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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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Document for tracking shipment of molecular biology research materials and samples with temperature and packaging verification details.
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Official communication document outlining billing, claims, and provider information updates for mental health service providers.
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Purchase Authorization And Invoice Form 312 For Disability Medical Examinations And Laboratory Work
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Guidelines for local social services departments to complete form DHR/FIA 312 for medical examinations and laboratory work for disability assistance programs.
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Consent Form And Consent Process Requirements
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Detailed guidelines for obtaining legally effective informed consent in human subject research, outlining key requirements for research investigators.
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Patient Intake Form Military Veteran Inquiry Act
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Legislation requiring health care providers to include a question about military service on patient intake forms to improve treatment options for veterans.
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GRADUATE SEMINAR 09 911 AUDIENCE FEEDBACK FORM
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A comprehensive feedback form for evaluating graduate seminar presentations, designed to provide constructive assessment for academic purposes.
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Direct Reimbursement Claim Form
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Student Medical Release Form
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Medical authorization form for student ministry activities allowing medical treatment and liability release for minors.
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HEALTH CENTER MEDICAL HISTORY FORM
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Comprehensive medical history form for collecting personal health information, emergency contacts, and current medical status for students.
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Emergency Medical Release Form
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A comprehensive medical information form used to collect personal health details and emergency contact information.
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ParentGuardian Consent Form
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A comprehensive consent form for parents or guardians to authorize a child's participation in church activities and medical treatment.
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Employee Benefits Administration Guide
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Comprehensive guide for managing employee benefits, enrollment, and coverage processes for CHP (likely a health provider)
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OOI 2.0 EHS Plan
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A comprehensive environmental, health, and safety plan for the Ocean Observatories Initiative covering work expectations and safety requirements.
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Standard Form Of Business Entrustment Contracts
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A standard contract form for business entrustment between universities and national research and development agencies.
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Personal Brand Management Course Outcome Summary
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A college course focused on developing personal and professional branding strategies for marketing career preparation, including digital trail management and job entry skills.
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SNHSA Horse Event Participation EHV Declaration Form
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A form for horse owners to declare health status and vaccination proof for participation in an equestrian event
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NSERC SSHRC Sustainable Agriculture Research Initiative Instructions For Completing An Application
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Comprehensive guidelines for submitting research grant applications through NSERC's Alliance grants program for sustainable agriculture research.
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Official meeting minutes documenting discussions about county clinics and public comments from October 20, 2022.
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California state form for enrolling, changing, or canceling direct deposit for In-Home Supportive Services providers
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Prescription Drug Reimbursement Form
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A form for members to request reimbursement for prescription medication expenses through their health plan.
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Diver Medical Participant Questionnaire
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A medical screening questionnaire for recreational scuba and freediving participants to assess potential health risks and fitness for diving.
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Release Of HIPAA Protected Information
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Policy establishing pre-authorization process for releasing personal health information for fire district employees during on-duty injuries or illnesses.
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MH 602 (072024) Authorization For Use Or Disclosure Of Protected Health Information
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A form authorizing the release of protected health information by the Los Angeles County Department of Mental Health.
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INTELLECTUAL PROPERTY AND SHARED ROYALTIES
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Policy defining the management of intellectual property for Louisiana's community and technical colleges, focusing on research, discovery, and revenue sharing.
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HASMA RSASQ For Intraoperative Monitoring Services
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A document by Los Angeles County Department of Health Services seeking qualified firms to provide intraoperative monitoring services for county hospitals.
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DSHS 10 570 Intake And Referral
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A comprehensive intake form for applicants seeking home and community services, collecting personal and medical eligibility information.
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Monthly Grant Funding (MGF) Payment Inquiry Form
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A form used by community partner clinics to inquire about missing monthly grant funding payments for enrolled participants.
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PADI Freediver Medical History Form
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A medical screening form for participants to assess their fitness for freediving activities by identifying potential health risks.
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1095 B IRS Form Informational Guide
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Guide explaining the 1095-B form for Illinois Medicaid coverage, its purpose, and 2021 policy changes regarding form distribution.
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Student Health Questionnaire Form
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Instructions and forms for health screening, immunizations, and drug testing for students entering healthcare clinical rotations.
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10 Day Agreement Review Cancellation
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A form for subscribers to request cancellation of a health insurance policy within 10 days of coverage effective date.
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CONFIDENTIAL EMERGENCY MEDICAL FORM
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A comprehensive medical form for capturing personal health details, emergency contacts, and critical medical information for emergency situations.
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Form 1100 Daily Building And Grounds Checklist
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Comprehensive checklist for daily safety and maintenance inspections in childcare facilities covering environmental, health, and safety standards.
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Northeast Multistate Division Evaluation Template
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Evaluation form for a healthcare educational activity about race and ethnicity data collection by the Alabama Department of Public Health.
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Billing Procedures For Iowa Medicaid
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Guidelines for submitting billing forms to Iowa Medicaid for service reimbursement.
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CONFIDENTIAL MEDICAL HISTORY
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Comprehensive medical history form for patients to provide detailed health information to a healthcare provider.
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Texas Vaccines For Children (TVFC) And Adult Safety Net (ASN) Program Changes To Enrollment Form
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A form for healthcare providers to update facility information for vaccine program enrollment and delivery.
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Section 1115 Demonstration Proposal For Act 421 ChildrenS Medicaid Option
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A proposal for a Section 1115 demonstration program related to children's Medicaid coverage and services.
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Family Guidance Center Consent Agreement Form
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A comprehensive consent form for mental health services outlining client rights, policies, and treatment authorizations.
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Medical Claim Form
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A form used to request payment for eligible healthcare services already received from UnitedHealthcare.
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Aligning Marina Del Rey With Los Angeles County Priorities For Equity And Inclusion 60 Day Report
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Report detailing recommendations for strategic community needs assessment and future planning for Marina del Rey based on County Guiding Equity Principles.
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General Grant Application Form
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A comprehensive form for organizations to request grant funding from the Minnesota Association of Professional Employees.
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Incident Reporting Policy
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Policy providing guidance for reporting and managing incidents involving potential harm or emergencies at Summit Pointe.
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New Mexico Workers Compensation Medical Release Form
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Amendment to medical release form rules with HIPAA compliance for workers' compensation cases in New Mexico.
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Alabama Medicaid Agency Catalog Order Form
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Catalog of educational materials and resources related to Medicaid services, dental health, family planning, and healthcare information.
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ASM 115 Adult Services Requirements
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Guidelines for processing Home Help services applications for adult clients in Michigan, including application requirements and signature protocols.
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New Jersey Lawyers Fund For Client Protection Statement Of Claim
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A legal form for filing a claim against an attorney for financial misconduct or loss in New Jersey.
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Request For Council Action Bridgeport Subdivision First Amendment To Development Agreement
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Resolution authorizing the Mayor to sign a first amendment to a development agreement with Ivory Development and other parties regarding a pressure reducing valve installation.
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Self Help Guide For Filing An Initial VA Claim For Disability Benefits For Burn Pit Related Conditio
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A comprehensive guide to help veterans file initial VA disability claims for medical conditions potentially associated with burn pit exposure.
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UC Master Gardener Volunteer Application Form
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Application form for individuals interested in joining the UC Master Gardener Program to extend research-based knowledge on horticulture and sustainable landscape practices in California.
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HSA Payroll Deduction Authorization Form
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Form for employees to authorize payroll deductions for health savings account (HSA) contributions through the city's high-deductible health plan.
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Parental Consent Form
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Medical consent form allowing healthcare providers to treat children under 18 when parent/guardian is not present.
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YMCA Camp DeBoer Camper Medical Form
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Medical form for YMCA summer camp that includes medication administration consent, health information, and emergency contact details for children attending camp.
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Medical Evaluation For Child Care
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A medical evaluation form for individuals working or volunteering in child care programs, assessing health status and fitness.
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Mississippi State Department Of Health WIC Program Vendor Handbook
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A comprehensive guide for vendors participating in the Women, Infants, and Children (WIC) nutrition program, detailing food purchasing requirements, transaction processing, and compliance guidelines.
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Facility Partnership Agreement
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A partnership agreement between Senior Health and Education Partners (SHAE) and a healthcare facility for providing mental health services.
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Intellectual Property Policy
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Policy defining ownership, distribution, and commercial development of technology produced by university faculty, staff, and students.
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DoD General Application Instructions
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Comprehensive instructions for applying to Congressionally Directed Medical Research Programs funding opportunities for extramural and intramural organizations.
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Encounter Attendance Frequently Asked Questions
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Guidance document for service providers on using the SESIS Service Capture calendar and recording student service attendance.
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Supplementary S1 Information Sheet And Consent Form
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Informed consent document for a study assessing the durability of insecticide-treated mosquito nets in Burkina Faso
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DHIN System And User Auditing
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Detailed guidelines for auditing system and user access to health information within the DHIN network, including specific monitoring criteria for different practice specialties.
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Consulting Service Request Form
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A comprehensive form for requesting and approving healthcare professional consulting services with compliance certification.
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PURCHASING EXCEPTION REPORT FY 2021
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A detailed report documenting purchasing exceptions for scientific equipment acquisitions during December 2020 and January 2021.
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Notice Of Hearing On CollabHealth Plan Services, Inc.S Application For Approval Of Proposed Acquisit
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Official notice of a hearing regarding the proposed acquisition of SoundPath Health, Inc. by CollabHealth Plan Services, Inc.
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Performance Bond Agreement Form
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A legal document binding a developer and surety company to complete required infrastructure improvements for a subdivision project in McCordsville, Indiana.
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GENERAL CONSENT TO TREAT PATIENT AUTHORIZATIONACKNOWLEDEMENT FO BENEFITS RELEASE
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Comprehensive dental patient consent form covering treatment authorization, medical information release, insurance benefits, and privacy practices acknowledgement.
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Electronic Data Interchange (EDI) Enrollment
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A form for healthcare providers to enroll or update their Electronic Data Interchange (EDI) submitter credentials for claims submission and processing.
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CHG 8 Chapter 5 Real Property Acquisition
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Policies and guidance for acquiring real property for HUD-funded programs under the Uniform Relocation Assistance and Real Property Acquisition Policies Act (URA).
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Direct Data Entry (DDE) User ID Request Access Form
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A form for requesting, reactivating, terminating, or modifying user access to Direct Data Entry system with provider identification details.
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General Information For Authorization
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A form for requesting and documenting healthcare service authorization with medical and provider details.
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Travel Questionnaire For Children In Foster Care During COVID 19
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A comprehensive questionnaire assessing travel risks and safety protocols for foster children during the COVID-19 pandemic.
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National Taipei University Application Form For Invention Patents Of Project Research Results By Fac
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A form for faculty and researchers at National Taipei University to apply for patents for their research project inventions.
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Patent Application Form I
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Notification for faculty, research scholars, and students to submit patent application forms for intellectual property consideration at BHU's IPR Cell.
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Proof Of Insurance And Emergency Contact Form
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A form collecting student health insurance details and emergency contact information for record-keeping and safety purposes.
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Parental Consent Form (Non Viable Fetus)
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A consent form for parents to participate in a genetic research study examining inherited causes of childhood brain diseases using DNA samples.
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Vision Group Insurance Form
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Insurance claim form for submitting vision care expenses and patient information to Standard Insurance Company.
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2012 Fellowship Application Form
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A comprehensive application form for nursing professionals seeking fellowship with the American Academy of Nursing in 2012.
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Aga Khan Foundation Job Opportunities
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Job opportunity for a short-term legal and regulatory review of SME Investment Fund in Kabul, Afghanistan, posted by Aga Khan Foundation.
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AZEIP AHCCCS Member Service Request
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Guidelines for Service Coordinators to request AHCCCS healthcare services for children in the Arizona Early Intervention Program
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Preliminary Funding Notification June 2004
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Funding allocation document for Ohlone Community College District's One-Stop Career Centers under the Workforce Investment Act (WIA) program for Program Year 2003-2005.
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Visit Submission Form
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A form for tracking fitness center visits to earn health program rewards when online tracking is not available.
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Health Care Referral Form Early Support For Infants And Toddlers (ESIT)
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A medical referral form for infants and toddlers with potential developmental concerns or medical needs.
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HEADMASTER DS DIVERSIFIED TECHNOLOGIES ConfidentialityNon Disclosure Agreement Form 1501 CV
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Confidentiality agreement for test observers, proctors, and actors involved in the Medication Aide-Certified competency examination.
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On Campus Interviews Guidelines
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Guide for Old Dominion University students participating in on-campus job interviews, detailing processes, expectations, and policies.
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Mail Service Order Form
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A form for ordering prescription medications through CVS Caremark's mail service pharmacy, allowing patients to submit new and refill prescriptions.
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Guidelines On Management And Use Of Grants Of Research Projects Funded By External Funding Bodies Ot
PDF template
A comprehensive guide for managing research project grants from external funding sources, covering project management, employment, purchasing, and reporting procedures.
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PHS Assignment Request Form
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A form for suggesting awarding component and study section assignments for NIH grant applications.
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TB Infection Risk Screening Form
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A comprehensive medical screening form to assess an individual's risk for tuberculosis infection and potential disease progression.
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Youth Enterprise Revolving Fund Order Finance Loan Application Form
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A confidential loan application form for youth enterprises seeking order finance through the Youth Enterprise Revolving Fund
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Providence Mountain Emergency Services Consent To Treat Form
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Medical consent and authorization form for emergency medical treatment for participants in a Providence Mountain program.
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2021 Open Call Project Implementation Guide
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A comprehensive guide detailing project implementation timelines, requirements, and submission procedures for selected institutions participating in a 2021 open call project.
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Vaccine Administration Record (VAR)Informed Consent For Vaccination
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Informed consent document for vaccine administration, detailing patient rights, risks, and information sharing permissions.
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PATENT APPLICATION FORM
PDF template
A comprehensive form for submitting patent application details, including invention information, inventors' details, and potential commercial applications.
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Intellectual Property Rights (IPR) Policy
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A comprehensive policy framework for managing and protecting intellectual property rights for faculty, students, and staff at the National Institute of Technology Uttarakhand.
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Blue Cross Of Idaho Care Plus, Inc. Health Assessment
PDF template
Form for collecting health information from newly enrolled Medicare Advantage members to develop individual care plans.
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Family And Medical Leave Act (FMLA) Employee Request Form
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A form for employees to request leave under the Family and Medical Leave Act, covering personal or family medical situations.
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Claim Form
PDF template
Comprehensive form for submitting flexible spending account (FSA) and health reimbursement claims with multiple benefit code options.
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ISA Grant Application Form For National Associations Activities
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Application form for sociology national associations to request grants for website development or regional conferences from the International Sociological Association (ISA).
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Capitalization Policy And Capital Equipment Purchase Request
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A detailed policy document defining asset classification, capitalization rules, and guidelines for equipment purchases for the Tulare Local Health Care District.
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DIRECTIONS FOR COMPLETING THE AZEIP AHCCCS MEMBER REQUEST FORM
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Detailed guidelines for Service Coordinators to complete a member service request form for Arizona Early Intervention Program (AzEIP) and AHCCCS Health Plans.
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Required NYS School Health Examination Form
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Amended Findings Of Fact, Conclusions Of Law, And Recommendation
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Medical Release
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Patient Registration Form
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American Arbitration Association Award Of Dispute Resolution Professional
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Service Order Form
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1990 National Evaluation Of The Weatherization Assistance Program Survey Instruments
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DCP DSP Grant Proposal Submission Policies
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FCGP Guidelines (2020 21)
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Workforce Members Privacy, Confidentiality, And Information Security Agreement
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Short Term Disability Claim Form
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Northwest Community EMS System Policy Manual
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TRAVEL RISK ASSESSMENT FORM
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Travel Risk Assessment Form
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Administrative Directive 20 006
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Wisconsin Medicaid Physician Services Forms Update
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PHC 1009 Changes To Local Codes, Paper Claims, And Prior Authorization For Intensive In Home Treat
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International And Domestic Shipping FAQS For B Virus Sample Collection
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Informed Consent Agreement Parental Version
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Medical Insurance Information
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Internship Application
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Job Application Form
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Archive Consent Form
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NJ BMW CCA EMERGENCY FORM
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Tuberculosis Risk Assessment Form
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Memorandum To Gold Coast Health Plan Providers
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NFHS Medical Release Form For Wrestler To Participate With Skin Lesion(S)
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Direct Reimbursement Claim Form
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Ongoing Project Form
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Standardized Application For Pathology Fellowships
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Ongoing Project Form
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Minor Medical Release Form
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Allied Health Public Service Student Medical Form
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Faculty Development Opportunities Handbook
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Notice Of Funds Availability (NOFA) For Native American CDFI Assistance Program FY 2015 Funding Roun
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Sample Evaluator Assessment Form
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Statement Of Deficiencies And Plan Of Correction
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Volunteer Fellowship Application Form
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NFHS Medical Release Form For Wrestler To Participate With Skin Lesion(S)
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ATHLETICS MEDICAL RELEASE FORM
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Vendor Agreement To Participate In The Utah Women, Infants, And Children (WIC) Program
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Official agreement for vendors to participate in the Utah WIC Program for federal fiscal years 2016-2018.
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National Disease Surveillance ProgramICase Reports
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Federal document describing the Centers for Disease Control and Prevention's national disease surveillance program and its ongoing monitoring of specific infectious diseases.
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Lab And Workplace Safety Committee (LWSC) Meeting Minutes
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McKenzie Institute Lumbar Spine Assessment Examination
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Project Peak Medical History Form
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Risk Assessment Form
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Faculty Development Grant Application Form
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Stevenson Wydler Gift (SWG) Program Request And Agreement Form
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Quaker Grantmakers Common Grant Application Form
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BUS MEDICAL FORM
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GoodLife Programs Medical Information And Liability Release Form
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Senate Bill No. 1113
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EAP Billing Form
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ScriptDash Pharmacy FAQ
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Statement Of Deficiencies And Plan Of Correction
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Independent Researcher Agreement Application
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College Of Education Course Waiver Form (MEd)
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Annual Report To The California Children And Families Commission
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Annual financial and program report for Kern County's Children and Families Commission covering fiscal year 2017-2018
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Emergency Contact Form
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Soybean Producer Survey Form
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Referral Form
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Neuroengineering IGERT Fellowship Application Form
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MontanaS Intra Agency Agreement For Services To Children With Disabilities Birth Through Age Five An
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Marwood Group Co. USA, LLC Internship Application Form
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Medical Information Form
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Patient Intake Form
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2017 Paramedic Competition Entry Form
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Research Proposal Form
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ANESTHESIA LEVELS 2 4 INSPECTION FORM
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New Patient Intake Form
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Contract Maintenance Request Form
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GRADUATE FELLOWSHIP APPLICATION FORM
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Confidentiality And Security Agreement
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Wisconsin Nurses Association APRN Pharmacology Clinical Update Exhibitor Invitation
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Catholic Charities, Inc. Clinical Services Initial Contact Form
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Referral Form
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Earl O. Heady Decision Sciences Spreadsheet Competition Entry Form
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Blake Medical Center Auxiliary, Inc. SCHOLARSHIP APPLICATION
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2018 Fellowship Application Form
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Application form for a fellowship with the J. Willard Marriott Library Special Collections at the University of Utah.
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Nurse Licensure Compact (NLC) Guidelines For Federal And Military Nurses
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Detailed guidelines explaining nurse licensure requirements for federal, military, and VA nurses under the Nurse Licensure Compact (NLC).
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Nurse Licensure Compact (NLC) Guidelines For FederalMilitary Nurses And Spouses
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Comprehensive guide explaining licensure rules for federal, military, and VA nurses under the Nurse Licensure Compact (NLC)
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NEW PATIENT INTAKE FORM
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Comprehensive medical intake form for new patients, collecting personal information, medical history, and current health conditions.
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Outside (Non Central) Scholarship Form
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Form for students to report anticipated outside scholarships to Central College's Financial Aid Office for proper account application.
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2018 Nursing Facility Admission And Financial Agreement Packet
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Veterinary Student Interview Sign Up
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Regional Conservation Partnership Program Announcement
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Announcement for the USDA's Regional Conservation Partnership Program funding opportunity for Fiscal Year 2018.
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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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Central Billing Office Application
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Application form for healthcare providers to register with the Illinois Department of Human Services for billing purposes.
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MEDICAL HISTORY FORM
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A comprehensive patient medical history form designed to collect detailed health information for medical assessment and treatment purposes.
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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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Discharge Form
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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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Body Art Establishment Registration Or Tanning Facility Permit Application
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Application form for registering body art establishments or obtaining tanning facility permits in Illinois
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Body Art Establishment Registration Or Tanning Facility Permit Application
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Application for registering body art establishments or tanning facilities with the Illinois Department of Public Health
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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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Volunteer Application
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Comprehensive application form for individuals aged 15 and older interested in volunteering at Palm of Pasadena hospital.
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2019 FSLRP HPLRP Program Reference Guide
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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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Washington County Local Share Account Application Information
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Application process for economic development grants funded by gaming revenues in Washington County, Pennsylvania
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MARWOOD GROUP CO. USA, LLC INTERNSHIP APPLICATION FORM
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Application form for internship opportunities at Marwood Group in healthcare and financial consulting
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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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Fee Invoice For NAFCC Accreditation
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Form for family child care programs to request funding and processing for NAFCC accreditation through Maine Roads to Quality Professional Development Network.
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Nursing Stars
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A form for employees to recognize and support nurses through payroll deduction sponsorships during Nurses Week.
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REQUIRED NYS SCHOOL HEALTH EXAMINATION FORM
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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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Research Proposal Form
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A research proposal submission form for researchers interested in accessing the Duke Lemur Center's Division of Fossil Primates collection.
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Incident Report Form
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A comprehensive form for reporting incidents involving biohazardous materials and biological agents at a research institution.
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SIDAlbert M. Kligman Fellowship Application Form
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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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Waxing Consent Form
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A medical consent form for waxing services that collects client health information and potential skin sensitivity risks.
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CRCOG Complete Streets Compliance Form
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A form for municipalities to document compliance or exceptions to Complete Streets design principles when seeking project funding.
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Environmental Service Request Form
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A form for requesting environmental health services from the Defiance County General Health District, including property and inspection details.
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Sales Order Form
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A sales order form for virtual health services detailing customer contact, terms, fees, and service conditions.
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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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ATSG FitBit Activity Tracker Program Purchase Form
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Form for employees to purchase FitBit activity trackers through corporate wellness program with payroll deduction options.
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Sponsored Research Activities And Procedures
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A document outlining key activities, forms, and procedures for managing sponsored research projects and grants.
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Vital Strategies Healthy Food Policy Fellowship Application Form
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An application form for a fellowship program focused on contributing to healthier food environments in specific countries.
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Primary Care Physician Referral Form (DMS 2610)
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Instructions for primary care physicians on completing referral forms and using EPSDT reason codes for Medicaid services.
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ChurchOrganization Loan Application Form
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A loan application form for churches seeking financial assistance from the Baptist Missionary Association of Mississippi's Revolving Loan Fund Department.
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FY 2020 2021 Alamance County Outside Agency Funding Application
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Application for non-profit agencies seeking financial assistance from Alamance County for community programs and resources.
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COVID 19 VACCINE CONSENT FORM
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Medical consent form for receiving COVID-19 vaccination, including patient screening questions and personal information collection.
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2020 2021 Flu And Pneumo Insurance Information Form
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A form for collecting patient information and insurance details for flu and pneumococcal vaccines.
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Outside Private Scholarship Guide
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A form for students to report outside private scholarships received or expected to receive for financial aid processing
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Canada Germany Digital Media Incentive Guidelines
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A joint funding program between Canada Media Fund and Medienboard Berlin-Brandenburg to support co-development and co-production of digital media projects.
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USAV Youth Junior Volleyball Player Medical Release 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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INTERTANKOS Standard Tanker Chartering Questionnaire 88 (Q88)
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Comprehensive maritime document providing detailed technical specifications and history for a specific vessel
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Alaska Construction Career Days Volunteer Form
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Volunteer registration form for participating in Alaska Construction Career Days event with various support roles and time slots.
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Senior Resource Alliance Referral Form
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A comprehensive referral form for senior citizens seeking various support services and assistance programs.
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Health Insurance Cancellation Form
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A form for Tacoma Employees' Retirement System (TERS) retirees to cancel their health and dental insurance coverage.
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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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BayCare Media Relations And Advertising Photo And Recording Consent And Authorization Nonpatients
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A legal document authorizing BayCare Health System to use an individual's name and image for media and advertising purposes
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Final Report Form COVID 19 2020 21 Grant
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A reporting form for food shelf organizations to document how grant funds were spent during the pandemic period.
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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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2020 Employee Authorization For Payroll Deduction To HSA
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Form for employees to start, change, or stop payroll deductions for Health Savings Account (HSA) contributions.
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Medical Reimbursement Claim Form
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Form for employees to submit medical, dependent care, and other eligible healthcare expenses for reimbursement through employer benefit plans.
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Community Foundation Of Northwest Florida Grant Application Form
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A comprehensive grant application form for nonprofit organizations seeking funding from the Community Foundation of Northwest Florida for disaster relief and community programs.
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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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MINOR MEDICAL RELEASE FORM
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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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EFT Authorization Agreement
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A form for healthcare providers to set up or modify electronic Medicare payment deposits with required account and identification information.
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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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Physical Therapy Of Boulder Patient Intake Form
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Comprehensive medical intake form for physical therapy patients covering personal information, insurance details, and consent for treatment.
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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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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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Spotlight On Education Competition Interview Form
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Preparticipation Physical Evaluation History Form
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Comprehensive medical history questionnaire for athletes to assess health status and potential medical concerns before participating in sports.
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MEDICAL HISTORY FORM
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Equipment Inventory
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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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VOCA Notice Of Funding Opportunity Questions Answers
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Document providing clarification on funding distribution, regional allocations, and data sources for crime victim support grants in Missouri.
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Patient Protection And Affordable Care Act Patient Protection Notice
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2021 Grant Application
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CONTINUING EDUCATION FORM
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Change Order Request
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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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2021 Maximum Per Unit Total Development Cost Waiver Form
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Form for requesting a waiver for maximum per unit total development costs for housing projects in Georgia.
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Employee Medical Inquiry Form
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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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A grant application form for non-profit organizations seeking funding to support programs addressing hunger and homelessness
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Patient Medical History Form
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Permission To Participate Medical Treatment Consent And Release, Waiver, And Indemnity Agreement
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Grant application for underrepresented researchers in biomedical research to attend RNATx2021 conference with career development opportunities.
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Detailed guide for Teachers' Retirement System of Kentucky Medicare Part D prescription benefit plan managed by Know Your Rx Coalition through Express Scripts
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Memorandum Of Agreement PFC Child Care Subsidy
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YOUTH JUNIOR VOLLEYBALL PLAYER MEDICAL RELEASE FORM
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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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Pre Screened Grid Submission Form
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A form for submitting pre-screened microscopy grid samples with guidelines for image and documentation requirements.
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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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Clinical guidance for treating monkeypox virus infection, including treatment considerations for severe cases and high-risk patients.
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NYSCA FY2023 Capital Projects Completing Your Long Form Budget
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Guidelines and instructions for completing budget forms for New York State Council on the Arts capital project grants in fiscal year 2023.
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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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FY 2022 2023 Alamance County Outside Agency Funding Application
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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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Canyon Athletic Association 2022 23 Consent To Treat Form
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A form allowing medical treatment for minor athletes when parents are not immediately available, used by the Canyon Athletic Association.
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FAM Fellowship Application
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Application form for a paid academic-year fellowship at the Frist Art Museum designed for students and emerging professionals interested in museum exhibition processes.
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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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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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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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Harold And Edna Bragg Healthcare Education Scholarship Application
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Scholarship application for healthcare education students in the Lake Chelan Valley, administered by the Lake Chelan Health & Wellness Foundation.
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2022 Community Facilities Application
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Application for community development block grant funding for local facilities and services, including required forms and assurances.
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University Of Michigan Prescription Drug Plan Guide
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Comprehensive guide for managing prescription drug benefits through Magellan Rx Management for University of Michigan employees and members.
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Notice Of Privacy PracticeClinics
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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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John T. Gorman Fellowship Application Instructions
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Detailed instructions for applying to the John T. Gorman Fellowship program for nonprofit organizations.
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Volunteer Orientation
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Comprehensive guide outlining volunteer opportunities, objectives, and expectations for college students interested in physical therapy service learning.
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Subdivision Final Plat Application
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Official application form for submitting a final plat for subdivision development in the City of Wildwood, Florida
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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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HEALTH ASSESSMENT FORM
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A screening questionnaire to assess potential COVID-19 exposure and symptoms for convention attendees.
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Health Home Care Management Community Referral
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Referral form for enrolling individuals into Health Home care management program for adults and children with complex health needs.
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City Of Kenosha Health Savings Account (HSA) Payroll Deduction Form
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Form for City of Kenosha employees to set up or modify Health Savings Account payroll deductions through Johnson Bank.
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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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Internship Application Form
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Comprehensive form for students to apply for and document an academic internship placement with required approvals and signatures.
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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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Form for verifying volunteer hours for applicants to Lane Community College Nursing Program using a supervised community service verification process.
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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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2022 Fellowship Application
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A summer fellowship program for law students to work on student-initiated projects supporting immigrants' rights and social justice.
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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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Attendance form for a conference focused on veterans' issues, addiction services, and related support topics.
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Hunger And Homeless Grant Application Form
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A grant application form for organizations seeking funding to support programs addressing hunger and homelessness.
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PATIENTS INTAKE FORM
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Comprehensive medical intake form for patient registration and insurance information at a podiatry medical practice.
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2022 CEDS UPDATE Solicitation BBNA Economic Development Program Project Form
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A comprehensive form for documenting economic development project details, including project steps, partners, costs, and evaluation measures.
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Subdivision Re Plat Application
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Official application form for subdivision re-platting in the City of Wildwood, Florida, used to request land parcel reconfiguration.
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IMPACT GRANT APPLICATION FORM
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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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Spotlight On Education Competition Interview Form
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A structured interview form for students to document professional insights during a career exploration competition.
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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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Foreign Language And Area Studies (FLAS) Fellowships For Undergraduate Students
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Fellowship program for undergraduate students to study select foreign languages and conduct international research at Pennsylvania State University.
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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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Medical Records Authorization Form
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Supported Decision Making Agreement
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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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Monitoring And Compliance For ORR Care Provider Facilities
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Request for public comments on forms to monitor care provider facilities for unaccompanied children, ensuring compliance with federal and state laws and regulations.
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Graduate Fellowship Application Form
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Application form for graduate students seeking fellowship funding at the University of Nebraska with specific eligibility requirements.
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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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United Way Of Ulster County Community Impact Fund Application 2023 2025
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Grant application for local non-profit organizations seeking funding to support human service programs in Ulster County, New York.
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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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2023 2024 Student Emergency Form
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A comprehensive form for collecting student emergency contact details, health insurance information, and parental contact information for school records.
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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 funding from the H.Hovnanian Family Foundation for professional and academic development.
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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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2023 ARTS, CULTURE AND TOURISM GRANT APPLICATION
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Grant application form for local non-profit organizations seeking funding for arts, culture, and tourism initiatives in the Town of New Tecumseth.
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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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Classroom Grants Program 2023 Guidelines And Helpful Hints
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Guidelines for educators applying to the Snohomish Education Foundation's classroom grant program, providing funding for innovative educational projects.
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Flexible Spending Account (FSA) Enrollment Form
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A form for employees to elect and contribute to Flexible Spending Accounts for health care and dependent care expenses
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Donald W. Banner Diversity Fellowship For Law Students
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A fellowship program designed to promote diversity and inclusion in intellectual property law by providing financial support to law students from underrepresented groups.
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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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Fellowship Application Form
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Application form for recognizing significant contributions to the architectural profession through Fellowship elevation.
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Flexible Spending Account Reimbursement Form
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A form for submitting out-of-pocket healthcare expenses for reimbursement through a Flexible Spending Account (FSA)
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Flexible Spending Account Agreement Form
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A form for employees to elect and set up Flexible Spending Accounts for healthcare and dependent care expenses.
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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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City Of Kenosha Health Savings Account (HSA) Payroll Deduction Form
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A form for City of Kenosha employees to set up or modify Health Savings Account payroll deductions through Johnson Bank.
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2023 HSA Voluntary Salary Reduction Form
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Form for employees to start, change, or cancel pre-tax contributions to a Health Savings Account (HSA) through payroll deduction
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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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2023 Legislative Session Member Requested Local Community Project Information Online Form
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An online form for requesting legislative funding for local community projects in Washington State, to be considered for capital budget appropriation.
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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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Migrant Health Awards Principal Nomination Form
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Official nomination form for recognizing outstanding contributions in migrant health services and leadership by the National Association of Community Health Centers.
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Youth Advocacy Fund Diocesan Scholarship Request
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Application for financial assistance for teens attending the National Catholic Youth Conference in 2023
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New Mexico Nurse Educator Loan For Service Program Application 2023
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A loan program designed to support nursing educators pursuing advanced degrees in New Mexico by providing financial assistance contingent on future teaching service.
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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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PY2023 Public Service Application Detailed Budget
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A comprehensive budget application form for the Community Development Block Grant (CDBG) program, detailing personnel, travel, operating costs, and funding sources.
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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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20232024 School Year Budget Form
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A comprehensive budget form for students to document their anticipated income, funding sources, living costs, and program expenses for the upcoming school year.
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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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Resiliency Loan Fund Application
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A loan application for small businesses and nonprofits impacted by COVID-19, offering up to $150,000 at 0% interest.
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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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Student Health Requirements
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Comprehensive guide for freshman and transfer students detailing health documentation, immunization requirements, and portal submission process.
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The Bronx Community Foundation Grant Application Form
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A grant application form for nonprofits and community-based organizations serving the Bronx community, offering grants up to $25,000.
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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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CVSO CG 2024 (Cycle I) Q A Addendum
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Application guide and instructions for Minnesota County Veterans Service Offices seeking grant funding for veteran programs and services in fiscal year 2024.
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Volunteer Application Form
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A comprehensive application form for individuals seeking to volunteer at Minnesota Veterans Homes across multiple locations.
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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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Agreed Upon Procedures (AUP) Survey Form
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A survey form for independent public accountants to report on health benefits contract procedures and financial reporting details.
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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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2024 2025 Budget Request Instructions
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Comprehensive budget request form for student clubs outlining club information, event planning, and funding requirements.
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Grant Application For Educational And Nonprofit Charitable Organizations
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A grant application process for educational and nonprofit charitable organizations in the Greater Fresno Area, offering funding between $1,000-$10,000 for community impact projects.
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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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2024 2025 Private Scholarship Confirmation Form
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Form for students to document external scholarships and grants received for the 2024-2025 academic year at Wisconsin Lutheran College.
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2024 25 Small Grants Fund (SGF) Application Form
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Grant application for community development initiatives addressing poverty-related issues in the Chalmers neighbourhood, offering up to $2,500 in funding.
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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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2024 2026 FAIR Fellowship Job Description
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A unique 18-month fellowship for new attorneys to work in employment justice, supporting diversity in the legal profession through placements at Legal Aid at Work and a CELA-affiliated firm.
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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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Carnegie Mellon University CAT 1 WW Core Plan
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Comprehensive health insurance plan detailing maximum benefits, in-patient and out-patient coverage for university participants.
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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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Risk Assessment Form
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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
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WakeMed Urgent Care Patient Intake Form
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Interview guide for leadership staff at Santa Rosa Community Health Center to assess HIV testing project implementation and outcomes
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Form for ADAP-Rx clients to request medication supply while traveling outside Alabama for up to 90 days.
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Form for providers to request a 90-day waiver for claims submission to MassHealth outside standard time limits.
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HUD 92403 CA Requisition For Disbursement Of Funds
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Official U.S. Department of Housing and Urban Development form for requesting disbursement of capital advance funds for housing projects.
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HUD 92403 CA Requisition For Disbursement Of Funds
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Official U.S. Department of Housing and Urban Development form for requesting disbursement of capital advance funds for housing projects.
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Instructions for reporting a change of ownership for Medicaid-enrolled facilities or groups within 30 days of the change or sale.
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Alabama Medicaid Referral Form
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Form 362 Alabama Medicaid Referral Form
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Packet For Qualifying Income Trust
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Alabama Medicaid AgencyS Recipient Change Report Form
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Form for patients to provide personal information and insurance details for medication rebate program for REMICADE and Infliximab.
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Form 193 Alabama Medicaid Agency Sterilization Consent Form
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Legal consent form for medical sterilization procedure, detailing patient rights and informed consent requirements.
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Sterilization Consent Form Detailed Instructions Guide
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Form 392 Alabama Medicaid Pharmacy Patient Consent Form Hepatitis C Agents
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Asha For Education Fellowship Application Form
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Application form for fellowship by an agricultural professional focused on organic farming and community development
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WakeMed Urgent Care Patient Intake Form
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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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Medical examination form for commercial vehicle drivers to assess physical fitness for driving.
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Advancing Access Patient Information Form
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Comprehensive form for collecting patient personal information, contact preferences, and insurance details for medical services.
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Asha For Education Fellowship Application Form
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Subscriber Claim Form
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Benefits Administration Letter 99 101
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Official guidance from the Office of Personnel Management addressing common documentation problems in Federal Employees Retirement System (FERS) applications and retirement claims.
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Questions And Answers About Virginia HousingS PDC Housing Development Grant
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A document providing clarification and guidance on the usage of Virginia Housing's PDC Housing Development Grant for affordable housing projects.
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Medical History Form
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Application form for medical professionals seeking a fellowship at IRCCS Istituto Giannina Gaslini's pediatric program.
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A10 Risk Assessment Policy
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Radionuclide Use Permit Cancellation Form
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Form used to document the final disposition of radioactive materials and closure of a radiation use permit at Indiana University.
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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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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
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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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Review Of Responses To Space Science And Global Health Questionnaire
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A document analyzing responses from states and organizations about using space science and technology for global health purposes.
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Medication Administration Authorization Form For Youth Camps In Maryland
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A form for authorizing medication administration and self-administration for children attending youth camps in Maryland.
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Access Assessment Centre Referral Form
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A referral form for mental health services targeting Vancouver residents, collecting comprehensive client information and assessment details.
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AACRN Recertification Application Form
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Application for recertification of nurses specializing in HIV/AIDS nursing credentials through AACRN certification process.
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THE AAFFABER YOUNG CONDUCTORS FELLOWSHIP APPLICATION FORM 2024
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Application form for the AAF Young Conductors Fellowship program for emerging conductors born in 1994 or later.
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Initial Approval Request Application
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Application form for obtaining institutional review board approval for research involving human subjects at the Fashion Institute of Technology.
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A Agreement Form
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A document outlining eligibility rules and requirements for students receiving A+ educational funding benefits at East Central College.
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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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Nursing (AAS) Transfer Request Form
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A form for students seeking to transfer into the nursing program at Virginia Western Community College, requiring detailed information and review of program policies.
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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
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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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Grant Request Budget Form
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Budget form for administrative grant funding for courthouse lactation room installations under AB196.
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Alberta Accident Benefits Initial Claims Process
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A comprehensive guide for filing insurance claims and accessing medical benefits after an automobile accident in Alberta, Canada.
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AB 288 Addendum To The College And Career Access Pathways Partnership Agreement
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An addendum to an existing partnership agreement between Los Angeles Unified School District and Los Angeles Community College District to facilitate college and career access pathways.
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AB CFCPAS 901 Senior Long Term Care Division Community Services Bureau Forms
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Comprehensive guide outlining required forms for provider agencies delivering Community First Choice and Personal Assistance Services.
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A Basic Guide To Grants, Program Design, Grant Writing For Grant Seekers
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A comprehensive guide to understanding grant types, funding sources, program design, and grant writing for higher education institutions.
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Elizabeth Abi Mershed Fellowship For Follow Up Of Recommendations Of Cases
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A fellowship established to honor Elizabeth Abi-Mershed's lifelong commitment to human rights and her contributions to the Inter-American System.
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Payroll Deduction Guide
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A comprehensive guide explaining how employees can contribute to ABLE United accounts through payroll deductions and the responsibilities of employees, employers, and the Plan.
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2024 CAPHSNI Annual Conference Sponsorship Offerings
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Conference sponsorship guide detailing sponsorship levels and benefits for California's public health care systems conference.
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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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Guidelines for psychiatry and neurology professionals to complete a Physician Performance Improvement (PIP) Feedback Module involving patient or peer evaluations.
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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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Annual Budget Plan
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Detailed budget plan for special education funding and expenditures for fiscal year 2019-20 by the California Department of Education.
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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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EMPLOYMENT APPLICATION
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Standard employment application form for job seekers applying to Absolute Energy, L.L.C.
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ACA SS PD Committee Guidelines
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Guidelines for managing professional development funds and activities for academic faculty, detailing eligible expenses and funding allocation.
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Treatment Service Request Form
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A form for healthcare providers to request and authorize prescription of Nuplazid medication, including patient and insurance information.
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Affordable Care Act (ACA) Health Insurance Payment AUTHORIZATION FOR VOLUNTARY PAYROLL DEDUCTION
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Authorization form for employees to voluntarily have health insurance premiums deducted from their paycheck under the Affordable Care Act.
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20162017 ACC 340 Internship Application Form
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Application form for students seeking to register for professional accounting internship course ACC 340, requiring specific eligibility criteria and documentation.
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Histology Submission Form
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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
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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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AccelerateTT Fund Invitation For Submission Of Proposals
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An invitation by the Hellenic Development Bank of Investments to participate in venture capital funds supporting technology transfer, research, innovation, and start-ups.
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Identification Information For Vaccine Recipients
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A comprehensive list of acceptable identification documents for verifying identity and eligibility for vaccine recipients.
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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
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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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Access To Medications By Underserved Populations Recommendations For Process Improvement
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A report providing recommendations for improving medication access and formulary processes for underserved populations.
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AMERICAN CERAMIC CIRCLE RESEARCH GRANT APPLICATION FORM
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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
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Instructions for submitting a disability insurance claim for loan protection coverage through American National Insurance Company.
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AccidentIncident Investigation Safety Guidance Document
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A comprehensive safety guidance document outlining procedures for investigating and reporting workplace accidents and incidents, including violent or aggressive events.
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Accident Incident Report Form
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A form used to document and report accidents or incidents involving students or employees in a healthcare education setting.
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Wenatchee School District Accident Prevention Program
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A comprehensive safety guide for Wenatchee School District employees to prevent workplace accidents and improve occupational safety awareness.
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Club Sports Accident Report Form
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A comprehensive form for documenting sports-related accidents and injuries for recreational sports participants
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Accident Report Form For Non Employees
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A form documenting details of accidents involving non-employees at Chadron State College, used for internal reporting and record-keeping.
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Accident And Injury Report Form
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A form for documenting workplace or academic accidents, injuries, and related details in a pathology setting.
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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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UVU Injury Accident Report Form
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A comprehensive form for documenting injuries and accidents occurring at Utah Valley University for students, employees, and visitors.
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Flamstead Pony Club Accident Reporting Protocol
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Comprehensive protocol for reporting accidents, injuries, and near misses during pony club activities, including documentation requirements and reporting procedures.
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AccidentIncident Reporting Form
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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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Request For Proposal (RFP) Automated Contract Creation, Implementation, Oversight
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Request for proposal by L.A. Care Health Plan seeking solutions for automated contract creation, implementation, and oversight processes.
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Anesthesiology Critical Care Medicine (ACCM) Fellowship Application
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Application for prospective approval of a two-year Anesthesiology-Emergency Medicine critical care medicine fellowship by the American Board of Anesthesiology.
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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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ACE Austin Alumni Scholarship Form
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A one-time $2,500 scholarship for former ACE Austin students pursuing higher education in related fields, with specific eligibility requirements.
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Employment Application
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A comprehensive employment application form for potential workers at Ace Hardware, collecting personal information, work availability, skills, and employment history.
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Surface Water Grant AIS Small Scale Population Management
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Grant award for a 3-year aquatic invasive species control project for Golden Lake covering the period from 2024-2026.
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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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CLAIM FORM
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A comprehensive insurance claim form for collecting detailed policyholder and incident information for processing an insurance claim.
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Incident Report Form
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A comprehensive form for reporting various types of incidents involving staff, members, guests, and program participants at the Abilities Centre.
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Patient Medical History Form
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Comprehensive medical history form for collecting patient health information, symptoms, and medical conditions.
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Quick Reference Guide MedicalBehavioral Health Providers
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A comprehensive guide for medical and behavioral health providers on claims submission, pre-authorization, and service procedures for Amida Care health plan.
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Medical Information
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A comprehensive medical form collecting personal health details for emergency preparedness at an event or track setting.
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ACTE And ACTEN Membership Form
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Membership registration form for joining the Association for Career and Technical Education (ACTE) and its state chapter ACTEN
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HEALTH ASSESSMENT FORM
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Confidential form for collecting medical history and potential health needs for students planning to study abroad.
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Active Choices Data Collection Checklist
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A comprehensive checklist for workshop leaders to manage registration, participant tracking, and data collection for Active Choices workshops.
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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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Reimbursement Or Advance Of Funds Agreement
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A government form for documenting financial agreements between agencies for service reimbursement or funds advancement.
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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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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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Settlement Agreement Between U.S. Department Of Health And Human Services And Florida Department Of
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Settlement agreement addressing civil rights compliance and accessibility for the Florida Department of Children and Families.
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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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Addendum Number 1 To Coordinating Institution Transfer Agreement
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An addendum modifying a previous transfer agreement between the Organization of American States and Fundao O Boticrio for biodiversity network activities.
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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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Vermont Advance Directive Registry Registration Agreement
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A legal document for registering advance healthcare directives with the Vermont Department of Health's registry system.
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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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Request For Proposals National Mortgage Settlement Funds
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Detailed budget proposal form for applicants seeking funds from the National Mortgage Settlement program, requiring comprehensive financial documentation.
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Mississippi State Board Of Medical Licensure Change Of Address Form
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Official form for updating contact and practice information for licensed medical practitioners in Mississippi.
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USER MAINTENANCE REQUEST FORM
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A form for adding, modifying, or deleting users for Blue e access by healthcare providers and entities.
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2009 ADEA Award And Fellowship Application Form For Allied Dental And Dental Educators And Dental Sc
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Comprehensive application form for various dental education awards and fellowships offered by ADEA and corporate sponsors in the dental field.
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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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Change In Billing Form And Procedure Code For ADHC Services
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Notification about changes to billing forms and procedure codes for Adult Day Health Care services in Louisiana Medicaid.
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Change In Billing Form For ADHC Services
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Notification for Adult Day Health Care providers about a change in billing forms and electronic claim submission requirements from UB-04/837I to CMS-1500/837P.
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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
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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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PSC CUNY Welfare Fund Adjunct Enrollment Form
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Health benefits enrollment form for adjunct faculty members at CUNY with dental and health plan options
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AdjustmentVoid Request Form
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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
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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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Summer Internship Application Form
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Application form for students seeking a summer internship at AdminaHealth, requiring candidates to be 18+ and submit a complete application package.
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Administrative Staff Promotion Request Form
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A form used to request and document the promotion of administrative staff members within an organization.
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Admission Agreement And Health Assessment
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Comprehensive form for child enrollment, medical history, emergency contacts, and health assessment for childcare or educational settings.
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ADULT FOSTER HOME ADMISSIONDISCHARGE STATEMENT
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Official form for documenting admission or discharge of clients into or from an adult foster home care facility.
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CSU, Chico School Of Nursing Admission Criteria, Point Distribution And Instructions
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Detailed guidelines for admission requirements and criteria for the CSU, Chico School of Nursing program, including prerequisite and co-requisite course specifications.
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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
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A comprehensive form for collecting emergency contact, medical information, and release authorization for a minor participant.
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Adult Day Services Inquiry Form
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An intake form for individuals seeking adult day services in Alexandria, Virginia, collecting participant and contact information.
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Cooper University Hospital Volunteer Program Adult Volunteer Application Form
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Application form for adults interested in volunteering at Cooper University Hospital, capturing personal details, skills, and volunteer preferences.
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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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FMLA ADULT CHILD DISABILITY MEDICAL INQUIRY FORM
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Medical documentation form to verify disability status of an adult child for FMLA leave purposes in New Mexico.
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Informed Consent Document Template
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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
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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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General Consent To Treat Adult
PDF template
A document outlining the rights of competent adults to make informed medical treatment decisions and the procedure for obtaining consent for medical procedures.
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Florida Department Of Health, Hernando County Medical History Form
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A comprehensive medical history form documenting patient's past medical conditions, family history, surgeries, and health status.
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Adult HIV Confidential Case Report Form
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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
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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
PDF template
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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FO002 Adult Medical History
PDF template
Comprehensive medical history form capturing patient's personal health information, medical background, and preventive health practices.
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Adult Medical Release Form
PDF template
Medical and liability release form for participants in Diocese of Little Rock youth ministry events
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Adult Medical Release Form
PDF template
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
PDF template
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 BEMAS medical aid scheme.
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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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Palliative Care Application Form
PDF template
Application form for palliative care through the Advanced Illness Benefit for cancer or non-oncology conditions.
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Optional Advance Health Care Directive
PDF template
A legal document allowing elderly individuals to designate a health care agent to make medical decisions on their behalf.
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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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Advance Directive
PDF template
A comprehensive document for appointing a medical decision-maker and outlining end-of-life medical treatment preferences.
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Health Care Proxy And MOLST Form Guidelines
PDF template
Document explaining health care proxy guidelines and Medical Orders for Life-Sustaining Treatment (MOLST) in New York State for end-of-life care decision making.
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Vermont Advance Directive For Health Care
PDF template
A legal document allowing individuals to specify health care preferences and designate a health care agent for medical decision-making when they are unable to make decisions themselves.
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Legal And Practical Aspects Of Advance Directives And Powers Of Attorney
PDF template
A comprehensive overview of legal documents that allow individuals to grant authority to others for financial, personal, and healthcare decision-making in cases of incapacity.
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Legal And Practical Aspects Of Advance Directives And Powers Of Attorney
PDF template
A comprehensive overview of legal documents that allow individuals to grant authority to others for financial, personal, and healthcare decision-making in case of incapacity.
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Maryland Advance Health Care Directive
PDF template
A legal document that allows individuals to specify their healthcare preferences and medical care wishes in advance, particularly when they cannot communicate for themselves.
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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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Utah Advance Health Care Directive
PDF template
A legal document allowing individuals to specify healthcare preferences and designate a healthcare agent for medical decision-making.
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Advantage Plus Enrollment Form
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Enrollment form for Kaiser Permanente Medicare Advantage optional supplemental benefits package in the Mid-Atlantic States Region.
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Incident Report Form
PDF template
A comprehensive form for reporting medical incidents, adverse events, and product problems by healthcare organizations.
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ADVISOR AGREEMENT FORM
PDF template
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
PDF template
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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Vermont Advance Directive For Health Care
PDF template
A legal document that allows individuals to specify health care preferences and appoint a health care agent for medical decision-making.
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GUIDING PRINCIPLES CHECKLIST For Evaluating Evaluations
PDF template
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
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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
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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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2022 2025 Investment Management Agreement
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A three-year investment framework agreement describing performance metrics and funding conditions for Athabasca University's Base Operating Grant.
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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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Commercial Prescription Drug Claim Form
PDF template
A form for submitting prescription drug claims to Aetna Pharmacy Management for reimbursement or processing.
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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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Arizona Interscholastic Association Annual Preparticipation Physical Evaluation
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ALF Admission Check
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Confidential Patient Health Record
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Springfield Platteview Community Schools Health Examination Form
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NSERC Alliance Grants
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Authorization To Release And Disclose Patient Information
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Pre Authorization Checklist For Acute LymphocyticLymphoblastic Leukemia
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Accident Coverage Claim Form
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ALS Focus Consent Form
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ALSPAC DATA ACCESS AGREEMENT
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Blue Cross Medical Travel Benefit Claim
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Ferris State University Michigan College Of Optometry Alternate Site Application Survey Form
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Bethel Alumni Association Faculty Grant Information
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Alumni Survey Form
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Baseline Electronic Case Report Form (ECRF) Packet
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AAO HNSF 2022 Annual Meeting OTO Experience Call For Science Submission Guidelines
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Amahoro Coalition Offline Fellowship Application Form
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City Of Waupaca Dental Amalgam Program Annual Report
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American Medical Association Terms Conditions
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AMERICAN CLUB PRE EMPLOYMENT MEDICAL EXAMINATION FORM2019
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AMG Requisition Form
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MAR Research Project Award
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Animal Incident Report Form
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Animal Location Inventory
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Animal Transfer Request Form
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Pathways Fellowship Application Handbook Instructions
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Activity Based Risk Assessment Form
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Continuation Of Review Of Approved Project Form
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Annual Health Evaluation Form
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Annual Health Assessment Form
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Form for documenting annual inventory of controlled substances at Michigan State University locations.
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Annual Physical Examination Form
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Annual Professional Activity Report
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Submission Form
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PhD Student General Requirements
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Auxiliary COVID 19 High Risk Assessment Form
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RFQRFP For Museum Development Consultant
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Request for qualifications and proposals for a museum development consultant project in a preliminary stage of planning.
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Wenner Gren Foundation For Anthropological Research Dissertation Fieldwork Grant Application
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Member Claim Form
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Prescription Reimbursement Claim Form
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Medical Insurance Claim Form
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Medical Claim Form
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Dental Claim Form
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Official form for submitting dental insurance claims and treatment documentation to dental benefit plans.
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Medical Claim Form
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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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PPO Dental Blue Complete
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Comprehensive dental insurance plan offering flexible network options and preventive care coverage for active and retired police association members.
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Short Term Disability Claim Form
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Medical Claim Form
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Out Of Network Vision Services Claim Form
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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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Texas Department Of Insurance, Division Of Workers Compensation Adopted Amendments To Chapter 133
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Amendments to medical billing forms and procedures for the Texas workers' compensation system, specifically updating electronic billing and pharmacy claim forms.
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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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2020 AOSIS Climate Change Fellowship Application Form
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Application form for a fellowship program focused on climate change, targeting government representatives from AOSIS member countries.
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2017 APAIS Atlantic Intercept Form
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Doctoral Advisory Committee Membership
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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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Lab Requisitions
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Guidance for healthcare professionals on properly completing laboratory requisition forms to ensure accurate and timely medical testing and communication.
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Medical Information Release Form
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Prescription Transfer Request Form
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A form for transferring prescription medications between pharmacies at the University of Colorado Health Center.
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Institutional Review Board Proposal
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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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Quality Assessment Form For Systematic Reviews (AMSTAR)
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A comprehensive checklist for evaluating the quality and methodology of systematic review 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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DEQ Nonpoint Source Grant Cycle For FY2024 Round 2
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Detailed instructions and timeline for submitting grant applications to the Department of Environmental Quality for nonpoint source pollution reduction funding.
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Business Growth Accelerator (BGA) Proposed Program Budget Form
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A detailed budget form for program income, funding sources, and expenditures for the Business Growth Accelerator program.
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Appendix C Sample Letter To Parents
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Informational letter to parents about free H1N1 flu vaccination for students at a school-based clinic.
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Sharps Inventory
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Form for documenting and reviewing medical sharps devices to ensure workplace safety and compliance with the Needlestick Safety and Prevention Act.
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Appendix E Grant Disbursement And Compliance Form
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A form for grantees to submit compliance reporting data and documentation to receive grant funds from MEDC.
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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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RAMAPO COLLEGE OF NEW JERSEY COMMON APPLICATION FORM
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Application form for faculty members seeking internal funding for professional development, sabbatical, or scholarship support at Ramapo College.
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Instructions For Cost Reimbursement Budget Form And Budget Narrative
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Detailed guidelines for First 5 LA grantees on completing budget forms and budget narrative documentation for cost reimbursement agreements.
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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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APPFA Application Form
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Advanced Practice Provider Fellowship Accreditation Application Form
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Application form for advanced practice provider fellowship programs seeking initial or renewed accreditation through the American Nurses Credentialing Center.
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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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Applicant Re Interview Request Form
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Form for electrical construction apprenticeship candidates to request a re-interview after gaining work experience or additional education.
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CINTAS Fellowship Application Form 2021 2022
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A comprehensive application form for artists seeking a fellowship, requiring personal, professional, and artistic details.
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Eddings Opportunity Grant Application Form
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Application form for students seeking funding for academic projects or activities through the Eddings Opportunity Grant.
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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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United Way Of Abilene Application For 2022 Community Impact Funds
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Application for funding cycle from January to December 2022 by United Way of Abilene for community programs in education, financial stability, and health.
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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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Application For Employment
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Standard job application form designed to collect personal and professional information from job candidates with equal opportunity employment statements.
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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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Teatimers Job Application Form
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Comprehensive employment application form for collecting personal, professional, and educational details from job applicants.
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Caselberg Trust Margaret Egan Cities Of Literature Writers Residency Application Form For 2023
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An application form for writers seeking a residency through the Caselberg Trust Margaret Egan Cities of Literature program in 2023.
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World ORT Job Application Form
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Universal Service Request Form
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AUTHOR CONTRIBUTION FORM
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AUTHOR CONTRIBUTION FORM
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AUTHOR CONTRIBUTION FORM
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Williamson County Schools Medication Authorization Form
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Williamson County Schools Procedure Authorization Form
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UHIPAA AUTHORIZATION FORM
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HIV Related Information Release Authorization Form
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AUTHORIZATION TO RELEASEOBTAIN PROTECTED HEALTH INFORMATION
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A form for authorizing the release or obtaining of patient medical records from Children's Healthcare of Atlanta
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Authorization For The Administration Of Medication By Child Day Care Personnel
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Medical Release Form Instructions
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Authorship Agreement Form
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Authorization For Release Of Patient Health Information
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The Autism Center Clinical Referral Form
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Autism Emergency Contact Form
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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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Sterilizer Monitoring Service Order Form
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Medical equipment sterilization testing service order form for documenting sterilizer details and processing payment for test kits.
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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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Automated Medication System Survey Form
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Official survey form for inspecting automated medication systems in pharmacies, focusing on compliance, testing, and quality assurance.
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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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Auxiliary COVID 19 High Risk Assessment Form
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Form to assess Coast Guard Auxiliary personnel's medical risk during the COVID-19 pandemic for duty assignment purposes.
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Henry County Hospital Foundation Auxiliary Membership
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Form for joining the Henry County Hospital Foundation Auxiliary as a member with annual or lifetime options.
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AV800 NMR Use Approval Form
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Avera EConsult Assessment Form
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Service Availability Patients Right To Know
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Policy outlining hospital services for end-of-life, reproductive, and LGBTQIA+ care in compliance with Colorado law.
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Hasselmeyer Award For Research Initiatives Nomination Form
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The Society Of In Vitro Biology AWARD NOMINATION FORM
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RADM Faye G. Abdellah Publication Award Nomination Form
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Animal Workers Medical Surveillance Consent For Medical ScreeningEvaluation
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Dependent Care Claim Form
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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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Copley Hospital, Inc. FY2019 Proposed Budget Salary Information
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Detailed salary range analysis for Copley Hospital staff, including compensation data and benchmarking information for fiscal year 2019.
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Breakfast After The Bell Equipment Grant Application Form
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UCCS BACJ Internship Application
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My Choice Wisconsin BadgerCare Plus Authorization Form
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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
PDF template
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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Business Affairs Funding Request Form
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Internal form for requesting non-position-related funding for special projects, contracts, or emergencies.
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Balfour Fellowship Application Guide
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Guide for fraternity and sorority members applying for graduate or professional degree fellowships for the 2020-2021 academic year.
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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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Bank Withdrawal Pre Authorization Form
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Form for authorizing monthly bank draft for premium payment to Farm Bureau Advantage HMO health plan
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Botulinum Neurotoxin Preclinical Testing Submission Form
PDF template
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
PDF template
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
PDF template
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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Basic Budget Form
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A financial document for breaking down project costs, requesting funds, and detailing matching funds sources.
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BASIC DETAILS FOR CLAIMING MEDICAL INSURANCE, 2018
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Document outlining medical insurance coverage details and claim procedures for Tata Institute of Social Sciences students
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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
PDF template
A comprehensive form for reporting incidents and injuries at public bathing facilities, including water rescues and medical treatments.
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UCF Counseling Psychological Services Billing Form
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A billing and authorization form for counseling services at University of Central Florida, used to document service verification and release of confidential information.
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BBSRC Standard Research Grant
PDF template
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
PDF template
Healthcare enrollment form for collecting patient contact, demographic, and service needs information.
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Sport Injury Accident Report Form
PDF template
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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BASIC CARE AND ASSISTED LIVING GUIDE FOR IMPLEMENTATION OF TRANSFER OR DISCHARGE REQUIREMENTS
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Guidelines for developing and completing transfer or discharge notices for basic care and assisted living facilities.
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Patient Insurance Information Form
PDF template
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
PDF template
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
PDF template
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
PDF template
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
PDF template
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
PDF template
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
PDF template
A claim form for submitting medical expenses to Blue Cross and Blue Shield of Alabama for reimbursement.
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Member Reimbursement
PDF template
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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Prescription Drug Claim Form
PDF template
A form for submitting prescription drug claims, allowing members to request reimbursement for pharmacy expenses.
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Western Carolina University Base Camp Cullowhee Health And Medical Form
PDF template
A health screening form for participants in outdoor activities, collecting medical history and emergency contact information.
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Employment Application
PDF template
A comprehensive employment application form for job seekers interested in positions at Benedict College in Columbia, SC.
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Batten College Of Engineering And Technology Diversity Graduate Fellowship
PDF template
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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GENERAL EMPLOYMENT APPLICATION
PDF template
Comprehensive employment application for job seekers, collecting personal information, employment history, and educational background.
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My Benefit Plan Summary
PDF template
Comprehensive healthcare benefit plan summary for SEIU Clerical Employees detailing coverage limits and medical benefits.
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My Benefit Plan Summary
PDF template
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
PDF template
A comprehensive laboratory testing request form used by healthcare providers to submit patient specimens for clinical testing in Alabama.
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Member Billing Form
PDF template
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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Texas Tech University Health Sciences Center El Paso Billing Compliance Policy
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Policy defining the process for monitoring medical coding accuracy and ensuring ethical reporting of medical service codes.
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Billing Compliance Policy
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Policy defining the process for monitoring medical coding accuracy and ensuring ethical reporting of medical service codes.
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LCA RA Procedures For Conducting Research And Surveys In City Schools And Obtaining Data
PDF template
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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CCAA Audit Form
PDF template
A form for anesthesia assistants to document and submit continuing professional development (CPD) credits for maintaining CCAA designation.
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BCS Fellow (FBCS) Application Guidance For OMs
PDF template
Comprehensive guidance for professionals applying to become a BCS Fellow, detailing application requirements and criteria.
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MEETING ATTENDANCE ALDPWC Form 2 Rev 112022
PDF template
A form for documenting attendance at various support group meetings for dental professionals
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BDIAP Glasgow 2020 Educational Fellowship Application Form B
PDF template
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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Mental HealthSubstance Use Treatment Claim Form
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A claim form for submitting mental health and substance use treatment services to Beacon Health Options for reimbursement.
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Physical Examination Form
PDF template
A comprehensive medical form for documenting a student's physical health assessment by a healthcare provider.
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Ancillary Order Form
PDF template
A medical form for ordering orthotic services, therapy, and documenting patient diagnostic information.
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CHANGE OF STATUSTRANSFERDISCHARGE FORM
PDF template
A state form for documenting changes in status for long-term care residents, including transfers, discharges, and service modifications.
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DLTSS Payment For Recruitment, Retention, And Training Programs (RRTP) FAQ
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Frequently asked questions about recruitment, retention, and training program payments for case management agencies in New Hampshire.
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DLTSS ARPA Questions For FAQ
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Frequently asked questions about ARPA funding and guidelines for recruitment, retention, and training of direct care workers in New Hampshire.
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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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Becoming A WIC Vendor
PDF template
A guide explaining the WIC program and how retailers can become authorized WIC vendors in Rhode Island.
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COVID 19 BUSINESS SUSTAINABILITY CONTINUITY FUNDING PROGRAMME APPLICATION FORM
PDF template
Application form for small and medium businesses seeking financial support during the COVID-19 pandemic through direct micro loans and grants.
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Loan Agreement (Powergrid System Development Project)
PDF template
Loan agreement between the International Bank for Reconstruction and Development and Power Grid Corporation of India Limited for a system development project.
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Behavioral Health Service Request Form
PDF template
Healthcare form for requesting behavioral health services and treatment authorization from Molina Healthcare of Texas.
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Belcher Journal Evaluation Form
PDF template
A comprehensive form for evaluating and assessing academic journal characteristics, quality, and publishing metrics.
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Beltane Public Engagement Fellowships Application Form
PDF template
Application form for researchers seeking public engagement fellowship opportunities with the Beltane Network in Edinburgh.
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M NCPPC BENEFITS ENROLLMENTCHANGE FORM
PDF template
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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Benefits Cancellation Form
PDF template
Form for employees to cancel or modify health, dental, and life insurance benefits with Haverhill Public Schools.
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Summary Of Employee Benefits
PDF template
Comprehensive guide detailing health insurance and benefit options for employees of the Research Foundation for Mental Hygiene, Inc.
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Benefits Enrollment Form
PDF template
A comprehensive form for employees to select and enroll in medical, dental, and optional insurance benefits
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Benefit Cost Analysis For Grant Applications
PDF template
A comprehensive form for evaluating and documenting grant proposal details, benefits, costs, and funding parameters.
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Blind Vendor Health Insurance Reimbursement Form
PDF template
A form for blind vendors to request reimbursement for medical services and expenses.
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BOISE FIRE DEPARTMENT MEDICAL RELEASE FORM
PDF template
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
PDF template
A form for transferring health savings account assets from a previous trustee/custodian to Benefitfocus Account Services HSA.
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Discharge Form
PDF template
A form used to document and track patient discharge details for behavioral health clinical services.
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Bhp Billiton Job Application Form
PDF template
Employment application document for job seekers interested in positions at BHP Billiton, a global mining company.
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Patient Medical History Form
PDF template
Comprehensive medical history form collecting patient's personal health information, medical history, symptoms, and current health status.
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Rezoning And Provisional Use Permit Application Requirements
PDF template
Comprehensive guide detailing required documentation and process for rezoning, conditional rezoning, and provisional use permit applications in Henrico County.
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BHSORUK Research Fellowship Application Form 2022
PDF template
A comprehensive application form for research fellowship candidates in orthopaedic research, detailing project proposal and candidate qualifications.
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FederalDOT Testing Form
PDF template
Comprehensive medical screening and drug testing form for transportation workers requiring federal agency compliance.
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TELEHEALTH CONSENT FORM FOR MENTAL HEALTH SERVICES
PDF template
A consent form detailing the terms, risks, and responsibilities for receiving mental health services via telehealth technology.
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Biden Harris Administration Highlights Key LGBTQI Progress At HHS
PDF template
A document highlighting the U.S. Department of Health and Human Services' recent policy advancements for LGBTQI+ equity and non-discrimination in healthcare services.
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Section BF Bid Form Frenchtown Charter Township Multi Facility Site Development
PDF template
Bid proposal document for construction of two municipal facilities in Frenchtown Charter Township, Michigan.
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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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Biodiversity Investment Fund (BIF) Stage 2 Application Help Notes
PDF template
Guidance document for completing the Stage 2 application for the Biodiversity Investment Fund, providing instructions and application process details.
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Biomedical Informatics, Genomics And Translational Cancer Research Training Program (BIG TCR) Postdo
PDF template
Application form for postdoctoral fellows in biomedical informatics, genomics, and cancer research training program
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Workplace Violence Specific Risk Assessment Form
PDF template
A comprehensive form designed to help employers identify and assess potential workplace violence risks in medical office environments.
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Billing 101 What You Need To Know
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A comprehensive guide addressing billing, reimbursement, and professional practice considerations for athletic trainers seeking third-party payor reimbursement.
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Billing Form For In Home Supportive Services
PDF template
A form for victims to request reimbursement for in-home supportive services related to a crime-related injury.
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Sliding Fee Scale Eligibility Form
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A form for determining discounted medical service eligibility based on household income and family size at Generations healthcare facility.
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Billing FormResearch
PDF template
Form for requesting payment and invoicing for research-related expenses from a funding organization.
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Bill To Form
PDF template
A form for billing and contact information for development services projects in the City of Bellevue.
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APPLICATIONS FOR NORTHERN AFRICA POSTDOCTORAL WRITING FELLOWSHIPS
PDF template
Funding opportunity for early career scholars to support writing research on Northern Africa in humanities and social sciences.
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GENERAL PHYSICAL EXAMINATION FORM FOR CHILDREN AND OTHER ADULTS IN THE FOSTER ANDOR ADOPTIVE HOME
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A medical examination form for documenting the health status of children and adults in foster or adoptive care settings.
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Histology Service Request Form
PDF template
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
PDF template
Comprehensive form for documenting biological agents and hazardous materials used in research and laboratory settings.
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Biological Agent Inventory Form
PDF template
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
PDF template
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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UH IBC Biological Laboratory Incident Report Form
PDF template
A comprehensive form for reporting biological incidents, injuries, or near misses in a laboratory setting, requiring documentation within 24 hours.
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Oncology Prescription Referral Form
PDF template
A comprehensive form for submitting oncology patient prescription details, insurance information, and clinical data for medication authorization.
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Patient Intake Form
PDF template
Comprehensive medical form for collecting patient personal, contact, medical, and insurance information with consent authorization.
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Harvard University Biosafety Manual
PDF template
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
PDF template
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
PDF template
Legal document releasing the Bermuda Institute of Ocean Sciences from liability during scientific, research, or recreational activities.
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Medication Order Form
PDF template
A comprehensive form for patients to provide medical information, contact preferences, and medication order details for Birdi pharmacy services.
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Cover Sheet For Birth Parent Medical History Form
PDF template
A form for capturing medical history information for adopted children's birth parents by the Missouri Department of Health and Senior Services.
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Providing Effective Compliance Education
PDF template
A presentation on strategies for effective compliance education in healthcare organizations, focusing on OIG guidance and educational techniques.
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Student Internship Handbook
PDF template
A comprehensive handbook providing guidelines, procedures, and forms for student internships in the Business & Information Systems Department.
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BL 2 Laboratory Inspection Form
PDF template
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
PDF template
A form authorizing The Viva Center to charge credit card for services with pre-approved billing parameters.
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Grant Application Form
PDF template
Application form for organizations seeking grants from Texas Pride Impact Funds focused on supporting LGBTQ+ communities.
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PATIENT INTAKE FORM
PDF template
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
PDF template
Purchase order request form for UCLA Ecology & Evolutionary Biology department for procurement of items or services.
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Official Travel Request Form
PDF template
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
PDF template
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
PDF template
A form documenting blood or body fluid exposure incidents for students, tracking medical testing and follow-up procedures.
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Bloodborne Pathogen Exposure Follow Up Form
PDF template
Comprehensive checklist for managing and documenting employee exposure to bloodborne pathogens in a healthcare setting.
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Bloodborne Pathogens Exposure Control Plan
PDF template
A comprehensive plan to protect employees from potential blood and infectious material exposure, complying with OSHA standards.
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Bloodborne Pathogens Exposure Control Plan
PDF template
A comprehensive plan to minimize employee exposure to bloodborne pathogens and comply with OSHA standards.
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Blood Drive
PDF template
Blood donation drive organized by American Red Cross at Mt. San Antonio College to collect blood donations.
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TEST REQUEST
PDF template
A comprehensive medical test request form for collecting patient information and specifying various laboratory tests to be performed.
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BLOOD REQUISITION FORM
PDF template
A form used by hospitals to request blood from the Indian Red Cross Society Blood Bank with detailed instructions and patient information requirements.
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Health Insurance Claim Form
PDF template
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
PDF template
A comprehensive medical insurance claim form for collecting patient and insurance information for medical service reimbursement.
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Member Claim Form
PDF template
A comprehensive medical claim form for submitting healthcare service expenses to Anthem Blue Cross insurance.
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Enrollment And Change Form
PDF template
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
PDF template
A comprehensive medical history form for students to document personal health information and medical background.
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Mail Service Order Form
PDF template
A form for ordering and refilling prescriptions through mail service, with specific instructions for Medicare D members.
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Blue View VisionSM Reimbursement Form
PDF template
A form for submitting out-of-network vision care service reimbursement claims to Blue View Vision insurance.
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Sul Ross State University Bacterial Meningitis Vaccination Compliance Form
PDF template
Mandatory form for students to demonstrate compliance with bacterial meningitis vaccination requirements for university enrollment.
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Board Roles And Responsibilities
PDF template
Comprehensive document outlining roles, responsibilities, and duties for board members of a Women in Healthcare chapter organization.
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PATIENT INTAKE FORM
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A comprehensive medical form for eye care patients to document health history, symptoms, and current vision status.
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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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BondMylar Applicant Contact
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Form for capturing contact information of the primary applicant and an alternate representative for a subdivision project's bonding and document review process.
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Volunteer Application Form
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Comprehensive application form for individuals interested in volunteering with a Home Health & Hospice organization, collecting personal, contact, and volunteer preference information.
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Termination Of Membership Form
PDF template
A form for members to officially resign from the Bonitas Medical Fund and terminate their medical scheme membership.
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BON Safe Harbor Quick Request Form
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A form for nurses to request a nursing peer review committee determination when refusing an assignment due to professional concerns.
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Booking Form Dento Legal Essentials The Four Cs
PDF template
Registration form for a professional dental legal course covering consent, confidentiality, communication, and complaints handling.
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Simulation Lab Booking Request Form
PDF template
A form for booking clinical simulation learning spaces at the Centre for Interprofessional Clinical Simulation Learning.
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Sponsorship Booking Form
PDF template
A form for organizations to provide financial sponsorship for an EMBL event, including sponsorship details, payment terms, and logo usage rights.
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Book Order Form
PDF template
Order form for a commemorative book about the Michigan Society of Thoracic and Cardiovascular Surgeons' history.
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ParentalGuardian Consent Form
PDF template
A consent form for parents/guardians to authorize minors under 18 to apply for a student pharmacy technician registration in Idaho.
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Bornblum Travel Proposal Form
PDF template
A comprehensive travel request form for academic travel, documenting conference, research, and instructional commitments.
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Lower Gwynedd Township Board Of Supervisors Regular Meeting Minutes
PDF template
Minutes documenting a regular meeting of the Lower Gwynedd Township Board of Supervisors discussing grant funding opportunities and local governance matters.
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Application For Employment
PDF template
Standard employment application form for job seekers seeking positions at The Office BOSS, Inc.
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Guidance For Working With Boston HealthNet Community Health Centers (CHCs) On INSPIR Studies
PDF template
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
PDF template
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
PDF template
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
PDF template
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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BoundaryCare Configuration Form
PDF template
A form for specifying configuration details for BoundaryCare equipment package with device and service options.
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License Authorization Form
PDF template
A form for medical facilities to authorize product ordering and certify licensing for prescription drugs, medical devices, and controlled substances.
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Parent Home Training Intake Form
PDF template
A project to create an accessible intake form for families of children diagnosed with Autism Spectrum Disorder, focusing on family strengths and goals.
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Camp Medical Form
PDF template
A medical form for parents/guardians to provide health information and medical history for children attending summer camp.
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SNFS Notice To A Physician Treating A Beneficiary In A Medicare Part A Stay (Sample Notification 4)
PDF template
A form for physicians to document technical and professional services provided to Medicare Part A patients in a skilled nursing facility, related to consolidated billing requirements.
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Blood Pressure Self Monitoring Program Health Care Provider Referral Form
PDF template
A referral form for healthcare providers to enroll patients in a blood pressure self-monitoring program through Michigan YMCAs.
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Application For Grant Funding
PDF template
A grant funding application for non-profit organizations, schools, or teams seeking financial support from the Bridgeport Field of Dreams Foundation.
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ORIOLES LEASE AGREEMENT
PDF template
A lease agreement between the Maryland Stadium Authority and the Baltimore Orioles for Camden Yards, including potential ground lease and development options.
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AMWA Branch Annual Report Form
PDF template
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
PDF template
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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Consent To Treat Form
PDF template
A medical form authorizing treatment, information release, and benefit assignment for medical services at a healthcare facility.
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Breastfeeding Supplies Inventory Form
PDF template
A form for tracking issuance and return of breastfeeding supplies and breast pumps at local agency sites.
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Accessing Breast Pumps For L.A. Care Members
PDF template
Guidance for L.A. Care members on obtaining pre-authorized breast pumps through the healthcare provider's utilization management process.
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Bernard Ben Brenman Archaeology In Alexandria Award Nomination Form
PDF template
A nomination form for recognizing outstanding contributions to archaeological preservation and research in Alexandria, Virginia.
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Patient Medical Referral Form
PDF template
Comprehensive medical referral form capturing patient demographics, diagnostic information, and key health metrics
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Medi Cal To Healthy Families Bridging Consent Form
PDF template
A consent form allowing transfer of Medi-Cal case file information to the Healthy Families Program for low-cost health coverage for children.
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Patient Intake Form
PDF template
Comprehensive form for collecting patient and family medical contact information for pediatric medical practice.
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The ADA In The Healthcare Setting
PDF template
A comprehensive overview of the Americans with Disabilities Act (ADA) applications in healthcare employment and service settings.
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Employment Application
PDF template
A comprehensive form for job applicants to provide personal, educational, employment history, and reference information.
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Brochure Order Form
PDF template
Form for requesting informational brochures from Alabama Public Health, available in English or Spanish for parents or workers.
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Broughton Graduate Fellowship
PDF template
A monetary award to honor advanced scholarly research by graduate students at Russell Sage College in various academic schools.
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BRYC Elite Academy Medical Release Form
PDF template
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
PDF template
A comprehensive consent and medical authorization document for participating in Scouting activities, covering emergency medical treatment and risk acknowledgment.
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BSLMC Ethics Binder
PDF template
A comprehensive guide to ethics consultation services, providing contact information and guidance for addressing ethical issues in patient care.
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2023 DIRECTED RESEARCH PROPOSAL FORM
PDF template
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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BTEC 255 Medical Billing Uniform Course Syllabus
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A comprehensive course syllabus for medical billing, covering procedures, professional skills, and insurance claim processing.
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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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Budget 101 Workshop
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A comprehensive workshop detailing the budget development process, fund types, and financial management for a university.
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NEA Application
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A detailed budget application form for requesting funds from the National Endowment for the Arts, documenting project income and expenses.
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ORIGINALNEW BUDGET
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A form for establishing original or newly awarded budgets across multiple expense categories with multiple signature approvals.
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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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CCA GRANT APPLICATION BUDGET FORM
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A comprehensive financial form for grant applicants to detail project income, expenses, and funding request from CCA.
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Budget Form Instructions
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Detailed instructions for completing a budget form for grant applications from Maryland Humanities, including eligible and ineligible expenses and matching fund requirements.
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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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F. BUDGET FORM
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Budget form detailing income and expenses for a teen mentoring program, including funding request from the Sisters of Charity Foundation.
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Potomac College Proposed Budget
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Budget proposal for Potomac College's Title I Perkins Grant for fiscal year 2018, detailing proposed expenditures across various categories.
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National Historical Publications And Records Commission Budget Form
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A comprehensive budget form for submitting project costs to the National Historical Publications and Records Commission.
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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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SAMHSA Budget Guidance
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Comprehensive budget guidance document providing detailed instructions for budget preparation and cost management for SAMHSA funding recipients.
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Budget Information And Instructions
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Comprehensive guide for preparing budget documentation for National Endowment for the Humanities (NEH) grant applications.
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Columbia Kootenay Cultural Alliance Application Package 6 Major Projects Arts Culture Project Appl
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Budget application form for cultural projects seeking funding from the Columbia Kootenay Cultural Alliance (CKCA)
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Columbia Kootenay Cultural Alliance Application Package 2 Minor Capital Arts Project Application Fo
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Budget application form for arts project funding from the Columbia Kootenay Cultural Alliance, detailing project revenues and expenses.
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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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Building Permit Application
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A comprehensive form for submitting building permit details for new residential or commercial construction projects.
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BUILDING HEALTH AND SAFETY RISK ASSESSMENT FORM
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A comprehensive form for identifying and assessing potential hazards and risks in a building environment.
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Building Permit Application Form
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Official form for submitting building permit applications to the City of Antioch Building Division, used to document project details and contact information.
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Owner Agreement Form Demolition Permit Delegated Authority Approval For Residential Properties
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A form detailing conditions and requirements for demolishing a residential property in Hamilton, Ontario, including replacement building stipulations.
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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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Aflac Dental Claim Form
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A claim form for submitting dental insurance details and patient information to Aflac.
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BUS100 Work Readiness
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A course focused on job market preparation, career goal setting, and workplace skills development for students.
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Business Associate Agreement Between Covered Entities
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A contract defining the responsibilities and obligations of business associates in handling protected health information (PHI) between covered entities.
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GLENVILLE STATE COLLEGE REQUISITION FORM
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A comprehensive form for requesting expenditures, events, and travel at Glenville State College.
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Business Interest Form
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A form for local businesses to participate in work-based learning opportunities with high school students through career exploration programs.
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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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Application Form
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Comprehensive employment application form for job seekers to provide personal, educational, and professional details.
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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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School Board Action Report
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Proposal to renew a three-year contract with Hobson's Naviance for college and career readiness software services for students in grades 6-12.
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Disclosure And Consent Form For Medical, Surgical, And Diagnostic Procedures
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A medical consent form for performing procedures on unemancipated minors, specifically designed for abortion services in Texas.
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Utah Code 26B 8 514 Standard Health Record Access Form
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A standardized form for patients or their representatives to request access to medical records in compliance with HIPAA regulations.
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Feedback Form
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A bilingual survey assessing individuals' understanding and intentions regarding health insurance coverage and preventive care services.
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Loan Number 3414 CR Basic Education Rehabilitation Project
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A loan agreement for financing a basic education rehabilitation project in Costa Rica, involving the World Bank and the borrowing country.
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Fellowship Application Form
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Application form for dental professionals seeking fellowship certification in implant dentistry through WhiteCap Institute
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Statement Of Deficiencies And Plan Of Correction
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Official document detailing survey findings and compliance plan for a healthcare facility following a complaint investigation.
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Utah Advance Health Care Directive
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A legal document allowing individuals to designate a health care agent and record medical care preferences when they cannot make decisions for themselves.
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AccidentIncident Investigation Recording Policy
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A comprehensive policy for recording, investigating, and reporting accidents, incidents, and near misses within an educational trust.
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Texas Immunization Registry (ImmTrac2) Minor Consent Form
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Consent form for registering a child's immunization records in the Texas Immunization Registry, allowing authorized entities to access vaccination information.
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Project Application Instructions
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Comprehensive instructions for completing the HUD CoC Project Application, including preparation steps and key requirements for funding applicants.
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Opinion Of Trustees ROD Case No. CA 0097
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A legal opinion addressing a dispute over prescription pre-authorization requirements for Viagra benefits under the Coal Industry Retiree Benefit Act.
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CalAIM Enhanced Care Management And In Lieu Of Service Provider Interest Form
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A form for healthcare providers to express interest in providing Enhanced Care Management and Community Supports services under the CalAIM initiative in California.
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EAP Case Activity And Billing Form (CAF 1)
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A comprehensive form for documenting and billing Employee Assistance Program (EAP) services, tracking participant information, services, and clinical assessments.
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Employment Application
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Job application form for potential employees seeking to work at Child Advocates of Fort Bend
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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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CAHC Provider Accreditation Application
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Application document outlining requirements for provider accreditation by CAHC, including legal authority, business registration, and compliance verification.
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CalAIM Enhanced Care Management CenCal Health Case Management Referral Form
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A referral form for Enhanced Care Management and CenCal Health Case Management services for Medi-Cal eligible members.
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Methodist Transplant Institute Center For Advanced Liver DiseaseLiver Transplant Referral Form
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Medical referral form for patients seeking liver transplant evaluation at Methodist Transplant Institute, requiring comprehensive patient and medical information.
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CAL Hiring Request Form
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An internal form used to request and approve hiring a new position within an academic department.
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Member Reimbursement Claim Form
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Detailed instructions for submitting a medical reimbursement claim to an insurance provider with guidelines for documentation and submission process.
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Cal OMS Administrative Discharge Form
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Administrative form for documenting client discharge from substance abuse treatment program with details on discharge status, drug use, and client information.
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CalOMS Standard Discharge Form
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Standardized discharge documentation form for tracking substance use disorder treatment progression and referral status.
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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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Caltrans District 1 Scholarship Application
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Scholarship application for students interested in pursuing a career in transportation, offered by Caltrans District 1 in Eureka, California.
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Non Disclosure Agreement
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A confidentiality agreement between a business entity and the Camden County Joint Development Authority for protecting proprietary information during potential project financing evaluation.
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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 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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Mountain View Summer Camp Blind Camp 2024 Medical Form
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Comprehensive medical history and health information form for blind and visually impaired campers attending 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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NYC Summer Camp Permitting Application Guidance
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Official guidance from NYC Health Department for summer camp operators detailing permit application requirements and COVID-19 related protocols for 2022.
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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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Camp Reynal 2015 Volunteer Staff Application Packet
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Application for volunteer staff at Camp Reynal, a summer camp program of the National Kidney Foundation
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Campus Ministry Fellowship Application 2024 2026
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Application instructions and form for campus ministry fellowship program with the Catholic Diocese of Richmond for 2024-2026 academic years.
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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 EXPORT SUBMISSION FORM
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A veterinary diagnostic laboratory form for submitting canine export health testing and documentation for international animal transportation.
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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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Alabama CANS Comprehensive Multisystem Assessment ADMH Certification Process
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A procedural document outlining certification, access, and confidentiality requirements for users of the Alabama Behavioral Health Assessment System (ABHAS)
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Emergency Contact And Privacy Practices (HIPAA)
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Document containing emergency contact information form and HIPAA privacy practices for patient medical records.
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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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Terra Capacity Building Grant Application Form
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A grant application form for K-12 schools and educational nonprofits seeking funding for innovative educational projects.
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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 Budget Request Form Sample
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A document used to request and document capital expenditure budgets for organizational projects and initiatives.
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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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Capital Equipment Evaluation Form
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A comprehensive form for requesting and evaluating capital equipment purchases across different organizational purposes.
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Capital Equipment Request Form
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A standardized form for collecting and approving capital funding requests at Milton Academy
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Capital Request Form
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Internal financial document for requesting capital funds and project approval within an organization
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CAPITAL REQUEST FORM
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A formal document for submitting and tracking proposed capital expenditures for equipment, furniture, and major investments not included in the operating budget.
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State University Of New York Capital Project Qualifications
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Guidelines for qualifying minor critical maintenance projects at State University of New York with specific criteria and budget constraints.
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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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Prescription Drug Claim Form
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A comprehensive form for submitting prescription drug claims, including standard, compound, and Medicare-related prescriptions and test kits.
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Billing Inquiry Form
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A form for patients to request fee waivers, reductions, or contest billing issues for healthcare services at CAPS (Counseling and Psychological Services).
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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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CAQH Committee On Operating Rules For Information Exchange Request For Review Of Possible Non Compli
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A formal document for filing complaints against CORE-certified entities for potential non-compliance with operating rules in healthcare information exchange.
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CARB Board Minutes
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Minutes from a board meeting discussing a low-interest loan program for small airports with less than 75,000 commercial enplanements.
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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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2024 Cardiac Sonography Clinical Manual
PDF template
A comprehensive guide for students and clinical instructors detailing the cardiac sonography program curriculum, clinical training, and educational approach.
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Request For Information From An Outside Health Care Organization
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A form for patients to request medical records from an outside healthcare organization, authorizing the sharing of protected health information.
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Vaccine Administration Consent Form
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A comprehensive form for documenting patient consent and medical eligibility for various vaccinations.
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Ambry Genetics Laboratory Test Order Form
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A comprehensive form for ordering genetic tests, capturing patient information, billing details, and research consent.
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CareASSIST Enrollment Form
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Enrollment form for patient support program offering personalized assistance for specific Sanofi medications and related support services.
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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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Oral Health Care Coordination And Effectuated Referrals
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A webinar discussing oral health care coordination and referral processes for various healthcare organizations.
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Living Will
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A legal document expressing an individual's end-of-life medical treatment preferences in case of terminal illness or incapacity.
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Career Exploration And Job Search Preparation
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Comprehensive list of websites and online resources for career exploration, job searching, and professional development.
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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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Home Health Care Authorization Request Form
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Form used to request authorization for home health care services with patient and medical 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 prescription medication order form for submitting medical information and medication details to Caremark mail service pharmacy.
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Mail Service Order Form
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A form for ordering prescription medications through CVS Caremark mail service with options for new and refill prescriptions.
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Mail Service Order Form
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A form for ordering prescription medications through CVS Caremark mail service pharmacy, allowing patients to submit new prescriptions and refills.
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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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Caries Risk Assessment Form (0 5)
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A comprehensive form to evaluate a child's risk of tooth decay using criteria developed by the American Dental Association.
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Industry Membership Agreement (Std)
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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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Case Management Referral Form
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A referral form for case management services for patients with complex medical or behavioral health conditions.
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Consent Form For Case Reports
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A consent form for patients to authorize publication of medical information in journals or theses while maintaining patient anonymity.
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Case Submission Form Request For Service
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A form for submitting DNA samples to the Dr. Jane Huffman Wildlife Genetics Institute for scientific analysis and identification.
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Intermountain Project ECHO Eating Disorders Case Submission Form
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A comprehensive medical form for healthcare providers to document and discuss patient details related to eating disorders.
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Casewatch Millennium Client Consent Form
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Consent form for registering and receiving HIV prevention services in Los Angeles County, authorizing information sharing for program management and reporting.
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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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Pharmacy Technology Application For Admission
PDF template
Application form for students seeking admission to the Pharmacy Technology program at Casper College.
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CA Standing Order Form
PDF template
A form for scheduling and documenting medical transportation services with specific patient and appointment details.
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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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Risk Assessment Policy And Procedures
PDF template
A comprehensive policy for managing and conducting risk assessments within the Community Academies Trust, outlining processes, types of risk assessment, and regulatory compliance.
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Catastrophic Sick Leave Request Form
PDF template
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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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
PDF template
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
PDF template
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
PDF template
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
PDF template
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
PDF template
A consent document providing guidance and template language for survey consent procedures for teachers and students.
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Casco Bay Estuary Partnership Community Grant Application Form
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A grant application form for community projects related to the Casco Bay Estuary Partnership's environmental themes and plan.
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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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Modified Family Assessment Form (MFAF)
PDF template
A comprehensive assessment tool for evaluating family interactions and relationships in therapeutic settings.
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CBNA Travel Policies And CDB Travel Award
PDF template
Comprehensive travel expense and reimbursement policy for CBNA with details on submission process, funding sources, and travel awards.
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Community Benefit Application Form
PDF template
An annual application process for community facilities and small businesses to receive support for community development projects from Sennit Construction.
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Psychological Assessment Payment Agreement
PDF template
Payment agreement for psychological assessment services, including deposit, cancellation policy, and fee structure.
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Request For Proposals For Contact Center As A Service (CCaaS)
PDF template
Idaho Health Insurance Exchange seeks proposals for Contact Center as a Service (CCaaS) solution with integrated CRM/Ticketing capabilities.
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EMPLOYMENT APPLICATION
PDF template
Job application form for Cypress Creek Assisted Living and Memory Care Residence that collects applicant information and employment eligibility details.
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Medicare Advantage Plan Enrollment Form
PDF template
Enrollment form for MassHealth Standard members over 65 to join a Medicare Advantage Plan
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MophradatCCA Glasgow Residency Application Form
PDF template
Application form for a 3-month artist residency program in Glasgow from July to September 2018.
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CEAT Travel Form Exemption Request For Essential Research And Extension During COVID 19 Travel Sus
PDF template
Form for requesting travel exemption for essential research and extension activities during COVID-19 travel restrictions
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Informed Consent To Treat Form
PDF template
A comprehensive consent form detailing the nature, risks, and alternative treatments for chiropractic care at Carlisle Chiropractic Clinic.
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CCCC Medical Sonography Program Volunteer Informed Consent
PDF template
Consent form for volunteer scan models participating in medical sonography student training at Central Carolina Community College.
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Backflow Incident Report Form
PDF template
A form for reporting water system backflow incidents, detailing contamination sources, effects, and corrective actions.
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Backflow Incident Report Form
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A form for reporting water supply contamination incidents involving backflow, used to document details of potential water quality hazards.
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CAZENOVIA COUNTRY CLUB APPLICATION FOR EMPLOYMENT
PDF template
Comprehensive job application form for potential employees seeking positions at Cazenovia Country Club.
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Emergency InformationUpdate Form
PDF template
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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Authorization To Disclose Application Assistance Information To Authorized Individuals
PDF template
A form allowing patients to authorize specific individuals to access their healthcare application assistance information.
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Center For Curatorial Leadership Fellowship Application Form 2012
PDF template
Application form for museum curators seeking leadership development through a comprehensive fellowship program in New York City.
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CYTOGENETICS And GENOMICS RESEARCH SERVICE REQUEST FORM
PDF template
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
PDF template
A comprehensive referral form for children aged 0-20 years to access care management and coordination services.
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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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Connecticut Care Coordination Referral Form
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A comprehensive referral form for youth care coordination services, collecting detailed information about a youth's background, challenges, and support systems.
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Budget Preparation Instructions
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Comprehensive instructions for preparing budgets for Ryan White Program and Prevention Services Contracts with the Los Angeles County Department of Public Health.
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Cottonwood Crossing Summer Institute Health Information Form
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A comprehensive medical form for student participation in summer institute activities, collecting health insurance, medical history, and emergency treatment authorization.
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Congruent Counseling Services Job Application
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Employment application form for potential candidates seeking a position at Congruent Counseling Services.
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2023 24 SCHOLARSHIP AWARD APPLICATION
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A scholarship application for high school students from Cambria County who aspire to enter the field of education.
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CCUK Resource Research Proposal Form
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A form for researchers seeking to use data from the Cleft Care UK (CCUK) research collection for their scientific studies.
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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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Comprehensive Sickle Cell Centers Medical History Form Part I Hospital Admissions
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Medical form for documenting hospital admissions for sickle cell patients over the past two years, including discharge diagnoses.
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Comprehensive Sickle Cell Centers Medical History Form Part I Surgical History
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A medical form documenting surgical history for patients with sickle cell disease, capturing details about specific surgical procedures.
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CDBG APPLICATION UPLOAD CHECKLIST
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Comprehensive checklist for applicants seeking Community Development Block Grant (CDBG) funding, detailing required documentation and submission requirements.
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City Of Kalamazoo CDBG CV Program APPLICATION
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Application for Community Development Block Grant - Coronavirus (CDBG-CV) funding to support various assistance activities in Kalamazoo.
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CDC Consultant Advisory 2019 009 Updated VendorIndependent Contractor Form
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Update to the CDC+ vendor form requiring Medicaid ID and license number, with new requirements for direct care providers.
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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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Budget Summary And Budget Narrative Forms Instructions (Revised 52021)
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Comprehensive instructions for completing budget forms for the Early Literacy Support Block Grant by California Department of Education, covering planning and implementation years.
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Comprehensive Diabetes Foot Examination Form
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A detailed medical form for comprehensive foot assessment in diabetes patients, evaluating medical history, current foot condition, and risk factors.
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Constituency Development Fund (CDF) Grant Application Form For Youth, Women And Community Empowermen
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Application form for community groups seeking seed money through the Constituency Development Fund to support local economic empowerment initiatives.
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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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Consumer Directed Supports (CDS) Notice Of Authorization And Alternate Billing
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A document outlining service authorization and billing procedures for Consumer Directed Supports programs.
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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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CEC College And Career Planning Guidebook
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A comprehensive resource for students to navigate college preparation, application process, career exploration, and job search strategies.
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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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Grant Application Form
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A comprehensive form for educators to apply for educational project funding with strategic plan components and detailed project information.
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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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Geriatric Assessment And Planning Program Patient Welcome Packet
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Introductory document for new patients at the UNTHSC Center for Geriatrics, providing appointment details and patient preparation instructions.
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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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Center For Social Concern Budget Form Instructions And Definitions
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Detailed guidelines for student groups submitting budget and expense information to the Center for Social Concern.
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X RAY Requisition Form
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Medical imaging requisition form for hip and knee x-ray examinations with multiple location options
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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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Certificate Of Immunization Compliance
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Official document certifying an individual's immunization status for school, child care, or employment in Mississippi.
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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 Reimbursement Form
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A form for Perry Tech students to request reimbursement for approved industry certification exams up to $500 upon successful test completion.
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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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In ServiceStaff Meeting Submission Form
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A form for documenting continuing education credits from in-service and staff meetings in healthcare settings.
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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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Continuing Nursing Education Verification Of Attendance Form
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Continuing nursing education form for attending an educational event about vaccine science and public discourse.
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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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Budget History And Proposal Budget Form
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A comprehensive financial form for documenting historical budget performance and proposed project budget details including income and expenses.
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Child Information Form
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A comprehensive form collecting detailed information about a child and their caregiver for potential social services or child welfare referral.
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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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Forensic Specialist Guidelines
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Guidelines for forensic case management services for individuals charged with or at-risk of being charged with a felony offense in specific Florida counties.
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CFHL Membership Cancellation Request
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A form for University of Nebraska Medical Center employees to request cancellation of their Center for Healthy Living membership.
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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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GRANT APPLICATION FORM
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A comprehensive grant application form for non-profit organizations seeking funding for social accountability projects
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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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ChildrenS Account Unit Assessment Form
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A form used by the Illinois Department of Children and Family Services to assess and request fund allocation for children in state guardianship with special needs.
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State Of Illinois Department Of Children And Family Services Employment Job Training Apprenticeshi
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Application for youth to receive employment, job training, or apprenticeship support through the Illinois Department of Children and Family Services
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Grant Evaluation Form
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A form for non-profit organizations to report on the outcomes and financial details of a previously awarded grant.
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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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CENTER FOR GLOBAL HEALTH NURSING SCHOLARSHIP APPLICATION
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A comprehensive budget application form for nursing students seeking scholarship funding for global health travel and project expenses.
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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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Mental Health And Addictions Program Referral Form
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A comprehensive referral form for mental health and addiction services, collecting client information, medical history, and presenting concerns.
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South Country Provider Manual Chapter 22, Mental Health Substance Use Disorders Services
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Comprehensive guidelines for mental health service providers detailing Adult Rehabilitative Mental Health Services (ARMHS) requirements and eligible providers.
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Accident Investigation Appendix C Resources
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Guide for reporting and documenting workplace accidents, incidents, and injuries at Portland Community College
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Chadwick Residence, Inc. Application For Employment
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Comprehensive job application form for potential employees seeking employment at Chadwick Residence, Inc.
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Chair Safety Service Audit
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A comprehensive audit document for assessing the safety, functionality, and condition of specialized mobility chairs in care settings.
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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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SUBMISSION FORM
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A comprehensive form for submitting innovative healthcare concepts addressing care plan needs, targeting specific patient populations and healthcare ecosystems.
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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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Change Of Address Form
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A form for updating contact and mailing information for licensed professionals through the Department of Health's Office of Professional Licensure and Health Planning.
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Change Of Address Form
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A form for updating contact information for licensed professionals with the Department of Health in the U.S. Virgin Islands.
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Exception Form For Demographic Update Error
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A form used by healthcare providers to update their demographic information and address when online changes are unsuccessful
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CHANGE OF ADDRESS FORM
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A form for nursing home administrators to update their personal and professional contact information with the NC State Board of Examiners.
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Change Of Address Form
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A form for members to update their contact and home address information with the Managed Health Care Trust Fund.
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Change Of Use Request
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A process for evaluating and approving changes in commercial facility use and determining septic system adequacy in Indiana.
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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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NC General Statutes Chapter 32A Powers Of Attorney
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Legal statutes governing power of attorney provisions in North Carolina, including health care and durable power of attorney regulations.
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New Jersey State Board Of Optometrists Administrative Code
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Comprehensive administrative regulations governing optometric practice standards, advertising, prescribing, and professional conduct in New Jersey.
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2024 FSA Enrollment Form
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Annual enrollment form for flexible spending accounts covering healthcare, limited healthcare, and dependent daycare expenses for the 2024 plan year.
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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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2020 WIOA Budget FORMs
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Instructions for completing workforce budget forms for the Chicago Cook Workforce Partnership, detailing budget requirements and training cost calculations.
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Credit Card PolicyPre Authorization Form
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A form authorizing Calm Harbors Counseling to charge client credit cards for session fees, missed appointments, and outstanding balances.
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Operating Expense Grant Program Guidelines
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Guidelines for providing operating expense grants to Community Housing Development Organizations (CHDOs) for affordable housing development in West Virginia.
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HOME CHDO Operating Expense Grant Program Guidelines
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Guidelines for providing operating expense grants to Community Housing Development Organizations (CHDOs) to support affordable housing development in West Virginia.
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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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Retirement Checklist
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Comprehensive checklist for teachers preparing to retire, detailing required documentation and steps to complete before retirement.
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Checklist For Health Safety Committee Building Safety Tour 2007
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A comprehensive safety inspection checklist covering multiple aspects of building safety including general conditions, walking surfaces, storage areas, electrical hazards, and stairways/hallways
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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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Cherry Hill Counseling New Client Information Packet
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Comprehensive new client forms for mental health counseling services, including medical history, insurance, and privacy documentation.
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Cherry Hill Counseling New Client Information Packet
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Comprehensive set of intake forms for new clients seeking counseling services, including medical insurance verification and privacy documentation.
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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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CHHS Internship Application Form
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Application form for students seeking internship placement in human services, community health, or advanced field experience programs.
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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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Employment Application
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Comprehensive employment application form for job seekers applying to positions at Chico State Enterprises
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Enrollment Into Chiesi Total Care
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Authorization form for patients to enroll in Chiesi's support program for medication and patient services.
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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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Immunization And Health Assessment Form
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Medical form documenting vaccination history, physical exam status, and healthcare recommendations for children.
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Texas Dept Of Family And Protective Services Child Assessment Form
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A confidential form designed to collect comprehensive health and personal information about a child for enrollment in a care program.
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Childcare Aggregate Report Form
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A comprehensive form for childcare centers to report immunization records for children not stored in digital systems.
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Idaho Conditional Attendance To Childcare Schedule Of Intended Immunizations Form
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A form documenting the intended immunization schedule for children not fully vaccinated at childcare admission
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CHILD CARE ENROLLMENT FORM
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Official form for enrolling a child in a child care facility, collecting personal and attendance information.
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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 Care Medication Authorization Form
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A form authorizing medication administration for children in early learning or school-age care settings, detailing medication instructions and parental consent.
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Free Screening Consent Form Childcare
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A consent form for parents to authorize developmental screening for children at a childcare facility, allowing parents to indicate specific developmental concerns.
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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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PASADENA CHDP ORDER REQUEST FORM
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Form for ordering CHDP pre-enrollment applications, screening billing reports, and envelopes for healthcare providers in Pasadena.
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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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Case Management Referral Form For Children Only
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A comprehensive referral form for children's case management services by the Department of Behavioral Health and disAbility Services.
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ChildrenS HCBS Authorization And Care Manager Notification Form
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A form for providers to request and document authorization for home and community-based services for children under Medicaid waiver programs.
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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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Chiropractor, Chiropractic Radiological Technician, And Chiropractic Technician Continuing Education
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A form for obtaining approval of continuing education courses for chiropractors, chiropractic radiological technicians, and chiropractic technicians in Wisconsin.
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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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Patient Authorization For Use Or Disclosure Of Protected Health Information
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A HIPAA-compliant form for authorizing the release of medical records from Women's Obstetrics And Gynecology, P.C.
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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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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 Medication Application Form
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Application form for beneficiaries seeking approval for chronic medication through a healthcare scheme
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Chronic Medication Application Form
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Medical insurance form for patients seeking approval for chronic medication through a healthcare scheme.
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Chronic Illness Benefit Application Form 2022
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Application form for Bankmed members on Essential and Basic Plans to apply for Chronic Illness Benefit coverage.
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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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Remedi Medical Aid Scheme Application Form
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Application form for patients seeking medical aid coverage through Remedi Medical Aid Scheme, requiring patient and medical professional details.
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Malcor Medical Aid Scheme Application Form
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An application form for joining the Malcor Medical Aid Scheme, requiring patient and medical details.
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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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Church Loan Application
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Application and guidelines for church loans provided by the Presbytery of Minnesota Valleys, outlining loan eligibility, purposes, and limitations.
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Church Scholarship Form
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A form for churches to provide scholarship support for campers attending Kirkmont Center summer camps.
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CMCS Informational Bulletin State Medicaid Payment Approaches To Improve Access To Long Acting Rever
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A detailed guide on Medicaid reimbursement strategies for improving access to long-acting reversible contraception (LARC) methods.
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CICP 2 Authorization For Disclosure Of Health Information
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A form authorizing the disclosure of medical records for determining eligibility for benefits from the U.S. Department of Health Resources and Services Administration's Countermeasures Injury Compensation Program.
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Countermeasures Injury Compensation Program Request For Benefits Form
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Form for individuals seeking medical and employment benefits after experiencing a serious injury from a covered countermeasure such as vaccines or medical equipment.
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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)
PDF template
A comprehensive form for submitting healthcare service reimbursement claims with patient, provider, and payment information.
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Cigna Dental Specialty Referral Form
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A referral form for specialty dental services under Cigna Dental Care, outlining payment guidelines and patient responsibilities.
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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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Cigna Home Delivery Pharmacy Prescription Order Form
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A form for submitting new and refill prescription medication orders through Cigna Home Delivery Pharmacy.
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Business And Investment Facilitation Stepping Stones To Digital Government
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A UNCTAD note exploring how business and investment facilitation can serve as stepping stones to developing digital government capabilities in developing countries.
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CIMERLI Solutions Enrollment Form
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Comprehensive enrollment form for healthcare services, insurance verification, and patient assistance programs offered by CIMERLI Solutions
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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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CINTAS Fellowship Application Form 2022
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Application form for artists seeking a fellowship from the CINTAS Foundation, with sections for personal information, education, and professional achievements.
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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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PHILHEALTH CIRCULAR No. 2018 XXX
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Official guidelines for PhilHealth Accredited Collecting Agents on using the Electronic Collection Reporting System for premium contribution reporting and remittance.
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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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Health Home Care Management Services Eligibility
PDF template
Guidelines for eligibility and referral process for Health Home Care Management Services in specific New York counties
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Health Care Provider Confidentiality Statement
PDF template
Confidentiality agreement for healthcare providers accessing the Citywide Immunization Registry and Master Child Index medical information.
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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
PDF template
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
PDF template
A grant application form for students seeking funding for summer research experiences at Tennessee Technological University
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Food Inspection Form
PDF template
Official form used by the Environmental Health Department to conduct food safety inspections of commercial food establishments.
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Job Application Form
PDF template
Comprehensive job application form for employment opportunities with the City of Hamilton, collecting candidate personal, educational, and professional background information.
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Insurance claim form for submitting dental treatment and patient information for reimbursement or coverage verification.
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Insurance claim form for students to report medical examinations, illnesses, prescriptions, or injuries for insurance coverage.
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Guidelines and checklist for submitting grant applications to the Clermont County Park District for community park improvement projects.
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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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Patient Intake 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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School emergency contact and medical information form for recording student and parent contact details and health information.
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Construction Management Internship Application Form
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Application form for students seeking a construction management internship, including required documentation and personal goal setting.
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Population Assessment Of Tobacco And Health (PATH) Study Parent Consent And Permission For Youth Int
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Form for healthcare professionals to request reimbursement for continuing medical education courses and fees during the 2014 calendar year.
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Comprehensive patient registration document for family planning services with personal, contact, and demographic information collection.
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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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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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Medicare Quality Of Care Complaint Form
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Instructions for Medicare beneficiaries to file a complaint about healthcare quality and service standards.
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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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Los Angeles County Department of Mental Health form for transferring client services between Full Service Partnership programs
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A detailed guide for submitting Medicaid claims using the CMS 1500 claim form, providing block-by-block instructions for healthcare providers.
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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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Official form for Medicare beneficiaries to request a first-level appeal of a Medicare claim determination.
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A form for Medicare beneficiaries or providers to request a second-level appeal of a Medicare claim determination.
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CMS 855I Medicare Enrollment Application
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Official form for physicians and eligible professionals to enroll in the Medicare program or update their enrollment information.
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Application for physicians and eligible professionals to enroll in Medicare for ordering or certifying items and services for beneficiaries.
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Medicare Enrollment Application (CMS 855O)
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Application for physicians and eligible professionals to enroll in Medicare for ordering or certifying items and services for beneficiaries.
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Privacy impact assessment documenting the data collection and processing system for Medicare benefits coordination and recovery processes.
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CMS Model Consent Form For Marketplace Agents And Brokers
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A model consent form for documenting consumer permission for health insurance agents or brokers to assist with marketplace coverage enrollment.
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CMS Model Consent Form For Marketplace Agents And Brokers
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A model consent form for documenting consumer permission for health insurance agents or brokers to assist with Marketplace coverage enrollment.
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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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Medicaid Drug Rebate Program Electronic State Invoice
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Technical specification for electronic invoicing format for Medicaid drug rebate submissions to CMS and manufacturers.
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Form for requesting animal specimens for research or scientific investigation at an institution
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CN 28 Application For Waiver
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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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Choice Neighborhoods Implementation Grants Budget Guidance
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Comprehensive document providing detailed budget instructions for Choice Neighborhoods Implementation Grant recipients on developing and managing their program budgets.
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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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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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Application form for research and development grants at the College of Arts and Sciences, detailing funding requirements and submission guidelines.
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Form for obtaining institutional approval and funding for academic conference travel with detailed expense tracking.
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Order form for oral health product doses with various sizes, colors, and flavors from the Center for Oral Health.
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Application form for professionals seeking fellowship status with the Chartered Insurance Institute (CII)
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Form for employees to enroll in Flexible Spending Account (FSA) options for healthcare and dependent care expenses.
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Montgomery County ExecutiveS Community Collaboration Grant Application
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Grant application for non-profit organizations seeking funding support from Montgomery County Executive's budget.
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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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Athletics Drug Education And Testing Student Athletes
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Policy for drug education and testing of student athletes in the Alabama Community College Conference, focusing on health, safety, and fair competition.
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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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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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A comprehensive budget form for the Colorado Inflation Reduction Act Urban and Community Forestry (UCF) Grant Program, detailing project expenses and grant fund requests.
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Comprehensive patient intake form for new adult patients, including personal information, financial agreement, and privacy acknowledgment.
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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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A form for obtaining pre-authorization for hospitalization from panel and non-panel hospitals for insurance coverage.
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Consent form for medical information disclosure and liability release for UN COVID-19 medical evacuation services.
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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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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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A comprehensive form for students to apply for an internship, detailing personal information, work schedule, career goals, and internship expectations.
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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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Oakland University Communication Program Internship Application Form
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Application form for students seeking internship opportunities in the communication program at Oakland University.
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Community Services Block Grant Action Transmittal
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Official notification to CSBG direct-funded tribes about reporting requirements for Fiscal Year 2024 annual report submission.
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Official form for obtaining a building permit for construction or renovation in the City of Woburn, required before beginning work.
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CommercialIndustrial Development Permit
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A municipal permit application for commercial or industrial development projects in Pendleton, Oregon, used to submit site and construction details for review.
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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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Common Grant Application Form
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A standardized grant application form developed by the Council of Michigan Foundations to streamline the grant application process for nonprofits.
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Wisconsin Common Grant Application Form
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A standardized grant application form used by multiple funders in Wisconsin for various types of grant proposals.
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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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Common Grant Application
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A comprehensive grant application form for charities seeking financial assistance from component funds of the Door County Community Foundation.
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Common Grant Application
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A standardized grant application form for charities seeking financial assistance from component funds of the Door County Community Foundation.
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New YorkNew Jersey Area Common Application Form
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A standardized grant application form for nonprofit organizations seeking funding in the New York and New Jersey region.
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Common Summary Assessment Report
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A comprehensive form for assessing an individual's personal circumstances, care needs, and preferences for potential residential care or home support.
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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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Community Building Fund Application Form
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Application for faculty to request funding for community-building events at the University of California, San Francisco
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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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2024 Community Enhancement Grant Application Form
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A grant application form for non-profit organizations seeking funding for community-based projects and programs
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Community Fundraiser Guidelines
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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 Grant Application Form
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A comprehensive form for organizations seeking funding from the Village of Anmore, detailing project information, budget projections, and community impact.
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Community Grants School Pre Authorization Form
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A form for applicants collaborating with school districts to apply for community grants through CFNIL.
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Consolidated Consent Form
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A comprehensive consent document for medical treatment, information release, and patient rights at Community Health Centers, Inc.
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Consolidated Consent Form
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A comprehensive consent form for medical treatment, information disclosure, and patient rights at Community Health Centers in Florida.
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A comprehensive checklist for documenting essential discussion points and requirements for community meetings about development projects.
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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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Wellness Community Membership Form
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Form for enrolling in NEO Wellness community membership with health information and policy acknowledgment.
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Community Partnership Mini Grant Application Form
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Grant application form for community project funding up to $500 through institutional partnership program.
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FloridaUSVI Poison Information Center Jacksonville Community Volunteer Application Form
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Application form for individuals interested in volunteering at the Florida/USVI Poison Information Center in Jacksonville
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Independent Medical Review (IMR) ApplicationComplaint Form
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Official form for patients to request an independent medical review of health plan decisions in California
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Health Care Provider Complaint Form
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Official form for filing a complaint against a healthcare provider in Florida with detailed information requirements for investigation.
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Complaint Report
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A form for submitting complaints to the local health department, allowing individuals to report health or nuisance-related issues.
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ComplaintInquiry Form
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Official form for filing complaints against licensed psychologists in North Carolina, documenting ethical or legal violations.
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ComplaintFeedback Form
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A form for patients or clients to submit complaints or feedback to Coos Health & Wellness, with options for detailing concerns and requesting expedited responses.
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Complaint Report Form
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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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Complaint Resolution Form
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A formal document for lodging complaints against members of the Opticians of Manitoba professional organization.
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Complaint Submission Form
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A standardized form for submitting formal complaints against members of the Natural Health Practitioners of Canada (NHPC)
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Montgomery County ExecutiveS Community Collaboration Grant Application
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Grant application for non-profit organizations seeking funding support from Montgomery County Executive's budget.
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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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How To Complete A Budget In JustGrants
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Instructions for preparing budgets for Department of Justice grant applications using the JustGrants system.
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Completing A Job Application
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A comprehensive guide on how to complete a job application effectively, highlighting the importance of presentation and accuracy.
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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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Affordable Care Act ACA Compliance Form Filing Submission Worksheet
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A comprehensive worksheet for insurance providers to submit compliance documentation for ACA-related insurance products and services.
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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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Computer Workstation User Agreement Form
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Agreement defining confidential use of hospital computer systems and electronic communications by employees.
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Authorization For Examination Or Treatment
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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 Recovery Teacher Feedback Form
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A form for teachers to provide feedback on a student's post-concussion academic performance and symptoms.
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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
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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 Child Care And School Conditional Attendance Form
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A form documenting immunization status and conditional attendance requirements for children in Montana child care facilities and schools.
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Montana Newborn Screening Program Condition Nomination Form
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A form used by healthcare professionals to nominate new medical conditions for inclusion in Montana's newborn screening panel.
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Conference And Travel Stipend Expense Report
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Form for scholars to report and document conference and travel expenses funded by the Cooke Foundation.
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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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Confidentiality Agreement
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Document outlining employee responsibilities for protecting patient health information and sensitive business data.
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Confidentiality Agreement
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A comprehensive confidentiality agreement outlining privacy and information protection responsibilities for hospital staff and affiliates.
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Confidentiality Agreement Acknowledgement Of Completion Of Orientation Modules
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A confidentiality agreement for students, advanced practice providers, residents, and faculty members engaging with the Greater Green Bay Health Care Alliance facility.
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Confidential Medical History Form
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Comprehensive medical symptoms and conditions checklist for patient intake, covering multiple body systems and health concerns.
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Environmental Health Safety Policy
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Policy addressing safety procedures and requirements for entering confined spaces at Connecticut College, following OSHA guidelines.
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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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Neighborhood Council Funding Contribution Form Fiscal Year 2019 2020
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A form for neighborhood councils to request funding contributions for special accounts in Los Angeles.
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Neighborhood Council Funding Contribution Form
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A form for neighborhood councils to request funding contributions for the LA Congress of Neighborhoods Special Account during fiscal year 2020-2021.
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Consent For Participation In Citywide Immunization Registry (CIR) For Individuals 19 Years Of Age An
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A consent form for individuals 19 and older to participate in the New York Citywide Immunization Registry, allowing health providers to access and record immunization records.
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Informed Consent Form For Research Involving Human Subjects
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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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Participant Consent Form
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A consent form for participants of a workshop, explaining survey data collection and potential Medicare study participation.
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Filling In Submitting A Consent Form 101
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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
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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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Community Partner Assistance Consent Form
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Consent form authorizing a community partner organization to assist with health coverage application and enrollment process.
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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 ImPACT Baseline Concussion Testing
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A consent form for participating in baseline concussion testing for student-athletes in Montgomery County Public Schools.
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Consent Form Instructions And Samples
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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
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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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Utah State Board Of Education ParentGuardian Consent Form Maturation Instruction
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A parental consent form for students participating in puberty and reproductive health education classes in Utah schools.
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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 TO TREAT FORM
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A legal document allowing a parent or guardian to provide medical consent for a patient, including routine care, extended absence treatments, and specific medical services.
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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 For Sterilization
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Formal consent document for voluntary sterilization procedure, outlining patient rights and informed consent requirements.
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Consent For Treatment And Payment Agreement
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A consent form for medical treatment, payment authorization, and health information disclosure for pediatric services.
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Consent For Treatment And Release Of Medical Information
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A medical consent form that allows treatment authorization and medical information disclosure for patients at Texas Institute for Neurological Disorders.
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Consents And Acknowledgements General Treatment
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A comprehensive healthcare consent form outlining patient rights, treatment acknowledgements, and information sharing permissions at Cherry Health.
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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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CONSENT FOR SURGERY OR SPECIAL DIAGNOSTIC Or THERAPEUTIC PROCEDURE(S)
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Medical consent document outlining patient agreement for surgical or diagnostic procedures, risks, and treatment details.
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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
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Medical release and emergency treatment authorization form for participants in Providence Mountain program from December to May.
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General Consent To Treatment
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A comprehensive consent form allowing medical treatment at MyCare Health Center, outlining patient rights, responsibilities, and treatment agreements.
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Authorization For Medical Treatment Agreement
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A legal document authorizing medical treatment and insurance payment for elder care services at Horizon Internal Medicine.
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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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Acupuncture Informed Consent To Treat
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A legal document outlining the risks, methods, and patient consent for acupuncture treatments and related procedures.
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Consent Form For Physical Therapy Services
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A document outlining patient expectations, treatment planning, and payment procedures for physical therapy services.
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USA Hockey National Championships Consent To TreatMedical History Form
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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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Authorization Informed Consent
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Consent form for behavioral health services covering patient authorization, medical record release, and payment agreements.
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Consent To Treat Form
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A comprehensive medical consent form for acupuncture and related treatment methods, outlining risks and patient rights.
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Consentimiento Para Recibir Tratamiento, Cesin De Beneficios Y Garanta De Pago
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A Spanish-language medical consent and insurance benefits assignment form for Northwell Health Dental Medicine patients.
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General Consent To Treat Form
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A comprehensive medical consent form allowing healthcare providers to perform various medical services and treatments.
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General Consent To Treat Form
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Bilingual form providing patient consent for medical treatment, diagnostic procedures, and related healthcare services
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CONSENT TO TREAT MINOR CHILDREN
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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
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Medical consent and history form for USA Hockey participants, allowing medical treatment and collecting health information for emergency purposes.
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Consent To Treat Form
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A legal document allowing medical treatment for patients, including consent for minors and adults, insurance filing, and patient rights.
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Consent To TreatmentHealth Care Agreement
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A comprehensive consent form for medical treatment, medical information release, and financial responsibility at Texas Tech University Health Sciences Center Ambulatory Clinics.
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Consent To Treat Form 012S
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Bilingual form authorizing medical treatment and care by Diabetes and Endocrinology Clinical Consultants of Texas
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Consent To Verbally Disclose Protected Health Information To Family Members And Friends
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A form allowing patients to designate specific individuals who can receive verbal medical or health plan information.
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Consent To Treat Form
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A medical consent form allowing treatment authorization and insurance filing by a healthcare provider.
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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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ARTS Conservation License Plate Grants Budget Form
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Budget form for arts organizations seeking grants through the New Hampshire State Council on the Arts License Plate Grant program.
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Construction Excise Tax Exemption Form
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A form for developers or property owners to claim exemptions from construction excise tax in the Newberg School District for specific types of improvements.
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Construction Project Approval Form
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A comprehensive form for approving construction projects over $100,000, detailing project scope, funding, and required approvals.
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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
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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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Federal RetireeS Master Contact List
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Comprehensive contact list for federal retirees to manage benefits, services, and important resources.
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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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Continued Competency Activity And Assessment Form
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A form for physical therapists and physical therapist assistants to document continuing education and active practice hours for license renewal.
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Telehealth Quality Improvement (QI) Project Form
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A structured guide for healthcare teams to systematically improve telehealth visit processes and patient experience.
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Consulting Services Agreement
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Agreement between Saskatchewan Information and Privacy Commissioner and Bravo Tango Advertising Firm for website design and platform development.
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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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Contracted Agreement
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A contractual agreement outlining patient responsibilities, payment terms, and cancellation policies for healthcare services.
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Contract For Professional Services
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A contract between Lower Gwynedd Township and a developer for professional review services related to a property development proposal
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Environmental Health And Safety Contractor Incident Report
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A comprehensive form documenting workplace incidents, injuries, and safety-related events for contractors.
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Fraser Health Contractor Safety Program
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A comprehensive safety program outlining roles, responsibilities, and guidelines for contractors working with Fraser Health.
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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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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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Controlled Substance Inventory Form
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A form for tracking and documenting controlled substance medication administration in a school setting, recording details of medication usage by school nurses.
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Annual Controlled Substance Inventory Form
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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
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A form for authorized investigators to request controlled substances for research purposes, requiring approvals from institutional committees.
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CONTROLLED SUBSTANCES INITIALBIENNIAL INVENTORY FORM
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Official form for documenting physical inventory of controlled substances as required by DEA regulations every two years.
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Author Contribution Form
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A form detailing authorship criteria and contribution types for academic manuscript submissions.
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Cooperative Education Proposal Form
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A comprehensive guide for students seeking to participate in a work-related academic program that provides career-related experience and academic credit.
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Student Pre Evaluation Form Purpose, Instructions, And Examples
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A self-assessment tool for students to evaluate their core professional competencies before and after internship or co-op experiences.
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Student Co Op Registration Agreement
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A registration form for students participating in cooperative education work experiences, detailing employment terms and conditions.
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Wahluke Jr. High ASB Single Purchase Form
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A form for requesting single purchases using Associated Student Body (ASB) funds for extracurricular activities at Wahluke Jr. High School.
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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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Cornerstone Informed Consent Form
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Consent form for collecting and storing participant health information through Cornerstone system in Illinois
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COVID 19 Incident Report Form
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A form to document and track potential COVID-19 exposure and incidents among employees.
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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
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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
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A form used to correct or void previously processed healthcare claims with specific submission requirements.
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Summer Internship Information Handbook
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A comprehensive handbook detailing internship guidelines, objectives, and requirements for students in the College of Science & General Studies.
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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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Informed Consent
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A comprehensive informed consent document outlining patient rights, therapy risks, and treatment expectations at Chadron Nebraska State College's Counseling Center.
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Volunteer Application Form
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A comprehensive form for individuals seeking to volunteer at a healthcare facility, including personal information and background check consent.
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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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Course Proposal Form
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A form used by instructors to propose new courses for the Adult Education Division's technical training program.
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NEW YORK STATE TRAVELER HEALTH FORM
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A required form for individuals entering New York from non-contiguous states, territories, or countries, capturing traveler health and contact information.
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COVID 19 Policy Procedure
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Comprehensive policy and procedure guidelines for managing COVID-19 positive residents and staff in healthcare settings.
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Things To Think About From A Benefits Perspective During The COVID 19 Pandemic
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A document outlining COVID-19 test reimbursement, free test kit options, and virtual care services for MUSC Health Plan members.
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COVID 19 Vaccination Record And Consent Form
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A form for documenting COVID-19 vaccination consent, administration details, and patient information for care home residents.
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Consent To Treat During COVID 19 Pandemic
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A consent form for patients receiving elective healthcare during the COVID-19 pandemic, acknowledging potential risks and preventive measures.
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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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Emergency Leave Request Form
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A form for employees to request emergency leave related to COVID-19 circumstances and workplace absences.
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COVID 19 Employee Report Form
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A form for employees to report COVID-19 positive tests or symptoms, used by Wichita State University for tracking and workplace safety purposes.
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Paid COVID 19 Leave Request Form
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A form for Minnesota executive branch employees to request paid leave related to COVID-19 circumstances under Executive Order 20-07.
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COVID 19 Leave Request Form
PDF template
Form for Kansas Department of Transportation employees to request leave related to COVID-19 exposure or symptoms
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COVID 19 Case Interview Form
PDF template
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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Employee COVID 19 Leave Request Form
PDF template
Form for employees to request leave related to COVID-19 circumstances, including medical diagnosis, quarantine, or childcare needs.
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COVID 19 LEAVE REQUEST FORM
PDF template
A form for employees to request leave related to COVID-19 situations, including quarantine, illness, and childcare needs.
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COVID 19 Leave Request Form
PDF template
Form for employees to request leave related to COVID-19 circumstances, including quarantine, household exposure, and vulnerable health status.
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COVID 19 Testing And Symptom Assessment For New Enrolled Student(S) From Out Of CountryState AndOr C
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A health screening form for students to assess COVID-19 symptoms and testing status before school enrollment or return from travel.
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COVID 19 DISABILITY FORM
PDF template
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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REQUEST FOR COVID 19 LEAVE
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A form for Miami-Dade County employees to request paid sick leave related to COVID-19 reasons and circumstances.
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COVID 19 Participant Code Of Conduct And Risk Assessment Form
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Comprehensive safety guidelines and risk acknowledgment for Special Olympics participants during the COVID-19 pandemic.
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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 Paid Time Off For Individual Providers
PDF template
A program providing paid time off for Individual Providers in Illinois who are unable to work due to COVID-19 related circumstances.
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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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Risk Assessment Form For COVID 19 Contact
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A form for documenting potential COVID-19 exposure and health status for university students and staff.
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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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Communicable Disease Related Hold Harmless, Release, Waiver Of Liability, And Indemnity Agreement
PDF template
Legal document releasing event organizers from liability related to potential communicable disease exposure during an event.
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WESTFIELD PUBLIC SCHOOLS COVID 19 SICK LEAVE FORM
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Form for employees to request COVID-19 related sick leave, detailing qualifying reasons for leave under Massachusetts emergency regulations.
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COVID 19 SICK LEAVE FORM
PDF template
A form for employees to request COVID-19 related sick leave under Massachusetts temporary emergency regulations.
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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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COVID Vaccine Patient Intake Form 2021
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Patient intake form for COVID-19 vaccination at Stauffer's Drug Store and Stauffer's LTC Pharmacy, collecting patient information and insurance details.
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COVID 19 Self Assessment Form Template
PDF template
A self-assessment form for state Ombudsman representatives to complete before visiting long-term care facilities during the COVID-19 pandemic.
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COVID 19 SUPPLEMENTAL PAID SICK LEAVE REQUEST FORM
PDF template
A form for employees to request supplemental paid sick leave related to COVID-19 vaccination, quarantine, or family care needs.
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Vaccine Recipient Information And Consent Form
PDF template
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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PARENTALGUARDIAN, SCOUT, LEADER COVID 19 ACKNOWLEDGEMENT CONSENT WAIVER FORM
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A waiver form acknowledging COVID-19 risks for scout activities and granting permission for participation during the pandemic.
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Consent For Treatment And Payment Agreement
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A comprehensive consent form authorizing medical treatment, payment, and healthcare operations for Dr. MaryAlice Cowan's medical practice.
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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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Creative And Performing Arts Awards (CPA) Expense Reimbursement Form
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A form for students to submit expenses related to Creative and Performing Arts projects for reimbursement from their college.
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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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CP F 006 (Rev.06) Test Item Submission Form Fillable Form
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A form for submitting test items to the Southern African Grain Laboratory for scientific study and analysis.
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Test Item Submission Form
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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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