for athletic participation.
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Spouse Disability Benefit Application Form
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Insurance claim form for spouse disability benefits, requiring comprehensive personal and medical information for claim assessment.
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Instructions To Gain Access To SPRi
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Procedural instructions for researchers to obtain authorization and access to the Biomolecular Interaction Platform (SPRi).
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Substantive Policy Statement 15
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Policy guidelines by the Arizona Medical Board for establishing residency when applying for professional licensing under A.R.S. 32-4302.
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Swampscott Public Schools EmergencyMedical Form
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A comprehensive form collecting student medical, contact, and emergency information for the school year 2018/2019.
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Special Placement Volunteer Process
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Detailed process for recruiting, screening, and onboarding volunteer personnel at Upstate Medical University
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SRCC Overview
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Document outlining the structure, purpose, and operations of the Sponsored Research Contracting and Compliance department at an academic institution.
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SRCIRB Approval Form
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A form for students to obtain approval for research projects from a Scientific Review Committee (SRC) or Institutional Review Board (IRB)
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New Project Submission Form
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Form for submitting new research protocols to the Fred & Pamela Buffett Cancer Center Protocol Review and Monitoring System (PRMS) Office.
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INSTRUMENTATION SERVICES SERVICE REQUEST FORM
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A form for requesting equipment service, maintenance, or repair at the University of Texas Health Science Center at San Antonio
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Student Research Grant Budget Form
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A form for students to request funding and itemize budget details for a research proposal.
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Catastrophic Withdrawal Request Medical
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A form for students requesting withdrawal from classes due to serious medical circumstances that prevent course continuation.
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AP 12.204 Attachment 1 Special Fund Research Recharge Center (SRRC) Proposal
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A comprehensive form for establishing or modifying a Special Fund Research Recharge Center at the University of Hawai'i, detailing project specifics, operating budget, and user rates.
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Independent Contractor Status Certification
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A certification form for documenting independent contractor status and payment details for research-related services at Texas A&M University.
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Louisiana School Readiness Tax Credit Contribution Form
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A tax credit contribution form for Louisiana businesses to support early childhood education through donations to Child Care Resource and Referral agencies.
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Student Recreation And Wellness RU Outdoors Medical Screening Form
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Confidential medical screening form for students participating in outdoor recreational activities to ensure safety and assess participant health conditions.
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Study Submission Form Investigator Contact Sheet
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A form for collecting detailed contact and role information for researchers submitting a study to the National Data Archive on Child Abuse and Neglect.
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AUCTION PROCUREMENT FORM
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Form for collecting donation details for the Seattle Sports Commission's annual auction event
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ST. ALOYSIUS ACADEMY ATHLETICS PHYSICAL EXAMINATION FORM
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Confidential medical form for student-athletes to document health history and physical condition for participation in school sports.
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MEMBERSHIP CONTRIBUTION FORM
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Form for United Nations staff members to authorize payroll deductions or make lump-sum contributions to the UN Staff Union.
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Historic Stagville Internship Application Form
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Application form for students interested in internships at Historic Stagville, a historical site in Durham, North Carolina.
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Ask The Better Question Question Development Template
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A template for developing strategic interview questions with different questioning techniques and approaches.
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Standard Equipment Request Form
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A form for requesting computer equipment and accessories for staff, faculty, and labs at an educational institution.
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Standardized Application For Pathology Fellowships
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A comprehensive application form for medical professionals seeking specialized pathology fellowship training in various subspecialties.
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Standardized Application For Pathology Fellowships
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Comprehensive application form for medical professionals seeking specialized pathology fellowship training in various subspecialties.
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ORTHOPAEDIC SPINE INSTITUTE NEW PATIENT INTAKE FORM
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Comprehensive medical intake form for new patients experiencing spine-related pain or conditions, capturing detailed pain assessment and medical history.
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Standardized Application For Pathology Fellowships
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Comprehensive application form for medical professionals seeking specialized pathology fellowship training
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Standardized Application For Pediatric Pathology Fellowship
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Comprehensive application form for individuals seeking a pediatric pathology fellowship position, collecting personal, educational, and professional details.
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Standardized Application For Pathology Fellowships
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Comprehensive application form for medical professionals seeking specialized pathology fellowship training across various subspecialties.
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Standardized Application For Pathology Fellowships
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Comprehensive application form for physicians seeking specialized pathology fellowship training across multiple subspecialties.
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USA Health Referral Form
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A comprehensive referral form for patient transfer and medical consultation between healthcare providers at USA Health University of South Alabama.
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Standing Order Request Form
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A form for requesting specialized medical transportation services with scheduling and patient details for healthcare-related appointments.
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Virginia Standing Order Request Form
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A form for requesting medical transportation services with detailed patient and trip information for Medicaid recipients.
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Standing Order Request Form
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A form for setting up a standing order donation to Grovehill Animal Trust and completing a Gift Aid declaration for tax purposes.
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Expense Report Form
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Guidelines and form for submitting travel expense reimbursements for Stanford Center for Mind, Brain, Computation and Technology and Wu Tsai Neurosciences Institute.
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Physician Referral Form
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Confidential form for referring children and adolescents for behavioral and developmental health services.
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State Of Maryland Employee And Retiree Health And Welfare Benefits Program Health Assessment
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A comprehensive health survey for Maryland state employees and retirees to assess their current physical and mental health status.
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Status Report A Breakdown Of The Risk Needs Assessment
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A comprehensive report analyzing risk and needs assessment processes for offenders in the New Mexico Corrections Department's Probation and Parole Division.
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STD 101C GROUP SHORT TERM DISABILITY (STD) CLAIM FORM
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A comprehensive form for employees to file a short-term disability claim, requiring detailed information about their medical condition and work status.
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STD CASE REPORT FORM
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Official medical reporting form for documenting sexually transmitted disease cases and patient information in New Jersey.
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Short Term Disability Claim Form Report Of Continued Disability
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A form for participants to report ongoing short-term disability and provide medical update information for continued claim processing.
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Disability Claims Accident Sickness (AS)Short Term Disability (STD)Salary Continuance
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A comprehensive form for filing disability claims, including sections for employer, employee, and physician/provider information.
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Your Disability Benefit Claim
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Comprehensive guide and forms for applying for disability insurance benefits through Standard Insurance Company.
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Short Term Disability Claim Form Statement Of Employee
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A comprehensive form for employees to file a short-term disability claim, providing personal, employment, and medical information.
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Short Term Disability Claim Form Physician Statement
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A medical form for physicians to document a patient's disability claim details for Anthem Life Insurance Company.
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STEM Passport Form
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Membership form for Aberdeen Science Centre's STEM Passport program, including contact details and Gift Aid declaration.
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STEPS TO MAKE A TAX CREDIT DONATION
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Instructions for making a tax credit donation to support tuition at All Saints Catholic School through the state tax credit program.
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Sterilization Consent Form Notice
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Notice to physician providers about updated sterilization consent form requirements and availability.
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PATIENT INFORMATION AND MEDICAL RELEASE FORM (FORM I)
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A comprehensive form for collecting patient insurance details, medical authorization, and payment responsibility for Bioness Inc.
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St. Jude Affiliate Clinic Referral Form
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A referral form for patients seeking medical consultation at St. Jude Affiliate Clinic at Huntsville Hospital for Women and Children
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HCO Grant Application Form
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A form for healthcare organizations to request educational support grants from Astellas for healthcare professionals to attend scientific congresses.
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Stock Contribution Form
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A form for donors to contribute stock to the Turner Syndrome Foundation as a charitable gift.
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Membership Form
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A membership registration document for joining the River City Society for Historical Preservation with various membership levels and donation options.
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Securities Transfer Request Form
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A form for transferring shares of securities from an individual's brokerage account to LifeMoves charitable organization.
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Consent To Treat Form
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A legal document allowing healthcare providers to treat a patient and use their protected health information for treatment and operational purposes.
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St. PaulS Episcopal School Medical Examination Form
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A comprehensive medical examination form for students at St. Paul's Episcopal School, requiring physician documentation of student's health status and immunization records.
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Stryker Benefits Summary
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Comprehensive benefits summary for Stryker employees, including location-specific healthcare provisions and insurance options.
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HistologyImmunohistochemistry Laboratory Requisition
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A medical laboratory form for submitting tissue specimens for histological and immunohistochemical analysis.
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STUDENTVISITOR WAIVER FORM
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A waiver form for students and visitors at Pennsylvania State University and Penn State Milton S. Hershey Medical Center, detailing liability and workers' compensation terms.
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Preparticipation Evaluation History Form
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Comprehensive medical history and health screening form for athletes prior to sports participation.
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Health Services And Outcomes Research Ph.D. Program Student Contact And Emergency Contact Informatio
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A form for collecting student contact details and emergency contact information for a Ph.D. program in Health Services and Outcomes Research.
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Student Department Travel Form
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Form for students to request a $250 travel award for conference or research-related travel within a fiscal year.
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Student Medical Information And Emergency Notification Form
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A medical information and emergency contact form for student participants in regional science competitions.
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Student Funding Processing Guidelines
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Guidelines for Longwood University students on processing research and travel funding awards for the 2024-2025 academic year.
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STUDENT HEALTH EXAMINATION FORM
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A comprehensive health form for students entering kindergarten, fifth, and ninth grades requiring physical and dental examination documentation.
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Confidential Student Health HistoryExamination Form
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Comprehensive medical and health background documentation for school-aged children, completed by parents/guardians and medical practitioners.
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Student Health SurveillanceRisk Assessment Form For Vertebrate Animal Exposure
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Form for students to document health risks and immunization status when working with live vertebrate animals at Appalachian State University.
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Student Incident Report Form
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A form to document student incidents, exposures, and potential infectious disease or environmental hazards in clinical settings.
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Student Internship Application Form
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Application for Community College of Philadelphia students to participate in a paid nanotechnology internship at the University of Pennsylvania's Singh Center.
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Disability VerificationMedical Release Form
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Medical form for students with disabilities enrolling in Adapted Physical Education and Aquatics courses at Citrus College.
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PENNSYLVANIA MUSIC EDUCATORS ASSOCIATION STUDENT MEDICAL INFORMATION FORM
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Comprehensive medical form for students participating in music education events, collecting critical health and emergency contact information.
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Student Health Information Form
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Comprehensive form collecting student health details, medical needs, allergies, and contact information for school or event purposes.
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Student Medical Form
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Confidential medical form for students in nursing and allied health programs, requiring personal health history, immunization records, and physical exam documentation.
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Student Medical Form
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Annual medical form for students to document health history, screenings, and physician certification for school participation.
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Student Medical Form For Programs That Require Health Forms
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Medical form required for students in health science programs to participate in clinical experiences, detailing health status and immunization requirements.
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Student Medical Form For Programs That Require Health Forms
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Required medical form for students in health science programs to verify physical and emotional capability for clinical experiences.
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Student Medical History Form
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A comprehensive medical form for collecting student health information, medical history, and parental consent for medical treatment.
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Eagle Bluff Student Medical Information And Permission Form
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A comprehensive medical form for student participation in Eagle Bluff activities, collecting health details and medication information.
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Health Form Requirement Checklist
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Comprehensive health form checklist for students at Packer, detailing required documentation and submission process for medical records.
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Student Paper Competition Entry Form
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Form for students to submit research papers for an academic competition across undergraduate, master's, and doctoral levels.
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SS AAEA Student Paper Competition Entry Form
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Form for students to submit papers for the AAEA Journal of Agricultural Economics student paper competition.
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STUDENT PETITION MEDICAL SUPPORT FORM
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A form for students to request grade or course removal based on medical conditions affecting academic performance.
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Physical Examination Form
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Medical examination form for students to document health status and medical clearance for participation in health career or athletic programs.
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PREVENTATIVE HEALTH CARE EXAMINATION FORM
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Comprehensive health examination form for students entering Kentucky public schools, documenting medical history, immunizations, and screening results.
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Student Preapproval Travel Form
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A form for University of Scranton students to obtain preapproval for conference travel and research presentation.
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Student Profile Vehicle Registration Parking Waiver
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A comprehensive form for students to register their vehicle, provide medical information, and potentially waive parking fees at their educational institution.
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BCHM Thesis Advisory Committee Student Progress Committee Feedback
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A formal assessment of a graduate student's research progress, skills, and publication status by their thesis advisory committee.
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Student Evaluation Form Research Rotation In Biomedical Sciences Program
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A comprehensive evaluation form for assessing student performance and competencies during a research laboratory rotation.
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Description Of Student Duties And Medical Release Form
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Medical release form for Hennepin Technical College emergency service course students detailing physical requirements and health clearance.
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Students In Research Laboratory Policy
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Policy guidelines for student participation in research laboratories at Herbert Wertheim College of Medicine, focusing on safety and supervision protocols.
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StudentS Medical History
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A comprehensive medical history form required for new students at the University of Montevallo, collecting personal and health information.
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Current Student Information DISCOVERY Student Journal Form
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A form for students to provide contact information and agree to manuscript revisions for submission to the Dale Bumpers College student journal.
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Current Student Information Form For DISCOVERY Journal
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Form for collecting contact details and submission information from student authors submitting to the Dale Bumpers College student journal.
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Graduate Student Travel Grant Application
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Travel grant application for full-time graduate students at East Stroudsburg University to support research presentations and professional activities.
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Student Volunteer Application Form
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A comprehensive application form for students interested in volunteering for a research team, particularly in medical or healthcare-related fields.
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Research Study Proposal Form
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A comprehensive form for proposing and detailing a research study's purpose, background, design, methods, and analysis plan.
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Study Submission Form Part Two Dataset Details
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A comprehensive form for submitting research datasets related to child abuse and neglect to the National Data Archive on Child Abuse and Neglect.
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Sunyani Technical University Intellectual Property Policy And Procedures
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A comprehensive policy document outlining the intellectual property guidelines, procedures, and management framework for Sunyani Technical University.
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Student Project Feedback Form
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A comprehensive feedback form for evaluating student science fair projects across multiple dimensions including scientific thought, creativity, thoroughness, skill, and clarity.
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Parental Consent For Medical Treatment
PDF template
A comprehensive form for parents to provide medical information and consent for their child's medical treatment when parents are not immediately available.
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MEDICAL RELEASE FORM
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A medical consent form allowing treatment of a minor child in the absence of a parent or guardian, with space for medical and contact information.
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Subgrant Application
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Guidelines for American Legion Auxiliary entities seeking subgrant funding through the ALA Foundation as a fiscal agent for third-party grants.
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Submission Form General
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A submission form for agricultural sample testing with details about sample types, testing codes, and laboratory procedures.
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Mass Spectrometry Facility Submission Form IMS
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A form for submitting samples to the QB3/Chemistry Mass Spectrometry Facility at UC Berkeley for analysis.
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Action ResearchMasterS Report Submission Form
PDF template
Form for submitting a master's research report or action research document for academic review and approval.
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Subrecipient Final Invoice Checklist
PDF template
A form used by Towson University to document and verify the final invoice and performance details of a research subrecipient project.
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Subscriber Claim Form
PDF template
Insurance claim form for submitting medical service bills to Blue Cross Blue Shield of Massachusetts for reimbursement.
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Pediatric Sudden Cardiac Death Risk Assessment Form
PDF template
A comprehensive screening form to assess potential cardiac risks in children by examining patient and family medical history related to heart conditions.
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SUGGESTED REFILL REQUEST FORM
PDF template
Form for requesting refills of medical equipment with patient and supplier information verification.
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Summer 2022 Youth Arts Technology Program Medical Release Form
PDF template
Medical release form for children participating in summer arts technology program at Westchester Community College
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Elementary School Science Fair Summary Of Project
PDF template
A documentation form for students to outline their science fair project details and submit with their project display.
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Hope Funds For Cancer Research Postdoctoral Fellowship Summary Of Research Proposal Form
PDF template
Application form for postdoctoral researchers seeking funding from Hope Funds for Cancer Research for cancer-related research projects.
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Medical Release Form
PDF template
Medical authorization form for minors participating in county recreation programs, allowing emergency medical treatment and releasing liability.
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Child Physical Examination Form
PDF template
Medical form documenting a child's physical health, immunization history, and medical examination details for academic summer school programs.
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MEDICAL FORM 2018 SUMMER PROGRAMS
PDF template
A comprehensive medical form for participants registering for summer youth programs, collecting personal, emergency contact, and health information.
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Summer Project Prospectus
PDF template
A form for students to outline and obtain approval for their summer research project in the Department of Biostatistics.
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Sound To Sea Day Camp Medical Form
PDF template
Comprehensive medical form for children attending day camp, collecting health history, emergency contacts, and medical information.
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Summit Orthopaedics Patient Intake Form
PDF template
Comprehensive medical intake form for patients seeking orthopaedic care, collecting personal, medical, and injury-related information.
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SUNY Charitable Giving Campaign Deduction Form
PDF template
A form allowing employees to make charitable contributions to SUNY campuses through payroll deductions
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APPLICATION FOR NEUROLOGY SUBSPECIALTY FELLOWSHIP
PDF template
A comprehensive application form for medical professionals seeking subspecialty fellowship training in neurology tracks such as Clinical Neurophysiology and Vascular Neurology.
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5050 Ticket Purchase Form
PDF template
Raffle ticket purchase form to support the Bloomsburg Public Library with a chance to win up to $6,150.
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Department Of Physics Astronomy Supervisory Agreement
PDF template
Supervisory agreement for students undertaking physics research or project courses with faculty oversight.
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Master Of Science In Environmental Science Supplemental Application Form
PDF template
Application form for students seeking admission to the Masters in Environmental Science program at Villanova University's Graduate College of Arts and Sciences.
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Subrecipient Organization Subaward Form
PDF template
A form for documenting subaward details, research subjects, and performance terms for sponsored project collaborations.
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WPHL Supply Order Form
PDF template
Order form for laboratory requisition forms, collection kits, individual components, mailers, and outbreak supplies from Wyoming Public Health Laboratory.
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Surgery Scheduling Cancellation Request
PDF template
A medical form used to request cancellation of a previously scheduled surgical procedure at a healthcare facility.
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Pathology Requisition (Surgical And Non GYN)
PDF template
A comprehensive medical form for submitting surgical and non-gynecological pathology specimens for laboratory analysis and diagnostic evaluation.
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Veterinary Diagnostic Center Surgical Pathology Submission Form
PDF template
A detailed submission form for veterinary surgical pathology specimens and diagnostic testing.
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Request For Proposal IT Staff Enrichment Solutions
PDF template
A request for proposal for IT staff enrichment solutions issued by SURS, seeking vendor proposals for staffing and training services.
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Veterinary Immunological Reagents Needs Survey Form
PDF template
A survey form for veterinary researchers to identify and prioritize needed immunological reagents across different species and research areas.
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SEASEARCH SURVEY FORM
PDF template
A comprehensive form for recording details of underwater marine research diving activities and site observations.
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Survey Proposal Form
PDF template
A comprehensive form for proposing and documenting survey research within an academic library setting.
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Survey Request Form
PDF template
A form for requesting survey administration through the Office of Planning, Assessment, and Institutional Research at Clark Atlanta University.
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Survey Services Order Form
PDF template
Form for ordering online survey services from Search Institute, including survey type selection and site reporting options.
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Sustain Campaign Contribution Form
PDF template
Fundraising form for collecting campaign donations with multiple contribution levels and donor recognition options.
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HEALTH HISTORY MEDICAL FORM
PDF template
Comprehensive medical history and fitness form for assessing participant health and potential medical concerns for outdoor activities.
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SWIM Access To Care Print Booking Form Quick Reference Guide
PDF template
A step-by-step guide for printing a booking form from the Provider's Office module in the SWIM healthcare system.
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Swiss Government Excellence PhD Scholarships For Foreign Students
PDF template
Scholarship program offering PhD opportunities for foreign students at Swiss universities and research institutes.
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Saybrook College Fellowship Application Form
PDF template
A comprehensive application form for students seeking research and service fellowship opportunities at Saybrook College.
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Fish 493 Capstone Preparation Syllabus
PDF template
A course designed to help students develop a research proposal for their capstone project in aquatic and fishery sciences.
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SYMPTOM SURVEY FORM
PDF template
A comprehensive form for patients to self-report medical symptoms across multiple health categories with severity levels.
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Symptom Survey
PDF template
A detailed medical form tracking patient symptoms across multiple body regions including neurological, musculoskeletal, and pain indicators.
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SYNAGIS CONNECT Patient And Prescriber Information Form
PDF template
Medical form for patient and prescriber information to support prescription and reimbursement for SYNAGIS (palivizumab) medication
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Universal Referral Form
PDF template
A comprehensive medical referral form for specialty pharmacy services, collecting patient, insurance, and medical criteria information.
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Syourei 2
PDF template
A Japanese government ordinance related to the certification and management of research and development business plans.
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SYSTEMS SURVEY FORM
PDF template
A comprehensive medical survey form documenting patient symptoms, physiological responses, and health indicators across multiple body systems.
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SYSTEMS SURVEY FORM
PDF template
Comprehensive medical symptoms survey covering multiple physiological systems and health indicators
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FluidigmBioMark Work Order Request Form (CFCC At SHEL, SHEL 271)
PDF template
A form for requesting biomedical research services using Fluidigm/BioMark technology for laboratory testing and analysis.
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BRI Transboundary Animal Disease Workforce Development Fellowship Opportunity Announcement
PDF template
A two-year fellowship program training researchers to conduct research on transboundary animal diseases in high-containment laboratory environments.
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2017 ParentS Guide To Health Services At Taft
PDF template
A comprehensive guide for parents outlining health services and medical resources available at Taft School's Martin Health Center.
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The Adolescent Leadership Council Contact Form
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A form for collecting contact information and medical details for adolescent participants in a leadership program
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TAM80 Benefit Gala Procurement Form
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Form for collecting donated auction items for the Tacoma Art Museum's benefit gala event.
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IO Graduate Student Evaluation Instrument
PDF template
A comprehensive evaluation form for Industrial/Organizational (I/O) psychology graduate students to document their academic and professional experiences.
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Preparticipation Physical Evaluation
PDF template
Medical examination form required for high school athletic participation in Texas private and parochial schools
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TARC3 Medical Form (Cognitive Limitations Or Psychological Conditions)
PDF template
A medical form used to evaluate an applicant's cognitive abilities and capacity to safely use public transportation services.
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TARC3 Medical Form (General Medical Or Physical Disability)
PDF template
Medical form for assessing an individual's ability to safely use public transportation, completed by a healthcare professional.
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Service Request Form
PDF template
A form for requesting research services at Stanford, capturing requester details, service specifications, and pricing information.
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TAS Research Honors Project Form
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A form for Ramapo College students to propose and register for a research honors project with faculty mentorship.
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Tax Credit Percentage Agreement Form
PDF template
A form for donors to agree to a reduced tax credit percentage for donations under the Neighborhood Assistance Program in Virginia.
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Neighborhood Assistance Program Tax Credit Percentage Agreement Form
PDF template
A form for donors to agree to a reduced tax credit percentage for donations under the Neighborhood Assistance Program in Virginia.
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Hospital Discharge Approval Request Form
PDF template
A medical form used by the New York City Department of Health and Mental Hygiene to process and approve hospital discharges for tuberculosis patients.
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NSF Proposal Budget
PDF template
National Science Foundation budget proposal template for research project funding, detailing personnel, salaries, and expenses.
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Tuberculosis Risk Assessment Form (Required)
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Medical form for screening tuberculosis risk through history, symptoms, and exposure assessment
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TUBERCULOSIS RISK ASSESSMENT FORM
PDF template
A comprehensive screening form to assess an individual's risk of tuberculosis based on contact history and travel to high-incidence countries.
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Tuberculosis (TB) Screening Questionnaire
PDF template
A screening questionnaire for students to assess tuberculosis risk factors, required by Barton Community College for enrollment.
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Tuberculosis Screening Form
PDF template
Medical screening form for tuberculosis risk assessment for students or employees requiring TB testing or chest x-ray.
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PNW Tribal Climate Change Network October 23, 2013 Meeting Notes
PDF template
Draft meeting notes from a multi-agency and tribal climate change network meeting discussing climate change initiatives, research, and collaboration.
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Direct Debit Program Authorization Form
PDF template
Form for setting up recurring monthly donations via direct bank debit for a non-profit organization.
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Field Research Grant (FRG) Budget Form
PDF template
A budget form for researchers to document expenses and funding sources for field research projects.
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Texas Cave Management Association Membership Form
PDF template
Membership form for joining the Texas Cave Management Association, a nonprofit organization dedicated to cave conservation and research.
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URECA TEAM GRANT APPLICATION FORM TTU
PDF template
A comprehensive grant application form for student research teams at Texas Tech University seeking funding for academic research projects.
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TEAM T SHIRT ORDER FORM
PDF template
Form for ordering team t-shirts for ALS Walk fundraising event in Michigan locations.
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TechNET IT Timesheet Portal Guide
PDF template
A comprehensive guide for using TechNET's online timesheet submission and tracking portal for employees.
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Comparative Medicine Program Technical Services Request Form
PDF template
A form for requesting veterinary and research support services for animal research procedures in a laboratory setting.
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Young Technology Scholar Award Application
PDF template
Scholarship award for high school seniors in Utah demonstrating technology skills and leadership in computer information technology courses.
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TEEX Firefighter Recruit Academy Medical Release Form
PDF template
A comprehensive medical form for firefighter recruits to document health history and current medical status prior to academy enrollment.
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Travel Form
PDF template
Medical form for patients seeking travel health advice and vaccination recommendations before international travel.
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Telephone Change Request Form
PDF template
Form for modifying existing telephone settings or requesting changes to phone services at Bergen Community College.
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ASH Duffy Null Informed Consent And Authorization Form
PDF template
Research study exploring white blood cell count variations in individuals without the Duffy antigen, focusing on establishing more accurate reference ranges.
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APPENDIX A. STANDARD CONSENT FORMINFORMATION SHEET TEMPLATE
PDF template
A template document providing guidance for creating a standard consent form for research studies, outlining key sections and recommended language.
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PhDDBADoctorate Research Proposal Form
PDF template
A comprehensive form for submitting research proposals for PhD, DBA, or Doctorate programs in the Faculty of Business and Law.
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FORM E Human Subjects Consent Form Sample (IRB)
PDF template
A standard consent form for participation in a research study, outlining participant rights, study details, and voluntary participation.
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Project Form
PDF template
Document outlining project details for two different real estate research and due diligence initiatives involving market analysis and property evaluation.
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Informed Consent Template Guidance
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A template document providing guidance for creating regulatory-compliant informed consent forms for research studies.
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YOUTH JUNIOR VOLLEYBALL PLAYER MEDICAL RELEASE FORM
PDF template
A medical release form for youth and junior volleyball players, collecting essential medical information and emergency contact details.
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Facilitator Agreement Form
PDF template
Agreement for non-instructional facilitator services at the University of South Alabama with independent contractor terms.
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The Chicago Temple Fund Grant Application Form
PDF template
A comprehensive grant application form for nonprofit organizations seeking funding from the Chicago Temple Fund.
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Inbuilt Temporary Incapacity Benefits For Defined Benefit Division Members
PDF template
Detailed guide explaining temporary incapacity benefits for Defined Benefit Division members, including eligibility requirements and claim process.
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Temporary Permanent Disability Claim Form
PDF template
A comprehensive insurance claim form for temporary and permanent disability claims, to be completed by the policyholder and employer.
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College Scholarship Enrollment Form
PDF template
Form for scouts to enroll in and report sales for the Trails End College Scholarship Program by documenting their popcorn sales
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Psychological Testing Referral Form
PDF template
A comprehensive form for requesting psychological testing and evaluations for patients of all ages, including patient and insurance information.
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Outreach Services Test Requisition
PDF template
Medical test requisition form for pathology and laboratory testing at MD Anderson Cancer Center with multiple diagnostic testing options.
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Tetra Society Membership Form
PDF template
Membership application form for the Tetra Society of North America, allowing individuals to join as annual members with voting rights and board participation opportunities.
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Sample Discharge Form
PDF template
A comprehensive form for tracking a shelter guest's health status, medical needs, and transportation requirements during evacuation or return.
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Tick Submission Form
PDF template
Official form for submitting ticks found on human hosts for medical testing and investigation by the Texas Department of State Health Services.
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Tick Submission Form
PDF template
Official form for submitting human-extracted ticks for medical testing and investigation by state health services.
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NEW PATIENT INTAKE FORM
PDF template
Comprehensive medical intake form for new patients, collecting personal health information, symptoms, and medical history for Dr. William S. Crawford.
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Authorization For Direct Deposit
PDF template
Official form for setting up direct deposit of retirement benefits for North Dakota Teachers' Fund for Retirement annuitants.
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2012 CIRP TFS Shipping Form
PDF template
Instructions for shipping completed survey forms to the HERI Processing Center with specific packaging and shipping guidelines.
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Student Medical Form
PDF template
A medical form for collecting student health information, emergency contacts, and medical permissions for Ocala Civic Theatre
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Submission Form For The Cupola CNUS Undergraduate Research Journal
PDF template
A form for students to submit original research manuscripts to CNU's undergraduate research journal with author and mentor details.
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THE JOHNS HOPKINS UNIVERSITY INTELLECTUAL PROPERTY POLICY
PDF template
A comprehensive policy outlining the university's approach to intellectual property ownership, development, and revenue distribution for faculty, staff, and students.
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HEALEY ALS Platform Trial Therapy Application Form
PDF template
Application form for drug candidates seeking to be considered for ALS clinical trial phase 2/3 development at the Healey Center.
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PRESCRIPTION REFERRAL FORM
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A comprehensive medical form for referring patients to various physical, occupational, and speech therapy services with multiple treatment options.
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RINJ Peer Review Chart Audit Form
PDF template
A comprehensive medical chart review form used by the RINJ Foundation for documenting and validating patient medical records and procedures.
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Wellness Center Health Information Form
PDF template
A confidential medical form for collecting student health and family medical history for Sage Colleges
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ThesisDissertation Submission Form
PDF template
A formal document for graduate students to submit their thesis or dissertation to the university's graduate school for final approval and archiving.
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ThesisProjectDissertation Defense Schedule
PDF template
Official document outlining requirements and procedures for graduate student thesis, project, and dissertation defenses at a university graduate division.
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MA Art History Thesis Proposal Form
PDF template
A formal document for graduate students to submit their thesis proposal, including abstract, literature review, and chapter outline for art history programs.
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Thesis Proposal Form
PDF template
A form for graduate students to submit and receive approval for their thesis proposal, including committee and research details.
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Proposed ThesisDissertation Topic Research Compliance Form
PDF template
A form for students to document their proposed thesis or dissertation topic and research compliance details before enrolling in research courses.
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Receipt Of ThesisDissertation
PDF template
A form used by graduate students to submit their master's thesis or doctoral dissertation for institutional repository and library archiving.
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BINDING ORDER FORM
PDF template
A form for students to request binding of thesis or research papers with specific submission requirements to the library.
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Required Documents For Thesis Submission
PDF template
Comprehensive guide detailing the mandatory and optional documents required for doctoral and master's students submitting a thesis at Georgia Tech.
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ThesisDissertation Formatting Guidelines
PDF template
A comprehensive guide for preparing and formatting a thesis or dissertation for submission at the University of Wisconsin Oshkosh.
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Thesis Topic Approval Form
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Form for students to submit and receive approval for their graduate music thesis topic from their committee.
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Heartburn And Reflux Center Intake Form
PDF template
Medical intake form for patients experiencing heartburn, reflux, and related gastrointestinal symptoms at Texas Health Heartburn and Reflux Center.
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Think Forests Video Competition Entry Form
PDF template
A form for submitting video entries to the Center for International Forestry Research (CIFOR) video competition
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PRE AUTHORIZATION FORM FOR PROMETHEUS Thiopurine Metabolites
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Medical pre-authorization form for requesting laboratory services related to thiopurine metabolite testing from Prometheus Laboratories.
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Third Party Event And Promotion Guidelines
PDF template
Guidelines for third-party fundraising events and promotions to support the San Francisco Bay Area Affiliate of Susan G. Komen for the Cure.
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Third Party Event Proposal Form
PDF template
A form for individuals and organizations to propose and submit third-party fundraising events to benefit Sheppard Pratt Health System.
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Third Party Fundraiser Policy 2022.10.14
PDF template
Guidelines and requirements for organizing fundraising events to benefit the Breast Cancer Coalition of Rochester.
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McKenzie Institute International Thoracic Spine Assessment
PDF template
Comprehensive medical assessment form for thoracic spine condition, capturing patient history, symptoms, and clinical observations.
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Thoracic Surgery Outcomes Research Network (ThORN) ConstitutionBylaws
PDF template
Organizational document defining the mission, purposes, and membership structure of the Thoracic Surgery Outcomes Research Network.
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Minnesota Common Grant Application Form
PDF template
A comprehensive guide for nonprofits seeking grants in Minnesota, providing strategies and best practices for grant applications.
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THT Pre Authorization Form
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A form for setting up monthly donations to Tiny Home Takeout through pre-authorized bank account debits.
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Ticket Purchase Form
PDF template
Raffle ticket purchase form for monthly cash drawings benefiting diocesan ministries and missions.
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Tick Submission Form
PDF template
A form for submitting tick specimens for identification and testing, primarily for ticks that have fed on humans.
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Tip 2 Completing Fillable PDF Forms For Downstate IRB Submission
PDF template
Step-by-step instructions for filling out and digitally signing Institutional Review Board (IRB) forms using Adobe Reader
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Training Interdisciplinary Pharmacology Scientists (TIPS) Fellowship Application
PDF template
A comprehensive fellowship application for graduate students in pharmacology research seeking interdisciplinary training.
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TISSUE BANK SERVICE REQUEST FORM
PDF template
A form for requesting tissue samples for research purposes at the COBRE Center for Cancer Research Development.
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Tissue Share Request Form
PDF template
A form for requesting post mortem tissue collection from deceased animals for research purposes.
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Non Emergency Medical Travel Reimbursement
PDF template
A guide for Medicaid recipients explaining how to claim reimbursement for non-emergency medical travel expenses including mileage, lodging, and meals.
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Trail Life USA ADULT Weekend Health And Medical Record
PDF template
Comprehensive medical and health information form for adult participants in Trail Life USA weekend activities
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Educational Grant Donation Application Form
PDF template
Application form for requesting educational grants and donations from Terumo Medical Corporation for charitable and educational initiatives.
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Proof Of Delivery Of Temporomandibular Joint Disorder (TMD) Oral Appliance
PDF template
Document acknowledging patient receipt and understanding of a custom oral appliance for temporomandibular joint disorder treatment.
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TMG EmploymentJob Application Form
PDF template
Job application form for positions supporting the Partnership for Research on Vaccines and Infectious Diseases in Liberia (PREVAIL) research program.
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Thomas Memorial Library Local Authors Collection Submission Form
PDF template
Form for local authors to submit their written works to the Thomas Memorial Library's local authors collection.
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Transcranial Magnetic Stimulation (TMS) Pre Authorization Form
PDF template
Medical pre-authorization form for requesting Transcranial Magnetic Stimulation (TMS) treatment, requiring patient and medical coding details.
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Authorization For Treatment Form
PDF template
Form for medical examinations, physical tests, drug screening, and workplace health services
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TOOTH REMOVAL CONSENT FORM
PDF template
Medical consent form detailing risks and patient understanding of tooth removal procedure and potential complications.
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PHYLLIS TORDA HEALTH CARE QUALITY AND EQUITY FELLOWSHIP APPLICATION FORM
PDF template
Application form for a healthcare quality and equity fellowship offering salary range of $75,000 to $100,000 with flexible start date in 2022.
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Town And Country Animal Clinic Medical History Form
PDF template
Comprehensive veterinary intake form documenting a pet's current health status, symptoms, and medical history.
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TissueBloodNucleic Acid Request Form
PDF template
A form for researchers to request tissue, blood, and nucleic acid samples from the University of North Carolina Tissue Procurement Facility.
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TRINITY PROFESSIONAL GROUP REGISTRATIONCONSENT TO TREAT FORM AND HIPAA
PDF template
A comprehensive medical registration form for patient intake, consent to treatment, and insurance information collection.
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TPH204 Medical Declaration Form Part 1
PDF template
Medical fitness declaration form for London taxi and private hire vehicle drivers, requiring medical assessment based on DVLA Group 2 standards.
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PRE AUTHORIZATION FORM FOR PROMETHEUS TPMT Enzyme
PDF template
A medical pre-authorization form for requesting laboratory services related to TPMT enzyme testing at Prometheus Laboratories Inc.
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Declaration Of Tobacco Use Or Non Tobacco Use Form
PDF template
Form documenting tobacco use status for University of Texas System medical plan members with potential premium surcharges based on tobacco usage.
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Trading Partner Agreement
PDF template
A legal agreement establishing terms for trading partners in the energy services industry, specifically for Electronic Data Interchange (EDI) compliance.
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College Scholarship Enrollment Form
PDF template
A form for Boy Scouts to report popcorn sales and enroll in the Trails-End College Scholarship Program by documenting their sales volume.
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NEOMED Training Checklist
PDF template
Comprehensive form for documenting employee safety training requirements and potential workplace hazards in a research or laboratory setting.
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BONENT Exam Transfer Request
PDF template
Form for transferring between different BONENT examination formats and locations with associated processing fees.
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Transgenic Mouse Facility Service Request Form
PDF template
A request form for research services related to transgenic mouse research, including genetic modification and preservation techniques.
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DHS Early Intervention Transportation Billing Form
PDF template
A billing form for transportation services provided to children in early intervention programs in Illinois.
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Application Form Trauma, Emergency Services And Surgical Critical Care Research Fellowship
PDF template
Application form for medical professionals seeking a research fellowship in trauma, emergency services, and surgical critical care.
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Access2Care Travel Assessment Form
PDF template
Medical form to determine appropriate transportation services for individuals with disabilities or medical conditions
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Travel Booking Form
PDF template
Comprehensive form for patients seeking travel health advice and vaccination consultation prior to international travel.
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Travel Consent Form
PDF template
A consent form for minor athletes to travel with the rowing club, including medical authorization and transportation details.
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Pre Travel Assessment Form
PDF template
Comprehensive medical form for travelers to assess health status, medical history, and vaccination record before travel.
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Poster And Travel Fund Application Form
PDF template
A form for academic researchers to apply for travel funds and submit poster details for conference support.
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Travel Expense Reimbursement Form
PDF template
A comprehensive form for documenting and requesting reimbursement for travel expenses for SUNY research personnel.
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EMBO YIP And IG Travel Guidelines
PDF template
Guidelines for travel expense reimbursement for EMBO Young Investigator Programme (YIP) and Independent Group (IG) members.
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Travel Medical History Questionnaire
PDF template
Comprehensive questionnaire for documenting medical and travel details for international travelers from Saint Xavier University Health Center.
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Travel Medical Release Form
PDF template
Medical information release form for cancer patients seeking air travel support through the Cassie Hines Shoes Cancer Foundation (CHSCF)
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Travel Policies Procedures
PDF template
Policy governing travel expenses for research and educational purposes for Foundation and VA employees, outlining approval processes and documentation requirements.
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Travel Form Auto
PDF template
Form for patients to request reimbursement for medical transportation expenses related to medical appointments.
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Travel Risk Assessment Form
PDF template
Comprehensive form for collecting traveler medical history and trip details prior to travel
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Travel Risk Assessment Form
PDF template
A comprehensive form for evaluating health risks and medical history for travelers before an international trip.
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Rosendin Foundation Charitable Contribution Form
PDF template
Employee form for making charitable donations through payroll deduction to the Rosendin Foundation.
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THE ROTARY FOUNDATION CONTRIBUTION FORM
PDF template
A comprehensive form for making financial contributions to The Rotary Foundation supporting various global humanitarian causes.
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Short Term Disability Claim Form
PDF template
Insurance claim form for documenting a short-term disability, including personal information, medical details, and potential compensation sources.
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UNIVERSITY OF KERALA PATENT APPLICATION FORM
PDF template
A comprehensive form for submitting patent application details, including inventor information, invention description, and novelty assessment.
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B.C.C.S. TRIP ORDER FORM
PDF template
Order form for purchasing gift cards from various merchants with a percentage of rebate applied to an account
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Referral Form
PDF template
A comprehensive medical form for documenting patient wound details, diagnosis, and referral information for healthcare professionals.
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Initiating An Investigator Order Form
PDF template
Step-by-step procedure for creating an investigator order form and navigating the WayneBuy system for animal research specimen ordering.
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Trustee Eligibility Declaration
PDF template
A form for declaring trustee eligibility, suitability, and compliance with legal requirements for charitable organizations.
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University Of Arkansas Athletic Tryout Medical Documentation
PDF template
Required medical documentation for students attempting to join University of Arkansas intercollegiate athletic teams.
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TS Alliance Clinic Ambassador New Patient Contact Form
PDF template
A contact form for individuals and families connected to Tuberous Sclerosis Complex (TSC) to receive information and support services.
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TERRA SUMMER RESIDENCY IN GIVERNY 2017 Application For Predoctoral Scholar Fellowship
PDF template
Application form for predoctoral scholars seeking a summer research residency in Giverny, France, with detailed submission requirements.
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Comparative Medicine Technical Service Request Form
PDF template
Form for requesting technical services and supplies from the University of Maryland Baltimore's Comparative Medicine department
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AUTM Technology Transfer Practice Manual
PDF template
A comprehensive guide explaining the structure and key considerations for drafting technology transfer license agreements.
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Intellectual Property Disclosure For Texas Tech University System Components
PDF template
A comprehensive form for researchers to document and disclose intellectual property created at Texas Tech University
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Tuberculosis (TB) Risk Assessment Form
PDF template
Medical form to assess patient's risk and history of tuberculosis exposure and infection.
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TUBERCULOSIS RISK ASSESSMENT FORM
PDF template
A comprehensive medical form for screening and assessing individual risk factors and history related to tuberculosis infection and exposure.
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Temescal Wellness Of New Hampshire Patient Intake Form
PDF template
Intake form for qualifying medical cannabis patients in New Hampshire, collecting patient and caregiver information and legal acknowledgments.
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Texas State University U RISE Application Form
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Application form for Texas State University's U-RISE training program for underrepresented students in biomedical and scientific research.
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Parent Volunteer Form
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A comprehensive form for parents to sign up and volunteer for various school activities and events throughout the academic year.
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UAB Libraries Gift Agreement Form
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A form for donors to transfer materials to the UAB Libraries with complete ownership rights and no usage conditions.
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UB 04 CMS 1450
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Official standardized form used by healthcare facilities for medical billing and insurance claims processing.
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UB92 Claim Form
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A standardized medical billing form used by healthcare facilities to submit patient treatment and billing information.
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Sample Submission Form
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Form for submitting veterinary medical samples to UC Davis Veterinary Medical Teaching Hospital's Clinical Diagnostic Laboratory for testing.
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Research Inquiry Form UC Davis Veterinary Medical Teaching Hospital
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A form for researchers to submit details about a clinical study involving veterinary diagnostic testing at UC Davis Veterinary Medical Teaching Hospital.
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UCD ENERGY21 Fellowship Programme Guide For Applicants, Call 1 (2014)
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Standardized Application For Pathology Fellowships
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Comprehensive application form for medical professionals seeking specialized pathology fellowship training in various subspecialties.
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Authorization For Use Or Disclosure Of Health Information
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A medical authorization form allowing patient to authorize disclosure of personal health information to specified recipients
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Use Of Electronic Informed Consent Questions And Answers
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Provides guidance for Institutional Review Boards, investigators, and sponsors on the use of electronic informed consent in research.
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Standardized Application For Pathology Fellowships
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A comprehensive application form for medical professionals seeking specialized pathology fellowship training in various subspecialties.
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UCSI University IP Commercialization Policy
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A policy defining intellectual property rights for UCSI University staff, including guidelines for IP generation, ownership, and commercialization.
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Employee Payroll Deduction Form
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Form for University of the District of Columbia employees to authorize charitable payroll deductions to support university fundraising initiatives.
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Undergraduate Research Grants Call For Proposals
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Grants program supporting independent undergraduate research at Southern Connecticut State University with $3,000 stipends for student research projects.
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UnitedHealthcare Medical Claim Form
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A form used to request payment for eligible healthcare services that have already been received from an out-of-network provider.
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Medical Claim Form
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A form for submitting medical expense claims to UnitedHealthcare for reimbursement of eligible healthcare services.
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Medical Claim Form
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A form for submitting out-of-network medical claims and requesting payment for eligible healthcare services
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UH Research Application Form
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Guidelines for submitting research applications and obtaining Institutional Review Board (IRB) approval at University Hospital (UH)
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Intellectual Property Policy (UH System Policy)
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Policy governing intellectual property rights, creation, management, and potential commercialization of research outputs within the University of Houston System.
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Application form for patients seeking medical benefits through Umvuzo Health Medical Scheme's Yandisa program, requiring comprehensive personal and medical information.
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UIW IRB PP VIII 2 Informed Consent
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Member Claim Submission Form
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UNCG Exposure To BloodInfectious Material Incident Investigation Form
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UNC Health Endocrinology Physician Referral Form
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Medical referral form for patients requiring endocrinology consultation, specifying patient information and diagnostic requirements.
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A form for collecting contact details and account information for Lineberger Facility representatives and account types.
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A nomination form for recognizing outstanding undergraduate research mentors with comprehensive application requirements.
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Uniform Consultation Referral Form
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Claim Information Form UnitedHealthcare StudentResources
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Insurance claim form for students to submit medical claims and accident information to UnitedHealthcare StudentResources
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Universal Enrollment Form
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UNIVERSAL MEDICAL ASSESSMENT FORM FOR ALL TREATMENT CENTRES
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Employee Payroll Deduction Request
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University Of Oregon Camps Accident Insurance Program
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Insurance policy providing primary accident medical benefits for University of Oregon camp participants with up to $25,000 coverage per injury.
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CIRB Approval Of The Annual Signatory Institution Worksheet About Local Context
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Approval letter from NCI Pediatric CIRB for University of Nebraska Medical Center's annual signatory institution worksheet and consent form language.
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DEA Biennial Controlled Substance Inventory Form
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Application form for United Nations University International Courses, detailing requirements and submission guidelines for prospective students.
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Unusual Incident Reporting (UIR) Form
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Political contribution form for home care industry professionals to support the HCP Political Action Committee in New York State
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Medical Summary Report Of Ministerial Candidate
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Employee Payroll Deduction Form
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Form allowing employees to purchase opportunity drawing tickets via payroll deduction with various package options.
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Medical Release Form Accuracy Checklist
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A checklist to help verify the completeness and legal adequacy of a medical release form by reviewing seven key requirements.
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Comprehensive medical form for collecting patient health information, medical history, and emergency contact details.
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A form for patients to apply for healthcare service discounts based on income and family size at Long Island Select Healthcare, Inc.
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TMJ Patient Referral Form
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PTO VOLUNTEER FORM
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UP KYCOM Summer Research Fellowship Application Instructions 2022
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Application instructions for medical students seeking research fellowship opportunities at the University of Pikeville-Kentucky College of Osteopathic Medicine.
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UF OnCore Tip Sheet Upload IRB Approval And Consent Documents
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Instructions for uploading IRB approval letters and consent documents into the OnCore system for research studies.
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Form for members to request reimbursement for out-of-pocket flu shot expenses through UPMC Health Plan.
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Emergency medical consent and contact form for students participating in the Shepherd University Upward Bound Program, including medical history and medication information.
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Graduate Student Mentor Training Summer 2024 Syllabus
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A training course for graduate computer science students to develop effective mentorship skills for supporting undergraduate researchers in computer science.
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University Research Animal Resources Outstanding Employee Recognition Award Nomination Form
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A form for nominating exceptional employees at the University Research Animal Resources department for outstanding service and contribution.
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Parental Authorization To Treat Minor Child When Not Accompanied By Parent Or Guardian
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Form allowing parents to authorize medical care for their child when the child is not accompanied by a parent or guardian
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TEST REQUEST
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Comprehensive medical test request form for various microbiological, viral, bacterial, and other diagnostic examinations.
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UAB Urology New Patient Referral Form
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Medical referral form for new patients seeking urology services at UAB Department of Urology in Birmingham, Alabama.
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UROP Faculty Mentor Agreement Form
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USAV Youth Junior Volleyball Player Medical Release Form
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Medical release form for youth and junior volleyball players documenting health information and emergency contacts.
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US Club Soccer Medical Waiver Form Printing
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Guide for US Club Soccer teams to print medical waiver forms through their GotSoccer team account.
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US Club Soccer Registration Form
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A consent form for registering a player with US Club Soccer, including personal and medical information.
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Emergency Medical Release Form
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A medical release form for riders to provide emergency contact and medical information for horse trials events.
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OFFICE OF INFORMATION TECHNOLOGY AUTHORIZATION RELEASE FORM
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Authorization form for students, faculty, staff, and guests to access SUNY College of Optometry computing resources and facilities.
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A form for members to request reimbursement for prescription co-pay expenses through US Family Health Plan.
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Outpatient Referral Form
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A referral form for patients seeking specialist medical care within the USFHP network, requiring physician completion and details about the referral.
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Notification Of Injury
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Form for submitting medical accident claims to United States Fire Insurance Company with detailed instructions for claim submission.
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Participant Medical History And Examination Form
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Medical history and examination document required for U.S. Department of State international educational exchange program participants to confirm health status and medical clearance.
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Utah Wyoming Maternal Mortality Review Committee Member Application
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Application for professionals to join a joint maternal mortality review committee for Utah and Wyoming
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Membership application and dues collection form for an organization with optional involvement opportunities and scholarship donation.
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Caltech United Way Campaign 2024 One Time Contribution Form
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A form for making one-time charitable donations to United Way and other designated non-profit organizations through the Caltech United Way Campaign.
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University Of Washington Diving Medical History Form
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Confidential health screening form for diving applicants to assess medical fitness for diving activities and potential risks.
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INTERNSHIP Application Form
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Comprehensive application form for marine science internship candidates, covering personal details, education, employment, water skills, and research interests.
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Non-binding term sheet outlining proposed patent licensing agreement between UWM Research Foundation and a potential licensee.
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Catastrophic Leave Request Form
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A form for UW System employees to request extended unpaid leave due to serious illness or family medical needs.
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Catastrophic Leave Donor Authorization Form
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Form allowing employees to donate earned paid leave credits to colleagues experiencing catastrophic need within the UW System.
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Comprehensive instructions for completing the American Dental Association's dental claim form, detailing recent version changes and field completion guidelines.
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Group Short Term Disability Claim Form
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A comprehensive form for employees to file a short-term disability insurance claim with medical and employment details.
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Local Recruitment ICT Systems Associate Vacancy Announcement
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Vacancy announcement for an ICT Systems Associate position at the United Nations University Institute of Advanced Studies (UNU-IAS) in Yokohama, Japan.
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Vacancy Announcement Communications Coordinator
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Job vacancy for a Communications Coordinator position at the United Nations University Institute of Advanced Studies in Yokohama, Japan.
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Vacation Donation Program Contribution Form
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A form allowing state employees to donate vacation or personal leave hours to colleagues experiencing medical costs or salary needs.
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Vacation Donation Program Contribution Form
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A form allowing state employees to donate vacation or personal leave hours to colleagues facing medical costs or salary continuity needs.
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Local 134 Vacation Savings Fund Contribution Form
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Document for tracking contractor and employee vacation fund contributions with personal and financial details.
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Athletes Medical Information Form
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Medical evaluation form for veterans participating in the National Veterans Golden Age Games, assessing physical fitness and health status for athletic events.
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Foreign Medical Program (FMP) Registration Form
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A government form for registering and processing medical programs for veterans receiving care outside the United States.
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Vagabond Players Membership Application
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Application form for becoming a member of the Vagabond Players theater group in Baltimore, Maryland.
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VALO CALIFORNIA FLIP FUND, LLC Subscription Agreement
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Value In Kind Contribution Form
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VAMS Membership Form
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Variety Schools Grant Application Form
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Varsity Student Athlete Physical Examination Form
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Prescription Reimbursement Claim Form
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Valley ChildrenS Referral Form
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A comprehensive medical referral form for patient consultation and diagnostic services at Valley Children's healthcare facility.
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Test Requisition Form
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Medical laboratory test request form for collecting patient specimen information and ordering diagnostic tests
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Application For Laboratory Genetics Genomics Fellowship
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Comprehensive application form for professionals seeking a fellowship in laboratory genetics and genomics with detailed personal, educational, and reference information.
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NDSU VETERINARY DIAGNOSTIC LABORATORY GENERAL SUBMISSION FORM
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Physician Referral Fax Form
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A comprehensive medical referral form for patient information, insurance details, and physician contact for vascular specialist consultation.
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Program Enrollment Form
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Donation Submission Form
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A form for collecting and submitting donations to St. Jude Children's Research Hospital, including event details and donation information.
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Vendor Application
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Application form for vendors interested in participating in the annual Miracle Babies 5K event, offering vendor space options and payment details.
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IRIS Vendor Claim Form
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Form for providers to submit non-HIPAA claims for IRIS-funded healthcare services.
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Vendor Booth Reservation Agreement A Taste Of CBHS
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An event invitation and vendor registration form for the 12th Annual 'A Taste of CBHS' fundraising event with vendor booth opportunities.
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Venipuncture Procedure Checklist
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Vermont Advance Directive Form
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A legal document allowing individuals to specify healthcare preferences and designate a healthcare decision-making agent.
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Venus Legacy Informed Consent Form
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Informed consent document for Venus Legacy medical cosmetic treatment, outlining potential side effects, treatment protocol, and patient agreements.
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Disability Verification Form For Students With Physical AndOr Chronic Medical Disability
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A form used by physicians to verify a student's disability and functional limitations for requesting academic accommodations at University of Maryland Global Campus.
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NJCAA Physical Examination Form
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Medical evaluation form for student athletes to assess fitness for intercollegiate sports participation.
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RELEASE FROM LIABILITY FOR DEATH OR INJURY OCCURRING ON VESSELS OF THE UNIVERSITY OF SOUTHERN MISSIS
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Legal document releasing the University of Southern Mississippi from liability for injuries or damages during vessel activities.
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LS Supply Order Form
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A form for requesting laboratory supplies, used by researchers and staff to order scientific equipment and materials.
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Student Medical Form
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A comprehensive medical form for students to provide health history, insurance information, and medical details for college enrollment.
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Data And Research Request Form
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A document used to formally submit a request for accessing research data or conducting research-related data retrieval.
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Research Proposal Form
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A form for researchers to submit detailed information about a proposed research study, including contact details, research background, and project specifics.
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Bundtlet Sales Submission Form
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A sales submission form for tracking and reporting Bundtlet sales quantities and total funds raised for an organization.
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Villanova University International Travel FormExport Control Inquiries
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A form for Villanova University personnel to document international travel details and potential export-controlled items or data transfers.
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VISA REQUEST FORM AFFIDAVIT
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Form for requesting and tracking VISA cards for compensating research study participants with associated fees and accountability requirements.
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Out Of Network Reimbursement Instructions
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Detailed instructions for submitting out-of-network healthcare reimbursement claims to VBA, including required documentation and submission methods.
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Vision Claim Form
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A form for submitting vision care expenses for reimbursement through a health benefits plan.
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Personal Medical Info Form
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A comprehensive medical information form for students participating in a travel program, collecting health history and current medical details.
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Visiting Fellowship Application Form
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Application document for researchers seeking a visiting fellowship position in an academic or research institution.
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Visiting Fellowship Application Form
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Application form for researchers seeking a fellowship at the Centre for Fundamental Rights, requiring personal details, research project information, and supporting documents.
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Visiting Regulations2009
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Regulations for hosting visiting scientists and guest professors at the institute, defining their status and visit conditions.
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U.S. Department Of State Academic Exchanges Participant Medical History And Examination Form
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Medical history and examination form required for international educational exchange program participants to confirm health status and medical clearance.
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Visitors And Minors In Labs And Shops Program
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Policy and procedures for managing visitor and minor access to potentially hazardous research areas with safety protocols and restrictions.
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PRE ADMISSION BOOKING FORM
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Comprehensive form for collecting patient and medical aid details prior to hospital admission, used for pre-authorization and patient registration.
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Curriculum Vitae
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Comprehensive professional curriculum vitae for Brian Brazeal, an Associate Professor of Anthropology at California State University, Chico.
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Patient Intake Form
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Comprehensive clinical intake form for evaluating patient's mental health, medical history, and current psychological functioning.
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Rehabilitation Referral Form
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A comprehensive form for referring veterinary patients to rehabilitation services at the University of Minnesota Veterinary Medical Center.
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Leave Request Form
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Comprehensive form for employees to request various types of leave, including medical, family, and military leaves.
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Instructions Online Abstract Submission Form
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Comprehensive instructions for submitting academic or medical conference abstracts, covering submission requirements and process details.
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Nutrition Referral Form
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A comprehensive form for veterinary professionals to request nutrition consultation and provide detailed patient medical information.
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Referral Form
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A comprehensive referral form for animal patients seeking specialized veterinary services at the University of Tennessee Veterinary Medical Center.
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VNSNY Physician Referral Form
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Comprehensive medical referral form for home care services, collecting patient information, insurance details, and physician certification.
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Form 5 Special Love Medical Form For Volunteer
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Comprehensive medical and contact information form for camp volunteers, capturing health history, emergency contacts, and immunization details.
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Voluntary Payroll Deduction Form
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A form allowing University of Hartford employees to voluntarily authorize recurring payroll deductions for charitable contributions.
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Voluntary Shared Leave Request Form
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A form for employees to request leave donated by other employees when they have exhausted their own leave credits.
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Volunteer Activity Waiver Form
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A comprehensive waiver form for volunteers to authorize participation and medical treatment in case of emergencies.
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Adult And College Volunteer Application
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Comprehensive application for adult and college volunteers seeking to volunteer at various healthcare campuses in Georgia.
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Catholic Charities Volunteer Application
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Comprehensive application form for individuals interested in volunteering with Catholic Charities, capturing personal information, skills, and volunteer preferences.
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Volunteer Application Form
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A comprehensive form for individuals interested in volunteering at various hospitals in the Mackay region of Queensland.
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Alternatives Volunteer Application Form
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A comprehensive application form for individuals interested in volunteering with Alternatives, offering various volunteer opportunities for community service.
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New Milford Health Department Volunteer Contact Form
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A form for collecting contact and professional information from potential health department volunteers
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VOLUNTEER EMERGENCY CONTACT FORM
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Form for collecting emergency contact details and medical transport authorization for volunteers
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Cuesta College RN Program Application Volunteer In Healthcare Or Non Profit Organization Verificatio
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A form for documenting volunteer hours for Cuesta College nursing program application, requiring a minimum of 200 volunteer hours between September 2022 and September 2024.
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Parent Volunteer Form
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A form for parents to indicate their willingness to volunteer for various school activities and programs at John Bapst.
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Volunteer Form
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A comprehensive volunteer sign-up form for school community members to help with various activities and events.
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Indiana County Humane Society BINGO Volunteer Application Form
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Volunteer recruitment form for weekly Bingo event hosted by Indiana County Humane Society, seeking volunteers to assist with game operations.
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Volunteer Medical Form
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Medical form for collecting health details and emergency contact information for volunteers.
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VOLUNTEER QUICK REGISTRATION FORM
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A registration form for volunteers to complete prior to starting their volunteer assignment, used by Occupational Health Services for medical clearance.
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Volunteer Program Guidelines
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Comprehensive policy detailing guidelines, restrictions, and processes for volunteering at Albert Einstein College of Medicine
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Approval For Volunteers Participating In SOM Research Activities
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Form for authorizing volunteers to participate in research activities under faculty supervision at the UVA School of Medicine.
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Approval For Volunteers Participating In SOM Research Activities
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Form for authorizing volunteers to participate in research activities under faculty supervision at the University of Virginia School of Medicine.
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Project Celebration Volunteers Guide
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A comprehensive guide for recruiting, managing, and supporting volunteers for a teen graduation night event program
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Oklahoma State University System AcademicTechnicalProfessional Volunteer Guidelines
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Guidelines for determining volunteer status and compliance with federal employment statutes for volunteers at Oklahoma State University research facilities and academic settings.
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Volunteer Time For DMS (Diagnostic Medical Sonography)
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Guidelines for volunteer hours and hospital observation requirements for Diagnostic Medical Sonography program admission
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Volunteer Workers Limited Medical Cost Reimbursement Policy
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Policy outlining medical cost reimbursement for volunteer workers not covered by workers' compensation, with a maximum reimbursement of $5,000 for work-related injuries.
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Voyage Charter Contract
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A legal contract for chartering a research vessel between Bigelow Laboratory for Ocean Sciences and a charterer for scientific research purposes.
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Volunteer Opportunities Form
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A comprehensive form for parents to select volunteer opportunities across various school activities and events
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Vintage Racers Group Vintage Racing License Medical Form
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Medical examination form for motorsport competition racing license applicants, focusing on physical fitness and safety capabilities.
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RESEARCHER REGISTRATION FORM
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A registration form for researchers to access archival records at the Vermont State Archives and Records Administration Reference Room.
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Referral Form
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A specialized referral form for veterinary medical specialty consultations, used to transfer patient information between veterinary practices.
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Secretary Of State Information Request Form
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Official form for requesting vehicle records and searches from the Illinois Secretary of State's Record Inquiry Section.
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VSP Member Reimbursement Form
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A form for VSP vision care members to request reimbursement for vision-related services and expenses.
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FAPESPVanderbilt University Call For Proposals 2014
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Joint research proposal call for academic exchanges between So Paulo researchers and Vanderbilt University faculty
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DissertationThesisResearch Practicum Final Oral Examination
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A billing document for tracking financial details related to academic thesis and research examination panels
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Membership Form
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A form for donors to establish planned giving options and become members of Valley Youth House's Catalyst Society.
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VYSA Medical Release Form
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A medical release form allowing emergency medical treatment for a youth soccer player by parent or legal guardian.
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Verrazzano Honors Capstone Submission
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A submission form for students completing a capstone project or honors thesis in the Verrazzano program.
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2019 OFNHP RN Education Fund Certification Fund Reimbursement Expense Form
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A reimbursement request form for registered nurses seeking educational and certification expense coverage under the OFNHP fund.
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Mental Health Transport Risk Assessment Form
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A form used to assess risks associated with mental health patient transportation and determine appropriate transport options.
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Vaccine Administration Record (VAR)Informed Consent For Vaccination
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A legal document providing informed consent for vaccine administration, detailing patient rights, provider responsibilities, and information sharing permissions.
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Waiver Form And Acknowledgement Of Receipt Of Policies
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Patient form acknowledging financial responsibility for medical services not covered by insurance and agreeing to office policies.
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University Of The Incarnate Word Waiver And Consent To Treat
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Legal document providing parental consent and waiver of liability for a minor's participation in a university or high school camp.
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Research And Academic Areas Use Assumption Of Risk And Release Of Liability For Volunteers And Visit
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A legal document for non-student and non-employee volunteers to assume risks and release the University of Michigan from liability when using university facilities.
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Waiver Of Medical Coverage Form
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Form for employees to waive State Employee Group Insurance Program (SEGIP) medical coverage when having alternative coverage.
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Waiver Service Approval Form
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A form used by care coordinators to request and approve waiver services for members, documenting service details and provider information.
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Waiver Service Request Form
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Comprehensive form for requesting rehabilitation and support services with detailed client and medical information.
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Assumption Of Risk, Accident Waiver And Release Of Liability
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Legal document that releases liability for participants in adaptive sports activities, acknowledging potential risks and waiving claims against event organizers and sponsors.
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Vaccine Administration Record (VAR)Informed Consent For Vaccination
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Legal consent form for vaccine administration, detailing patient rights, risks, and information sharing permissions.
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HSSW 2024 WalkRun For The Animals Vendor Application
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Vendor registration details and guidelines for participating in the Humane Society Southwest Walk/Run event in Vancouver
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Walk A Thon Volunteer Form
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Volunteer registration form for a school walk-a-thon event with multiple volunteer activity options.
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Brazos Valley Veterans Memorial Contribution Form
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Contribution form for donating to the Brazos Valley Veterans Memorial and adding veterans' names to the Wall of Honor.
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Washington Marbled Murrelet Forest Survey Form
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A comprehensive field survey form for documenting Marbled Murrelet species observations and environmental conditions in forest habitats.
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Verbal Sign Out Feedback Form
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Structured evaluation form for assessing the quality of medical trainee verbal patient handoff communication during overnight transitions of care.
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Warfarin Care Hospital Discharge Form
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A specialized hospital discharge form for patients in the Warfarin Care program, tracking medication and health status upon patient release.
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Claim Payment Appeal Submission Form
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A form for healthcare providers to submit appeals regarding claim payment decisions made by Amerigroup Washington, Inc.
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WASHINGTON YOUTH SOCCER PARENTGUARDIAN CONSENT AND PLAYER MEDICAL RELEASE FORM
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Medical release and consent form for youth soccer players, including emergency contact and medical history information.
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Gift Aid Declaration Form
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A form for UK taxpayers to enable charities to reclaim tax on charitable donations through the Gift Aid scheme.
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Williamsburg Contemporary Art Center Volunteer Team Application
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A comprehensive volunteer recruitment document outlining various volunteer opportunities at the Williamsburg Contemporary Art Center across administrative, development, and special programs teams.
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White Cross Shipping Details Form
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A form for documenting shipping details for humanitarian aid parcels containing medical and household supplies for hospitals and guest houses.
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Friends Of The Fond Du Lac Senior Center Membership Application
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Membership application for supporting the Fond du Lac Senior Center with various donation levels and membership options
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Foundation In Kind Donation Process For Donors
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Guidelines for submitting charitable goods or services donations to Seattle Colleges Foundation through a structured approval process.
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Marshfield COA Boosters, Inc. 2022 Membership Application
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Annual membership application for supporting the Marshfield Senior Center through financial contributions and potential volunteering.
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Summer Day Camp Scholarship Form
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A form allowing individuals to sponsor children for summer day camp through various scholarship donation levels.
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WEDO Contribution Form
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A donation form for contributing financial support to the Women's Environment & Development Organization (WEDO)
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Weekly Disability Claim Form
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A comprehensive form for reporting employee disability claims, including sections for employee, employer, and physician statements.
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Weight Management (Semaglutide) Medical History Form
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A comprehensive medical history form for patients seeking weight management treatment using Semaglutide medication.
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Confidential Medical Form
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Medical form for Joy Outdoor Education Center's Camp WEKANDU, providing instructions for medication management and health requirements for campers.
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Otolaryngology DIAMOND CONFERENCE Welcome Reception Registration
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Registration form for welcome reception at the Otolaryngology Diamond Conference with ticket pricing and payment options.
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Joint Welfare Fund LU 164 HRA Reimbursement Form
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Health Reimbursement Account (HRA) claim form for submitting medical expense reimbursement requests for members and dependents.
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WELL BEING ACTIVITY PROPOSAL FORM
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A form for proposing and obtaining approval for a well-being activity within an educational or medical organization.
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Well Being Index Academic License Agreement
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Legal agreement for academic users to utilize the Well-Being Index measurement tool for medical education and research purposes.
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Student Insurance Claim Form
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A comprehensive insurance claim form for students to report medical examinations, illnesses, injuries, and insurance coverage details.
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WELLNESS BENEFIT CLAIM FORM (Accident Insurance)
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A form for submitting wellness exam and preventive health screening claims under an accident insurance policy.
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Wellness Benefit Claim Form
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A claim form for submitting wellness-related medical tests and screenings for potential insurance benefits.
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The Eudora Welty Research Fellowship 2021 Fellowship Application Form
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Application form for a research fellowship funded by the Eudora Welty Foundation and Mississippi Department of Archives and History for graduate students studying Welty's work.
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IRB Research Proposal Form
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A document for submitting research projects involving human participants to Wesleyan University's Institutional Review Board for review or exemption.
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West Swim Team Procurement Form
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A form for collecting donations, advertising, and contributions to support a swim team's activities and facilities.
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Membership Form
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Membership registration form for the University of Arkansas Women's Giving Circle with multiple membership levels and donation options.
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MEMBERSHIP FORM
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A membership form for alumni and friends to join the University of Arkansas Women's Giving Circle with various annual contribution levels.
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WGSS Graduate Student Travel Grant Application
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Travel grant for Women's, Gender & Sexuality Studies graduate students at University of Houston to support conference and research travel.
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What Is A Waiver And Consent Form
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A document explaining the purpose, importance, and key considerations of waiver and consent forms in various contexts, including research and medical settings.
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Wisconsin Heights Education Foundation Scholarship Form
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A form for individuals or organizations to donate scholarships to Wisconsin Heights Education Foundation for student support.
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RV Atlantis RV Armstrong Cruise Planning Manual
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A comprehensive manual for cruise planning and logistics from Woods Hole Oceanographic Institution for research vessel expeditions.
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GenealogyFamily History Book Award Nomination Form
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Nomination form for recognizing genealogy and family history books for the Wisconsin Historical Society/Wisconsin State Genealogical Society awards program
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WIAA Physical Examination Form For Pius XI Catholic High School
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A mandatory medical examination form for students participating in interscholastic athletics, documenting physical fitness for sports participation.
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Call For Proposals Guidelines For Applicants Trans Atlantic Doctoral Conference (TADC)
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Guidelines for PhD students invited to present at the LBS Transatlantic Doctoral Conference seeking research support from the Wheeler Institute.
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NEW JERSEY WIC HEALTH CARE REFERRAL
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A comprehensive health referral form for children under 5 years old, collecting medical and anthropometric data for WIC program enrollment.
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WIC Medical Referral Form For Infants And Children
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A medical referral form for collecting health and demographic information about infants and children for the WIC (Women, Infants, and Children) program.
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DOH 799 WIC Medical Referral Form
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A medical referral form used to refer patients to the WIC Program and communicate patient health information for nutrition care and counseling.
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WomenS Impact Investing Giving Circle Cohort 3 Membership Form
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Registration form for joining the Women's Impact Investing Giving Circle Cohort 3 with donation options and membership details.
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Naropa University Wilderness Therapy Confidential Medical Record
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Comprehensive medical intake form for Naropa University's Wilderness Therapy program, requiring detailed health information from prospective and current students.
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Medical Form
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Comprehensive medical history form for participants in outdoor adventure activities, including health conditions, emergency contacts, and liability acknowledgment.
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Student Health Record
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Comprehensive medical history form for nursing students, collecting personal health information and health status details.
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NOMINATION FORM WILKINSON GRADUATE ETHICS FELLOWSHIP PROGRAM
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A nomination form for selecting graduate students for the Wilkinson Graduate Ethics Fellowship, requiring comprehensive student information and supporting documentation.
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Steilacoom Kiwanis Foundation DonationProcurement Form WineFest 2024
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A form for collecting item donations for the Steilacoom Kiwanis Foundation's WineFest fundraising event in 2024.
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Wire Transfer Request Form
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A form for donors to authorize fund transfers to the Pauahi Foundation's bank account for charitable contributions.
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2022 2023 Membership Form
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Annual membership form for Glenville State Women's Leadership Circle, offering a $100 contribution with special activity invitations and scholarship voting rights.
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Imaging Outpatient Order Form
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Comprehensive medical imaging order form for capturing patient information and procedure details for various radiology examinations.
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WORLD MANAGEMENT SURVEY NON DISCLOSURE AGREEMENT FORM
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Non-disclosure agreement for researchers accessing World Management Survey project data, outlining confidentiality and usage restrictions.
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MEDICAL RELEASE FORM
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A medical authorization form allowing treatment of a minor athlete in case of emergency when parent/guardian is unavailable.
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Medical Form
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A confidential medical form for students attending Westminster Choir College's Summer Arts Programs, collecting health and emergency contact information.
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WOEST FELLOWSHIP FREQUENTLY ASKED QUESTIONS
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Detailed information about eligibility, application requirements, and process for the Woest Fellowship at The Historic New Orleans Collection.
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WOEST FELLOWSHIP FREQUENTLY ASKED QUESTIONS
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Comprehensive guide for doctoral candidates and scholars applying to the Woest Fellowship at the Historic New Orleans Collection
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Wolf Den Submission Form
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A form for submitting used school uniforms and related clothing items for potential reuse or donation at St. Ignatius Catholic School.
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Walter Olson Library Friends (W.O.L.F.) Membership Form
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Membership form for joining the Walter E. Olson Memorial Library Foundation Friends group in Eagle River, Wisconsin.
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OBSTETRICS AND GYNECOLOGY INTAKE FORM
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Comprehensive medical intake form for patients seeking obstetric and gynecological care, collecting detailed personal and medical history information.
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Duquesne University WomenS Guild Membership Form
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Membership form for joining the Duquesne University Women's Guild with annual dues of $10.00.
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Guild Of One Name Studies Working The Land Seminar Registration Form
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A seminar exploring agricultural laborers and their roles in historical contexts, examining occupations connected with land work and related research records.
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Public Request Form For Conflicts Of Interest Related To Research Funded By The Public Health Servic
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Form for requesting information about significant financial interests of research personnel funded by PHS or NIH
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Working Spouse Premium Waiver Form
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Form for Purdue employees to certify spouse's medical insurance eligibility and waive working spouse premium
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WPEC 2024 Submission Form (Talk Proposal)
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Submission form for presenting a talk at the fully-virtual NIST Workshop on Privacy-Enhancing Cryptography in September 2024.
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Medical Release Form
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A legal document granting medical treatment permission for a minor by a parent or guardian, valid for one year.
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War Relocation Authority (WRA) Case File Request Form
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A form for requesting search and access to War Relocation Authority evacuee case files from 1942-1946, with specific eligibility and documentation requirements.
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NFHS Medical Release Form For Wrestler To Participate With Skin Lesion(S)
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A medical release form developed by the National Federation of State High School Associations to guide participation of wrestlers with skin lesions while minimizing disease transmission risks.
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Medical Release Form For Wrestler To Participate With Skin Lesion
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A medical form documenting a wrestler's skin condition and clearance to participate in competitions.
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Project Funding Agreement
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A funding agreement between The Water Research Foundation (WRF) and a sub-recipient for a research and development contract.
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Project Funding Agreement
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A contractual agreement between The Water Research Foundation and a sub-recipient for a research and development project with specific terms and exhibits.
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Write In The Middle Survey Form
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A survey form with questions and space for multiple respondents to provide their responses.
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WRITTEN THESISDISSERTATION (DOCTORAL, MASTERS) APPROVAL FORM
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Academic document used to formally approve a student's doctoral or master's thesis by committee members and academic leadership.
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Employee Payroll Deduction Donation Form
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A form allowing employees to authorize recurring charitable donations to Women Rock, Inc. through payroll deductions to support breast cancer awareness and patient services.
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MEMBERSHIP FORM
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A membership form for supporting the White River Partnership through various donation levels and membership types.
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SOLICITATION APPROVAL FORM
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Form authorizing WSIA Political Action Committee to solicit voluntary contributions from company personnel and stakeholders.
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Research Fellowship And Grant Application Form
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Research fellowship and grant application form for students at Murray State University's Watershed Studies Institute seeking research funding and support.
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West Side Soccer League Tryout Participation Waiver Medical
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Registration form for soccer players with medical information, emergency contacts, and parental consent for participation and media usage.
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Family Medical Leave Request Form
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Comprehensive form for employees to request family and medical leave, covering various types of leave and documentation requirements.
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Second Year Oral Exam Qualifying Exam Assessment Form
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A comprehensive evaluation form for assessing graduate student performance during a second-year oral qualifying exam, covering written documents and oral presentation.
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Medical History Form
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Comprehensive medical form for collecting patient's personal, surgical, and family medical history details.
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Alabama WISEWOMAN Data Collection Patient Intake Form
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Medical intake form for collecting patient personal information and health history in Alabama's WISEWOMAN program.
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Medical Release Form
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A medical release form allowing emergency medical treatment for a youth soccer player by parent or legal guardian.
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Physical Examination Form I
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Medical examination form for youth admission to Mississippi Department of Human Services youth development center
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XRD Sample Submission Form
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A laboratory form for submitting samples for X-ray diffraction analysis, capturing sample details, hazard information, and experimental parameters.
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Corporate Partnership Inquiry Form
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A form for businesses to explore partnership opportunities with Save the Children through various donation and engagement methods.
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Evaluation Form
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Form for evaluating the quality and completeness of medical sign-out procedures between healthcare providers.
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Form DI 4015 United States Youth Conservation Corps Medical History Form
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Medical history form for applicants to the U.S. Department of Interior's Youth Conservation Corps program to determine eligibility and health status.
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YEARLY UPDATE FORM YEAR 2023
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Annual form for updating patient and guardian information for established pediatric patients under 18 years old.
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Youth Empowerment Summit Application Packet
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Comprehensive application packet for youth summit participants including medical information, consent forms, and participant details
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Musician Medical Form
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Medical form for musician participation in the Youth Orchestra of Palm Beach County, requiring health and emergency contact information.
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FRIENDS Of Youth Cancer Trust Form
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Donation form for supporting the Youth Cancer Trust, allowing individuals to become 'Friends' and potentially claim Gift Aid on their contributions.
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New Mexico 4 H Youth Medical And Liability Release Code Of Conduct Contract And Media Release Form
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A comprehensive form for 4-H youth participants covering medical information, liability release, code of conduct, and media release.
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Liability Release Form
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A comprehensive legal document releasing the church from liability and granting medical treatment authorization for participants in church activities or trips.
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Medical Release Form
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A medical release and emergency contact form for children participating in Parks & Recreation programs, granting medical consent and providing critical health information.
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Medical ReleasePermission Form
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A comprehensive medical form for participant information, emergency contacts, medical details, and liability waiver for activities.
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Youth Participation Agreement
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Participation guidelines and consent form for youth participants in American Cancer Society Relay For Life events, outlining behavioral expectations and parental permissions.
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Area VII Young Riders Silent Auction Procurement Form
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A form for collecting item donations for a young riders benefit silent auction fundraising event.
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Clinic Visit Parental Consent Form
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A consent form for pediatric clinic visits, collecting patient and parent/guardian information and communication preferences.
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Employee Payroll Contribution Form
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Form for employees to set up or modify recurring payroll contributions to institutional funds and programs.
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Client Referral Form
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A comprehensive form for referring a client for healthcare or therapeutic services, capturing personal, medical, and contact information.
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COVID 19 Testing Registration Form
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A registration form for SARS-CoV-2 nucleic acid testing with patient demographic and insurance information.
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LifeVest Medical Order Form
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A medical order form for prescribing and configuring a LifeVest wearable cardioverter defibrillator for patients at risk of cardiac events.
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