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Equine Assisted Psychotherapy Informed Consent To Treat
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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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Comprehensive health form for participants in Shenandoah University outdoor and adventure recreation programs, collecting medical history and emergency contact information.
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A comprehensive form granting permission for a child to participate in church activities and providing medical treatment consent and liability release.
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2021 Respect Awards Nomination Form
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A nomination form for recognizing individuals for exceptional contributions, to be submitted to the Alabama Department of Mental Health
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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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Walker Waiver Form
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Waiver form for participants in an ALS of Michigan walking event, releasing organizers from liability and granting media usage permissions.
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Patient Intake Form
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Comprehensive patient registration and consent form for physical therapy services with contact, insurance, and treatment agreement details.
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Non Disclosure Agreement (NDA) PACTA Climate Test Switzerland 2022
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A non-disclosure agreement between West Partner AG, 2 Investing Initiative, Rocky Mountain Institute, and a participant for the PACTA 2022 Climate Test in Switzerland.
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Monkeypox Virus Infection Treatment Update
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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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Data Protection Consent Form For Providing Comments On The Preliminary Assessment Of The Financial S
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A consent form for jurisdictions to review and provide comments on the preliminary assessment of the Financial Secrecy Index 2022 research project.
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Patient Intake And Consent Form
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Comprehensive patient registration form for physical therapy services, including contact information, insurance details, and treatment consent.
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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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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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STANDARD MEDIA RELEASE FORM, ADULTS And MINOR CHILDREN
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A legal document granting Texas A&M AgriLife permission to use likenesses, names, and words of adults and minor children for various media purposes.
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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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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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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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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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New Product Market Feasibility Study Request Form
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Confidential form for inventors to submit product ideas for market research and feasibility analysis by the Wisconsin Innovation Service Center.
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Easter Seals Colorado Rocky Mountain Village Camper Medical Form
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A comprehensive medical form for documenting a camper's health status and medical history prior to attending camp.
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Medical Release Form
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Medical consent and emergency contact form for minors attending music camp programs at Sam Houston State University
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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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Online Privacy Policy Agreement
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Privacy policy detailing data collection, usage, and user rights for the Einstein Program website and online services.
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Garden Grove Teen Action Collaborative ApplicantS Information
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Consent and liability waiver form for participants in Garden Grove recreational programs and activities, specifically targeting teens.
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2023 2024 Northside ISD Medical History
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Annual medical history form required for student participation in athletic activities at Northside Independent School District.
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2023 2024 UCSC Living Agreement Form
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A comprehensive roommate agreement form for creating a safe and mutually respectful living environment with guidelines for shared living spaces.
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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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2024 Application For Unrestricted Support
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A strategic plan focusing on improving mental health access and community support in rural White County through collaborative partnerships.
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Name Based Criminal History Record Information ConsentInquiry Form
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A form authorizing a criminal history background check for various purposes including employment and working with specific populations.
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Informed Consent Form
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Consent form for police officer candidates participating in a physical fitness testing process that assesses physical readiness and potential health risks.
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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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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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2023 JCC Maccabi Teen Medical Form
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Medical examination form for teens participating in JCC Maccabi sports and arts activities to verify physical fitness and health status.
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Student Medical Information
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A comprehensive medical form for collecting student health details, emergency contacts, and insurance information for educational program participation.
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2023 Rechelle Turner Basketball Camps Medical Release Form
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Medical release and consent form for participation in basketball camp, including emergency contact and insurance information.
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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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PA Schedule E Rents And Royalty Income (Loss)
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Tax form for reporting rental property income, royalties, and related expenses for Pennsylvania taxpayers.
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Pre Employment Drug Testing Consent Form
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Consent form for pre-employment drug testing for job applicants at Burney Water District, outlining testing procedures and requirements.
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Media Release Form (For Non Patients)
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A legal document granting Southcoast Health System permission to use an individual's likeness and works for publicity and marketing purposes.
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Media Release Form (For Non Patients)
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A legal document granting Southcoast Health System permission to use an individual's image, likeness, and related works for promotional purposes.
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Travel Form
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A travel form for youth participants of North Cascades Institute's leadership program, requiring parental consent and emergency contact information.
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Cuyahoga County Common Pleas Court Local Rules
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Local court rules establishing a specialized Veterans Treatment Court docket for military veterans and active service members within the criminal justice system
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Agreement For Supply Of Services (Short Form)
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A standard agreement defining terms and conditions for service supply between the British Council and a client, including definitions of key terms and obligations.
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HRT Mutual Non Disclosure Agreement
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A confidentiality agreement between Hampton Roads Transit and another party to protect proprietary information during potential business transactions.
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Garden Grove Teen Action Collaborative ApplicantS Information
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Waiver and consent form for participating in City of Garden Grove recreation programs, events, or activities for teens.
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Media Release Form
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A consent form allowing the Food Bank of Northeast Georgia to use interview content, photographs, and recordings for marketing purposes.
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TAPPS MEDICAL HISTORY FORM
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Annual medical history form for students participating in TAPPS athletic and fine art activities to assess health risks.
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Annual Pre Participation Physical Evaluation
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Medical evaluation form for student-athletes to assess physical fitness and health conditions for sports participation.
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Form 24 1b NCAA Division I Drug Testing Consent
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Mandatory consent form for NCAA Division I student-athletes agreeing to year-round drug testing and understanding associated regulations.
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Form 24 3f Drug Testing Consent NCAA Division III
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Consent form for student-athletes to agree to NCAA drug testing requirements for intercollegiate athletics participation.
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Sports Physical Examination Form
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Comprehensive medical evaluation form for students participating in school sports, requiring parental authorization and medical provider assessment.
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MEDICAL EXAMINATION FORM
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Medical form to assess physical and mental fitness of individuals applying for motorcycle event participation licenses.
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MEDICAL HISTORY FORM
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Comprehensive medical history form for capturing individual health details, medical conditions, and consent for medical information sharing.
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Background Check Authorization
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A confidential form authorizing a comprehensive background check for employment or volunteer purposes with personal information collection consent.
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Board Member Confidentiality Agreement
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A confidentiality agreement defining terms of information protection for board members of United Way of Galveston.
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RULES AND REGULATIONS
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Comprehensive guidelines for cattle exhibition at a fair, including entry requirements, health regulations, and ownership rules.
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Informed Consent, Voluntary Waiver, Release Of Liability Assumption Of Risks Form
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Legal consent form for parents/guardians to authorize children's participation in summer youth programs at Clark State College, acknowledging risks and liability waivers.
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Social Media Release Form For Minors
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A legal release form allowing Corning Union High School to use a minor's likeness and information on social media platforms for promotional purposes.
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Child Medical Disclosure Form
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Medical information and emergency contact form for children attending summer camp, including health history and parental consent for medical treatment.
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Kamehameha Schools Summer Programs Medical Forms
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Medical evaluation and health history form for children participating in Kamehameha Schools Summer Programs, requiring physical examination and immunization documentation.
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HPU Incoming Student Health Information And Immunization
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Comprehensive health form for incoming students at High Point University, including immunization records and medical consent.
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Permit To Install Or Alter A Sewage Treatment System
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Official permit document for installing, replacing, or altering a sewage treatment system in Ohio, issued by the Ohio Department of Health.
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Pre Employment Health Clearance Requirements
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Comprehensive health screening requirements for new medical residents and fellows, including medical history, immunizations, and occupational health screenings.
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International High School Essay Contest Application
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Annual scholarship essay contest for high school seniors offering college scholarships, focusing on social media's impact on mental health.
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2024 UNC Soccer Camp MEDICAL FORM
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Medical history and health screening form for participants of UNC Soccer Camp, required for camp participation.
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Medical History And Physical Examination Form
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Medical history and physical examination document for racing car drivers to assess fitness and health conditions for licensing.
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Eugene Metro Futbol Club Medical Release Release Of Liability Form
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Medical and liability consent form for youth soccer player registration and participation in soccer programs.
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Jr All American Of Southern California Conference Mandatory Medical Release Form
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Medical history and physical examination form required for youth athletes participating in Jr All American of Southern California Conference sports programs
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11th Annual Mental Health Conference Exhibitor Information
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Invitation for exhibitors to participate in the 11th Annual Mental Health Conference hosted by the Correctional Management Institute of Texas.
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2024 FIU Cardiovascular Summer Research Internship Program (CV SRI) Parental Consent Form
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Consent form for parents allowing their child to participate in a summer research internship program at Florida International University.
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2024 Good Local Markets Vendor Media Release Form
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A legal document granting Good Local Markets permission to use an individual's photos and likeness for various publications and media purposes.
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20232024 Season
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Registration and medical information form for volleyball team participants, including contact details, medical history, and insurance information
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Pre Employment Drug Testing Consent Form
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Consent form for pre-employment drug testing for job applicants at Burney Water District, outlining testing procedures and consequences.
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2024 Treatment Perceptions Survey (TPS) Instruction Manual
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A comprehensive guide for administering an annual client satisfaction survey for healthcare providers participating in the DMC-ODS waiver program.
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Provincial Winter Fair Release Of Liability Acknowledgement Of Risk
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Legal document releasing liability for participants in provincial fair activities involving livestock and events
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2024 Youth SoccerFlag Football Camp Participant Enrollment Permission Form
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Enrollment and permission form for youth soccer and flag football camps organized by Pueblo of Laguna Sports & Wellness Diabetes Program.
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Media Release Form
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A legal document authorizing AATSP to use photographs, videos, and personal media of an individual or minor for promotional purposes.
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External And Internal Student Media Release Form
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A form allowing parents or students to consent to media recording and publication of student images, work, and performances for promotional purposes.
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Health Services Referral Form
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A comprehensive referral form for various health services targeting children, youth, and pregnant women in Mississippi.
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Data Protection Consent Form
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Consent form for processing personal data related to the CSABOT project, outlining data collection, usage, and privacy rights.
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UAMS Administrative Guide 2.1.26
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Guidelines for taking and using patient photographs while protecting patient privacy and security under HIPAA regulations.
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Summary Of The Rule (Title 42 CFR Part 2 Confidentiality Of Alcohol And Drug Abuse Patient Records
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Detailed guidelines for creating valid consent forms for disclosing patient information in alcohol and drug abuse treatment programs.
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Authorization For Use And Disclosure Of Protected Health Information
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A form that allows patients to authorize the release of their protected health information to specified facilities or healthcare providers.
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Non Disclosure Procedure
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A procedure outlining the security and confidentiality requirements for outside parties accessing New York State Department of Transportation's non-public data and information.
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MyFitRx And Kids On The Move Reimbursement Form
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A reimbursement form for members participating in MyFitRx or Kids on the Move fitness programs, offering up to $50 per benefit year.
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Physician Examination Form
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A comprehensive medical form required for students to provide health information and undergo physical examination prior to campus arrival.
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Health Home Participation Authorization And Information Sharing Consent
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A consent form allowing patients to authorize health information sharing and participation in a Health Home program with specific privacy protections.
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Maryland Confidentiality Of Medical Records Act Compared With HIPAA Privacy Statute Regulation
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A comparative analysis of Maryland's medical records confidentiality law and federal HIPAA privacy regulations, exploring their similarities and differences.
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CCS Administrative Procedure 2.30.05 E Confined Space Entry
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Administrative procedure outlining safety protocols and requirements for entering confined spaces at Community Colleges of Spokane.
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Media Release Form
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A legal document authorizing use of personal stories, images, photos, and videos for advocacy purposes across various media platforms.
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Student Medical Form
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Comprehensive medical form for collecting student health information, medical history, and emergency contact details.
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Wisconsin Youth Soccer Association Event Medical Release Form
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Medical and liability release form for youth soccer participants, covering medical consent and injury acknowledgment.
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Ethics In Profession Company Secretary
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Guidelines and ethical standards for members of the Institute of Company Secretaries, addressing confidentiality, professional conduct, and potential conflicts of interest.
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Consent To Treat Form
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A consent form allowing medical treatment for an athlete, including provisions for student participation in care.
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Emergency Contact Form
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A comprehensive emergency contact and medical information form for high school band and dance students in Fort Bend Independent School District.
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24 25 Physical Examination Form
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Medical form for student athletes to document physical fitness and health status for school sports participation.
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4 H Equine Lease Agreement
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A legal document for leasing a horse to a 4-H member, documenting ownership transfer and agreement terms.
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ELECTRICAL SERVICE ORDER FORM
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Form for ordering electrical services for exhibitors at the Equine Affaire event in November 2024
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Personnel Records And Termination Policy
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Official policy document outlining procedures for maintaining personnel records, handling employment termination, and managing staff resignations.
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DSHS Client Identification And Consent Form
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A form allowing the Department of Social and Health Services to share confidential client information with authorized agencies and providers for service coordination.
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Common Confidential Student Evaluation Form (2nd 8th Grade Applicants)
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A confidential evaluation form for students applying to independent schools in the San Francisco Bay Area, covering grades 2-8.
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DSS Form 2901 Medical Statement
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Medical health form for staff, volunteers, and emergency personnel working in child care services, documenting health history and tuberculosis status.
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Medical Statement
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A medical health screening form for staff, volunteers, and emergency personnel working in child care settings in South Carolina.
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Medical Statement
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Medical health screening form for staff, volunteers, and emergency personnel in child care services in South Carolina.
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Suicide Risk Assessment Forms Form Over Substance
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An academic article examining the challenges and limitations of suicide risk assessment forms in psychiatric patient evaluation and management.
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GSDCA DM Research Sample Volunteer Form
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A research form for collecting cheek-swab DNA samples from purebred German Shepherd Dogs to study degenerative myelopathy genetic factors.
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Non UH Event Or Activity Participant Consent, Waiver, Release And Indemnity Agreement
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Legal document outlining participant consent, risk acknowledgment, and liability release for non-University of Hawaii events or activities.
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Family Guidance Center Telehealth Program
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Guidelines for remote behavioral health services using telecommunication technologies during pandemic emergency and recovery phases.
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Riverside County Mental Health Plan Provider Referral Request Form
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A confidential form for requesting mental health service referrals within Riverside County's health system.
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Participant Consent, Waiver, Release And Indemnity Agreement Non UH Event Or Activity
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A legal consent and release form for participants in non-University of Hawaii events, outlining health representations, risk assumptions, and liability waivers.
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COVID 19 VACCINATION CONSENT FORM
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Consent form for receiving COVID-19 vaccines at Public Health Seattle & King County Vaccination Sites.
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Consent To Publish PicturesTestimonialsRecordingsVideo
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A legal document granting Algoma University permission to use an individual's pictures, testimonials, recordings, or videos for advertising and informational purposes.
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New Patient Intake Form
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Comprehensive medical intake form for new patients seeking holistic healthcare at the Riordan Clinic, collecting detailed personal and medical information.
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Dohn Community High School 301 Wellness Policy Compliance Form
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A form for documenting wellness committee membership, meeting dates, and policy evaluation for a community high school.
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Cuyahoga County Common Pleas Court Local Rules
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Local court rules establishing procedures for a Veterans Treatment Court, focusing on providing alternative rehabilitation options for veterans involved in criminal cases.
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Form CS3 Student Consent
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A consent form for primary students (Grades JK-3) outlining responsible technology use and parental agreement guidelines.
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Form CS4 Student Consent
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Consent form for students in grades 4-8 outlining responsible technology and internet usage guidelines.
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Camp Blue Spruce Medical Form 2016
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A comprehensive medical form for campers to provide health and emergency contact information for Camp Blue Spruce summer camp.
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MCPS Form 320 15 Bridge Plan For Academic Validation Non Disclosure Agreement Form
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Confidentiality agreement for personnel working with secure educational assessment materials from the Maryland State Department of Education.
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Contract Worker Confidentiality Agreement
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Legal agreement outlining confidentiality obligations for contract workers engaged with Griffith Foods, protecting the company's sensitive business information.
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Community Taskforce To Review Youth Corrections Systems Standards
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A community taskforce meeting to review and recommend improvements for youth corrections systems following the incident and death of Cedric Lofton.
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Cardiac Rehabilitation Pre Authorization Form
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A medical form for requesting prior authorization for cardiac rehabilitation services and tracking patient progress in therapy programs.
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PERSONNEL SCREENING, CONSENT AND AUTHORIZATION FORM
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A form for conducting personnel screening and obtaining consent for background checks or employment verification.
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Institutional Drug Testing Program Student Athlete Notification Form
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A form documenting notification and consent for drug testing of student-athletes at an educational institution.
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Student Parent Guardian Extracurricular Activities Drug Testing Consent Form
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A consent form allowing Kimberly School District to conduct random drug testing for students participating in extracurricular activities.
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MCPS Student Suicide Risk Assessment Form
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A comprehensive form for assessing and documenting a student's potential suicide risk, including risk factors and intervention steps.
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Use Of Non Disclosure Agreement As Legal Protection In Trade Secrets To Investment Security
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An academic article exploring the use of non-disclosure agreements to protect trade secrets in investment and business contexts, particularly in Indonesia.
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Make A ChildS Smile Parental Consent Form
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A consent form for preventive dental services for school-aged children provided by the Mississippi State Department of Health.
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Consent To Treat
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A comprehensive medical consent form covering treatment authorization, medication history, privacy practices, and contact preferences.
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Order Form
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A detailed order form for dental restoration and treatment planning with comprehensive clinical documentation options.
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Background Check Consent Form
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A consent form allowing an organization to conduct background investigations and consumer reports on an individual for employment or volunteer purposes.
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MEDICAL HISTORY FORM
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Comprehensive medical form collecting patient personal health information, medical history, family history, and COVID-19 screening details.
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PAXLOVID ORDER FORM FOR OUTPATIENT ORDER SET PER FDA EUA
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Medical order form for prescribing Paxlovid, an emergency use authorization (EUA) medication for treating mild-to-moderate COVID-19 in eligible patients.
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Form 401 AGeneral Information Acceptance Of Appointment And Consent To Serve As Registered Agent
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Official form for documenting acceptance and consent of a registered agent for a business entity in Texas.
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HIPAA 404P Authorization To Release Or Obtain Health Information
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A form for authorizing the release or obtaining of protected health information under HIPAA guidelines.
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Media Release Policy
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Policy governing the authorization and use of media featuring students, faculty, and staff in public communications.
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Consent Form For Parents Of Deceased Children
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Consent form for parents to provide permission for a child's stored biological sample to be used in a research study about neuroblastoma epidemiology.
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Parental Permission For A Minor Child To Participate In A Research Study
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Consent form for parents to allow minor children to participate in a research study about neuroblastoma epidemiology.
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Tobacco Free Campus Policy
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Comprehensive policy prohibiting tobacco use, smoking, and tobacco product distribution on all university property for students, faculty, staff, and visitors.
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DOH 422 066 PsychiatricPsychological ConsultantS Compliance Form
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A medical form for documenting psychiatric evaluation and patient mental health status compliance assessment.
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Confidential Tax Information Authorization
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A form that allows taxpayers to authorize the Department of Revenue to send or share confidential tax information via email, fax, or with a third party.
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Hazard Incident Report Form
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A form for documenting and reporting workplace safety hazards, incidents, and recommended corrective actions.
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Youth Member Health History Information
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A comprehensive health information form for youth members participating in 4-H programs, collecting medical history, medications, and special needs information.
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Psychology 4890 Internship
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Departmental document outlining internship details, mental health statement, land acknowledgement, and disability resources at Southern Utah University.
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Psychology 4891 Internship Capstone (12857)
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A course syllabus for a psychology internship capstone course with statements on mental health, land acknowledgement, Title IX, and student disability services.
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Background Check Consent Form
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Consent form authorizing criminal and driver's history record checks for employment with Cobb County School District.
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COVID 19 Participant Code Of Conduct And Risk Assessment Form
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A risk assessment and conduct guidelines form for Special Olympics participants during the COVID-19 pandemic
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Data Assurances Agreement
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Agreement between NAACCR, Inc. and a cancer registry outlining data confidentiality and usage terms for cancer incidence research.
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Authorization To Disclose Confidential Information
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A form authorizing the release of personal medical information to specified parties with details on the type and purpose of disclosure.
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4 H Media Release Form
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A legal document granting Virginia Tech permission to use an individual's image, voice, and performance for educational and promotional purposes.
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Georgia 4 H Participation Agreement And Waiver Form
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A legal waiver for participants in Georgia 4-H virtual programs, covering liability and consent for program participation.
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Health Requirements For Matriculation
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Comprehensive health documentation requirements for students, detailing mandatory vaccinations and immunization guidelines.
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Youth Activities Media Release Form
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A media consent form allowing the University of Wisconsin-Whitewater to use a participant's image and likeness for various purposes.
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Human Informed Consent Form
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A template form for obtaining informed consent from research participants in science fair projects, covering voluntary participation and study details.
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Drugs And Alcohol (Athletes) Policy
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Policy governing drug testing and education for student-athletes at Western Nebraska Community College to promote health and fair competition.
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Research Involving Decisionally Impaired Participants
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Establishes guidelines and protections for conducting research involving participants who cannot provide voluntary informed consent due to decisional impairment.
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Electronic Signature Agreement
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Agreement governing the use of electronic signatures by County of Orange Health Care Agency Behavioral Health Services staff and contractors.
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Psychiatric Referral Form
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A comprehensive form for mental health professionals to refer a student for psychiatric evaluation and potential treatment.
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Required NYS School Health Examination Form
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Comprehensive health examination form for New York State school students, capturing medical history and current health status.
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Fitness Reimbursement Request
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Form for members to request reimbursement for qualified fitness expenses through Blue Cross Blue Shield of Massachusetts.
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Volunteer Criminal Background Check Consent Form
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A consent form for volunteers to authorize a criminal background check by Orange County Community Resources.
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Seasonal Survey On Influenza Vaccination Programs For Healthcare Personnel
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A survey collecting information about influenza vaccination programs and practices for healthcare personnel across different employment groups.
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Non Disclosure Agreement And Confidentiality Agreement
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Legal document establishing confidentiality terms for accessing business sale information through a business broker.
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Medical Form
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A medical form for applicants to Notre Dame Seminary's Graduate School of Theology Priestly Formation Program, collecting health and insurance information.
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Personal Medical History
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Comprehensive medical history form for collecting patient health information, medical conditions, family history, and current health status.
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Athlete Nomination Form
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Comprehensive form for athlete registration, personal details, sports experience, and consent for international sporting events
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Interactive Registration For Policyholders
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A confidentiality agreement and registration form for accessing LWCC's online policy and claims information system for policyholders.
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Policy 6.15 Information Security Plan
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A comprehensive policy defining data classification, access, and protection procedures for safeguarding confidential information at Monroe County Community College.
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Non Disclosure Agreement
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Confidentiality agreement protecting proprietary information related to a video game development project.
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Business Plan Non Disclosure Agreement
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A confidentiality agreement to protect sensitive information shared in a business plan from unauthorized disclosure.
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Informed Consent, Release Agreement, And Authorization
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A legal document for participants or guardians providing consent and medical authorization for Scouting activities and emergency medical treatment.
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Informed Consent, Release Agreement, And Authorization
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A legal document providing consent, medical authorization, and risk acknowledgment for participation in Scouting activities.
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Meditech Patient Portal Adult Proxy Consent Form
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Form allowing an adult to grant proxy access to their medical portal record for another designated adult representative.
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Tax Information Disclosure Authorization (Form R 7004)
PDF template
A form used to authorize disclosure of confidential tax information and request tax return copies from the Louisiana Department of Revenue.
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Student Health Information Form
PDF template
Comprehensive health information form for collecting student medical and contact details at a university
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Lamar Consolidated ISD Athletic Forms Packet
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Comprehensive packet of required forms for student-athletes participating in Lamar CISD athletic programs, including medical and consent documentation.
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Electronic Recording Interview Form
PDF template
A form documenting consent for electronic recording of police interviews in Truro, Massachusetts.
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Mental Status Examination Form
PDF template
Medical evaluation form for assessing a driver's mental fitness to operate a motor vehicle in Florida.
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MSDH Motivated To Live A Better Life Referral Form
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A comprehensive referral form for patients seeking health management support through the Mississippi State Department of Health's lifestyle program.
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Section 74(B) Clean Bus Energy Grant
PDF template
A grant program to replace diesel school buses with electric, propane, and compressed natural gas buses to reduce emissions and improve air quality.
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Hazard Report Form
PDF template
A form for documenting workplace safety hazards, their severity, and corrective actions.
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Online Privacy Policy Agreement
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Privacy policy outlining data collection, usage, and user rights for King Mastery, International, LLC's website and online services.
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Medical History Form
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Comprehensive medical form for students to provide health history and undergo medical screening for enrollment.
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Questions And Answers From Early Intervention Insurance Assessment Webinar
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A comprehensive document addressing questions about insurance processes in early intervention services and related forms.
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Security Incident Report
PDF template
Official form for documenting security incidents at the Mississippi State Department of Health's Office of Health Informatics.
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2019 Jijak Youth Camp Medical Release Form
PDF template
A comprehensive medical form for youth camp participants to provide health information, allergies, immunization status, and medical details.
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Medical History Form
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A comprehensive medical history form for sports participation, requiring detailed health information and consent statements.
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Non Disclosure Confidentiality Agreement
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A confidentiality agreement for prospective business or real property buyers to protect sensitive business information during potential transactions.
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Name Based Criminal History Record Information ConsentInquiry Form
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A consent form for conducting criminal history record checks for various employment and personal purposes in Georgia.
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EPA Property Access And Air Sampling Consent Form
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A consent form allowing US Environmental Protection Agency to conduct air monitoring and sampling on a specific property under CERCLA regulations.
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Health Advisory Update 5 Human Monkeypox Treatment With Tecovirimat And Supportive Measures
PDF template
An advisory providing information about tecovirimat treatment for monkeypox and key guidance for healthcare providers in San Diego County.
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DBT Therapist Rating And Feedback Form
PDF template
A structured form for evaluating DBT therapists' performance and intervention skills during therapy sessions.
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COVID 19 Participant Code Of Conduct And Risk Assessment Form
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A comprehensive guidance document outlining participant responsibilities and precautions for COVID-19 safety during Special Olympics activities.
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POLICE CONTACT FORM
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A form used to document and detail circumstances surrounding police interaction with a mental health service recipient.
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Form 362 Alabama Medicaid Referral Form
PDF template
A confidential form for Medicaid recipients to document medical referrals, screenings, and care coordination by healthcare providers.
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Sterilization Consent Form Detailed Instructions Guide
PDF template
Detailed guide for healthcare providers on submitting sterilization consent forms to Medicaid's fiscal agent, Gainwell.
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Eyer Ropes Challenge Course Release Of Liability, Waiver Of Claims, Assumption Of Risk And Indemnity
PDF template
Legal document releasing liability for participation in high-risk recreational activities at Eyer Ropes Challenge Course.
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DOT Physical Examination Form
PDF template
Medical examination form for commercial vehicle drivers to assess physical fitness for driving.
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Pre K 1st Grade Common Student Evaluation Form
PDF template
A confidential form used by Independent Schools of the San Francisco Bay Area to evaluate Pre-K to 1st grade student applicants, completed by current teachers.
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Authorization For The Release Of InformationPrivacy Act Notice To The U.S. Department Of Housing And
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A form authorizing HUD and housing agencies to request and verify personal financial information for housing assistance purposes.
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HUD 9887A Fact Sheet
PDF template
Document package for housing assistance applicants providing consent for verification of personal information by HUD and related agencies.
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Incident Report (Other Than Motor Vehicle)
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Confidential form for documenting non-vehicle incidents at the University Corporation at Monterey Bay, to be completed within 48 hours of an incident.
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A10 Risk Assessment Policy
PDF template
A comprehensive policy outlining the school's approach to identifying and managing health and safety risks for staff, pupils, and visitors.
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Prospective Tenant Background Check Consent Form
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A consent form for prospective tenants to authorize a criminal background check for rental application purposes.
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Preparticipation Physical Evaluation Physical Examination Form
PDF template
Medical evaluation form used to assess an athlete's physical fitness and eligibility to participate in sports activities.
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Preparticipation Physical Evaluation Physical Examination Form
PDF template
A comprehensive medical evaluation form for athletes to assess physical fitness and clearance for sports participation.
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Access Assessment Centre Referral Form
PDF template
A referral form for mental health services targeting Vancouver residents, collecting comprehensive client information and assessment 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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Consumer Authorization Form
PDF template
A form authorizing a licensed sales agent to assist with health insurance marketplace application and enrollment processes.
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Marketplace Consent Form
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A consent form allowing a health insurance agent to access and assist with Marketplace health insurance enrollment and application processes.
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Patient Intake Form
PDF template
Comprehensive form for collecting patient personal, medical, insurance, and contact information for healthcare services.
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NNSA Facility Access Identification Requirements
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Detailed document outlining acceptable forms of personal identification for accessing NNSA facilities for U.S. citizens.
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ADOBE LICENSE AGREEMENT FOR PRERELEASE SOFTWARE
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Legal agreement governing the use of Adobe's prerelease software and confidential information for beta testing purposes.
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ERAIDER REQUEST FORM
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Form for non-TTUHSC employees to request an eRaider account, specifying access requirements and responsibilities.
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ACCESS TO INFORMATION COMPLIANCE FORM
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A form outlining confidentiality requirements and guidelines for accessing confidential information within University at Buffalo's information systems.
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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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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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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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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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ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM
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A legal document that releases event organizers from liability and assumes personal risk for participation in an activity.
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Accident Waiver And Release Of Liability Form
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A legal document releasing the Lupus Foundation of America and event venue from liability for participation in an outdoor movie event.
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Accident Waiver And Release Of Liability Form
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Legal document releasing event organizers from liability for potential injuries or damages during participant's event involvement.
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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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Account Authorization Form
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A form allowing AT&T customers to authorize sharing of confidential account information with another specified person.
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Account Creation Consent Form
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A consent form for parents/guardians to create an online account for students under 13 with College Board services.
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Waiver Form
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A consent form allowing the US Department of Health and Human Services to use an individual's image, video, and personal story for promotional purposes.
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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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Activity Participation Waiver
PDF template
A legal document that outlines participant risks and releases the organization from liability during an activity
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Acknowledgment Of Risk And Consent Form
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Legal document for voluntarily participating in a college activity with acknowledgment of potential risks and liability waiver.
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Allegany College Of Maryland Media Release Form
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A consent form allowing the college to use student images, videos, and information for educational and promotional purposes.
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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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Medical Information
PDF template
A comprehensive medical form collecting personal health details for emergency preparedness at an event or track setting.
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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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Activity Booking Form
PDF template
Comprehensive booking form for outdoor activity and course registration with liability acknowledgment and consent details.
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ACTIVITYPROGRAM RELEASE And WAIVER FORM
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A legal document for releasing liability and obtaining consent for participation in organizational activities or programs.
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Activity Waiver Form (Release, Waiver And Covenant Not To Sue)
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A legal document that releases Cape Fear Community College from liability for risks associated with participating in an activity or event.
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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
PDF template
Confidential questionnaire for determining patient treatment plan and collecting comprehensive medical and personal information.
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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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Letter Of Recommendation WaiverRequest Form
PDF template
A form for students to request and recommenders to submit confidential letters of recommendation at Harvard University's Adams House.
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Required NYS School Health Examination Form
PDF template
A comprehensive health examination form for students in New York State, documenting medical history and current health status
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Arizona Department Of Health Services Confidentiality Agreement
PDF template
A comprehensive agreement outlining confidentiality requirements and responsibilities for individuals accessing sensitive health information.
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Admission Agreement And Health Assessment
PDF template
Comprehensive form for child enrollment, medical history, emergency contacts, and health assessment for childcare or educational settings.
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Athletic ParticipationParental ConsentPhysical Examination Form
PDF template
Official form for high school students to participate in athletic activities, including eligibility verification and parental consent.
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Adolescent Vaccination Consent Form (TdapTd, HPV, Meningococcal ACWY)
PDF template
A consent form for parents/guardians to authorize vaccination of adolescents for Tdap/Td, HPV, and Meningococcal ACWY vaccines.
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Informed Consent Document Template
PDF template
A template for creating an informed consent document for research study participants explaining study details, procedures, risks, and benefits.
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Girl Scouts Of Greater Los Angeles Adult Emergency Information And Authorization For Treatment
PDF template
Emergency contact and medical authorization form for Girl Scouts of Greater Los Angeles adult participants
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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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Adult HIV Confidential Case Report Form
PDF template
Confidential medical reporting form for adult HIV patients in Rhode Island, used for surveillance and epidemiological tracking.
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Adult Legal Form
PDF template
A legal form for adult participants in CISV international programs covering medical guardianship, release, and program consent.
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Emergency Medical Form ADULT
PDF template
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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Adult Medical Release Form
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Medical and liability release form for participants in Diocese of Little Rock youth ministry events
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Adult Medical Release Form
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Medical release and consent form for adult participants in environmental education program activities, capturing health information and emergency contact details.
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External Referral Form For Services
PDF template
A comprehensive referral form for patient intake into partial hospitalization mental health services, collecting demographic, clinical, and insurance information.
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GENERAL INFORMATION AND SERVICE AGREEMENT
PDF template
A comprehensive overview of counseling services, client rights, and responsibilities at Resolute Counseling.
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GENERAL INFORMATION AND SERVICE AGREEMENT
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A comprehensive document outlining counseling services, client rights, and responsibilities for Resolute Counseling.
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Community Practice Referral Form Adult Services
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A referral form for occupational therapy and physical therapy services for adult patients with various health conditions and treatment needs.
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NDA Adult Volunteer Registration And Waiver Form
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A legal waiver form for adult volunteers participating in a neighborhood district association event, releasing the organization from liability.
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Advocacy Service Guide
PDF template
A guide explaining the advocacy services provided by CIS, including support, representation, and confidentiality protocols.
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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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Benefits Committee Meeting Agenda
PDF template
Agenda for Benefits Committee meeting detailing review of minutes, old and new business items related to employee benefits.
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AGMA Health Fund Retirement Plan Consent To Electronic Delivery
PDF template
A form allowing members to receive AGMA Health Fund and Retirement Plan notices electronically via email.
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Consent Form For Collecting Personal Data InFrom European Union
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A consent form for collecting and using personal data from European Union individuals, complying with EUGDPR regulations.
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Near Miss Hazard And Incident Reporting Guidelines
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Comprehensive guidelines for reporting and managing workplace health and safety incidents, near misses, and hazards within an organization.
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High Adventure Activity Medical Form
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A medical form for certifying individual fitness for high-risk adventure activities for youth organizations.
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AHP Gathering Submission Form
PDF template
Form for submitting details about an informal meetup for members of the American Horse Publications (AHP) organization in the equine industry.
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Arizona Interscholastic Association Annual Preparticipation Physical Evaluation
PDF template
A comprehensive medical screening form for student-athletes to assess their health and fitness for sports participation.
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AISA Risk Management Program For Local Level Sports
PDF template
Comprehensive guidelines for school sports programs focusing on athlete safety, injury prevention, and risk management protocols.
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ALF Admission Check
PDF template
Comprehensive admission packet for new patients at AMG Senior Medical Group, including patient demographics and consent forms.
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Preparticipation Physical Evaluation (Interim Guidance) Physical Examination Form
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A comprehensive medical examination form for athletes to assess physical fitness and health status prior to participation in sports activities.
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Medical Records Release Form
PDF template
Form authorizing the release of confidential medical records from Allegheny College to a specified recipient.
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Alfred State Workshop AllergyMedical Form
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A comprehensive medical form for documenting a camper's allergies, medical conditions, and emergency contact information.
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Springfield Platteview Community Schools Health Examination Form
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A comprehensive health and immunization form for students in kindergarten through 12th grade in Springfield Platteview Community Schools.
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ALS Focus Consent Form
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Online survey platform consent form for people with ALS and their caregivers to participate in research studies about the disease.
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ALSPAC DATA ACCESS AGREEMENT
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A formal agreement for accessing research datasets from the Avon Longitudinal Study of Parents and Children (ALSPAC)
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Alumni Award Fund Nomination Form
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A nomination form for recognizing successful alumni of Northwest Passage's residential treatment programs who have overcome personal challenges.
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Medical Examination Report For Bus Transit System Driver
PDF template
Comprehensive medical examination form for bus transit system drivers to assess health conditions and fitness for duty.
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AMI Insurance Application
PDF template
A comprehensive insurance application form for personal health coverage with options for individual or family plans.
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Student Health Examination Form
PDF template
Medical examination form for students, documenting health history, physical examination, and immunization status.
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Criminal Records Background Check Consent Form For Volunteers
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Consent form for criminal background checks required for Washington State Department of Natural Resources volunteers with potential access to sensitive environments or populations.
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Guest Speaker Consent Form
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A legal document allowing American University to record, use, and distribute a guest speaker's presentation and personal information for various purposes.
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Client Feedback Form
PDF template
A comprehensive form for collecting patient feedback about their massage therapy treatment experience and therapist performance.
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MEDIA RELEASE FORM PHOTOGRAPHS ANDOR VIDEO
PDF template
Legal document granting Andrew College permission to use an individual's photographs or video for various purposes
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Animal Incident Report Form
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A detailed form for reporting animal-related incidents involving bites, scratches, or other exposures to an animal.
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Commercial Proposal Form
PDF template
A form for submitting commercial proposals for transport, treatment, and disposal of hazardous and non-hazardous chemicals.
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Activity Based Risk Assessment Form
PDF template
A comprehensive form for identifying, evaluating, and controlling workplace safety hazards and risks.
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Event Feedback Form (Survivors)
PDF template
A confidential feedback form designed to gather survivor experiences and insights from media and NGO interactions with sensitivity and ethical considerations.
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Annual Health Evaluation Form
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A comprehensive health evaluation form for tracking medical history, lifestyle factors, and current health status.
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Question Set G
PDF template
Survey for current and former Financial Conduct Authority employees seeking input and evidence on organizational matters.
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Form CS5 STUDENT ACCEPTABLE USE OF TECHNOLOGY AGREEMENT
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A consent form outlining technology usage rules and expectations for students in grades 7-12 at a Catholic school district.
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AP Course Audit Syllabus Self Evaluation Checklist
PDF template
A comprehensive checklist for educators preparing and reviewing AP course syllabi to ensure compliance with College Board requirements.
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PARTICIPANT MEDICAL HISTORY FORM
PDF template
Confidential medical history form for collecting participant health information for trips and activities by APEX
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Medical Information Release Form
PDF template
A form allowing parents or legal guardians to specify who can receive medical information about their child from Angelina Pediatrics, PLLC.
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Prescription Transfer Request Form
PDF template
A form for transferring prescription medications between pharmacies at the University of Colorado Health Center.
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Appendix 5 Medical Release Form
PDF template
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
PDF template
Form for health workers and students to declare compliance with infectious disease screening and vaccination requirements for NSW Health facilities.
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RELEASE, WAIVER OF LIABILITY, COVENANT NOT TO SUE
PDF template
Legal document releasing Columbus State University from liability for potential injuries during a camp or conference event.
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Institutional Drug Testing Program Student Athlete Notification Form
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A form documenting the notification and consent process for student-athletes selected for mandatory drug testing.
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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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Eparchial PhotoVideoMedia Release Form
PDF template
A consent form for photographing and using images of individuals at events organized by the Ukrainian Catholic Eparchy of Saskatoon.
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Applicant DrugAlcohol Testing Consent Form
PDF template
Consent form for drug and alcohol testing as a condition of employment with Global Packaging, Inc.
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Consent To Reference And Background Check Form
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Legal authorization form allowing an employer to conduct background checks and reference verifications on a potential or current employee.
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Application Form For Non Disclosure Agreement
PDF template
Application form for submitting a Non-Disclosure Agreement to Sony, with specific guidelines for legal entities in English or Japanese.
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Application For Employment
PDF template
Confidential employment application form for assessing candidate suitability for a position at Community Wellbeing North Canterbury Trust.
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FORM AFULL RESEARCH REVIEW APPLICATION FORM (IRB)
PDF template
A comprehensive form for submitting research projects involving human subjects for institutional review and approval.
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Service Request Form
PDF template
A form for submitting and tracking information technology service requests within an organization.
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LMFT Supervisor Mentor Checklist
PDF template
Application form for Licensed Marriage and Family Therapists seeking supervisor mentor status in Alabama
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Appointment Consent Form
PDF template
A consent form allowing another person to sit in on a student's appointment and access sensitive academic and financial information.
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APPs In The Research Setting A Checklist For Researchers
PDF template
A comprehensive guide for researchers to evaluate legal and ethical considerations when developing or using mobile applications in research studies.
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APPLICATIONS Service Request Form
PDF template
Internal form for requesting IT service and system modifications within an organization's technology infrastructure.
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Teacher Program Agreement Media Release Form
PDF template
A document for teachers participating in UCLA's AP Readiness Program, including program commitment and media release consent.
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NH Medicaid To Schools Billing Companion Guide Update
PDF template
Guidance document from New Hampshire Medicaid providing clarifications on billing, parental consent, and provider requirements for school-based Medicaid services.
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APTA Technology Terms And Conditions White Paper
PDF template
A white paper discussing technology-related terms and conditions for IT procurement contracts in public transit agencies.
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OCCUPATIONAL MEDICAL SURVEILLANCE PROGRAM PHYSICAL EXAMINATION FORM
PDF template
A comprehensive medical examination form for documenting employee health status and physical condition for the United States Department of Agriculture.
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ARCHERY CLUB EMERGENCY CONTACT RECORD
PDF template
A detailed emergency contact and medical information form for participants in the Wilton Family Y Archery Club.
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Remdesivir Prescribing DeclarationStreamlined IPU Application Form
PDF template
A form for healthcare professionals to request and prescribe Remdesivir for COVID-19 patients meeting specific criteria.
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Army Physical Training Risk Assessment Example
PDF template
A document detailing risk assessment techniques for military physical fitness training and potential health considerations for soldiers.
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Submission Usage Agreement With The Art Of Autism Website And Affiliated Sites, Social Media And New
PDF template
A legal agreement for artists submitting artwork to The Art of Autism, outlining usage permissions and submission guidelines.
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4th Annual Art Event Submission Guidelines
PDF template
An art event raising mental health awareness through creative submissions from artists with mental health service experience in Maryland.
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Alexandria Soccer Association Medical Release Form
PDF template
A medical authorization form allowing team officials to obtain medical attention for a child during soccer activities.
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Consent Form For Participation In A Research Study
PDF template
Informed consent document for a research study involving a stressful computer task with potentially disturbing visual stimuli.
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Referral Form
PDF template
Medical referral form for new patient intake and treatment evaluation at Ascend Health Center, focusing on mental health services.
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High Risk Waiver Form
PDF template
A consent form for pet owners acknowledging surgical risks and agreeing to proceed with spay/neuter surgery despite medical concerns.
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Asthma Assessment Form For School
PDF template
Comprehensive form to collect detailed medical information about a student's asthma symptoms, triggers, and management for Seattle Public Schools.
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Astym Therapy Service Agreement
PDF template
Service agreement for healthcare professionals seeking Astym therapy certification and ongoing professional support from Performance Dynamics, Inc.
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Advantage Consent For Wound Care Services
PDF template
A comprehensive consent form for patients receiving wound care treatment, outlining procedures, benefits, and potential risks.
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Special Olympics Medical Form
PDF template
Comprehensive medical form for Special Olympics athletes documenting health history, conditions, and participation details.
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WCGS Athletics Travel Permission Form 2022 2023
PDF template
A consent form for parents of student athletes allowing transportation and medical authorization for off-campus sports events
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Melba Schools Activity Policy
PDF template
Comprehensive policy document covering insurance waiver, drug testing consent, and activity participation guidelines for Melba School District students.
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Athletic Travel Form
PDF template
A comprehensive form for student-athletes detailing emergency contact information, medical details, and consent for medical treatment during athletic participation.
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Accessible Technology Purchase Form
PDF template
Form for requesting electronic and information technology purchases to ensure accessibility for students and users in academic settings.
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General Release Form For PhotographyVideographyAudio Recording
PDF template
A legal document granting A.T. Still University permission to use an individual's likeness, voice, and personal information for educational and promotional purposes.
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General Release Form For PhotographyVideographyAudio Recording Child
PDF template
A legal document granting A.T. Still University permission to record and use a child's likeness, voice, and name for educational and promotional purposes.
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Data Protection Consent Form
PDF template
Consent form for members to agree to data usage, publication of contact details, team information, and photography by the Ashford Table Tennis Club.
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MINOR YOUTH EMERGENCY MEDICAL CONTACT, HEALTH HISTORY AND TREATMENT AUTHORIZATION
PDF template
A comprehensive medical contact and health authorization form for minors participating in a program, collecting emergency contacts, health information, and parental consent for medical treatment.
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Long Term Disability Claim Form
PDF template
A comprehensive medical form for documenting a patient's disability claim, including medical history, diagnosis, treatment, and current condition.
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Non Disclosure Agreement
PDF template
Confidentiality agreement for prospective buyers of Finlandia University real property assets during a court-appointed sale process.
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Consent To Use Sound And Image Recordings That May Contain Identifying Information For Education
PDF template
A consent form allowing physicians to use patient images and sound recordings for educational purposes with patient's understanding of potential identification.
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Patient Intake Form
PDF template
Comprehensive patient intake form for collecting personal, contact, and medical insurance information at Auburn University Clinical Health Services clinics.
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MEDIA, PHOTO VIDEO RELEASE FORM
PDF template
A legal document granting Assumption University rights to use student/participant images and recordings for various university purposes.
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HOLD HARMLESS, VOLUNTARY WAIVER, AND ASSUMPTION OF RISK FORM
PDF template
A legal document that releases Auburn University from liability for potential injuries or damages during a field trip event.
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CONSENT FOR AUTHORIZATION FOR USERELEASE OF HEALTH INFORMATION
PDF template
A consent form allowing the release of protected health information to a specified recipient with specific conditions and understanding of potential sensitive data disclosure.
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Authorization For The Release Of InformationPrivacy Act Notice
PDF template
A consent form authorizing HUD to verify income, employment, and financial information for housing assistance programs.
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Authorization To Disclose Protected Health Information
PDF template
Legal form allowing disclosure of an individual's protected health information under HIPAA and Texas Medical Privacy Act guidelines.
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Authorization Form For The Use And Disclosure Of Patient Health Information For Research Purposes
PDF template
A consent form allowing researchers to use and disclose patient health information for a specific research study at the University of Wisconsin - Milwaukee.
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UHIPAA AUTHORIZATION FORM
PDF template
A form authorizing the release of patient medical records and protected health information with specific disclosure parameters.
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Customer Consent Form Other Than CeUD
PDF template
A form allowing customers to authorize one-time release of specific personal information to third parties by Xcel Energy.
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HIV Related Information Release Authorization Form
PDF template
Legal form authorizing release of medical and HIV-related information under New York State confidentiality laws
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Authorization Form For Use Or Disclosure Of Protected Health Information
PDF template
A form allowing authorization for use or disclosure of an individual's protected health information by Sedgwick County.
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Medical Release Form Instructions
PDF template
Detailed guide for patients on how to complete a medical records release form and obtain personal medical records.
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The Autism Center Clinical Referral Form
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A comprehensive referral form for patients seeking services at an autism treatment center, collecting patient demographics, medical history, and referral details.
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Animal Workers Medical Surveillance Consent For Medical ScreeningEvaluation
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A consent form for medical screening and evaluation of individuals working with animals at the University of Idaho.
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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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Non Disclosure And Confidentiality Agreement
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A legal document establishing confidentiality obligations and protection of trade secrets between a company and a recipient of sensitive information.
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Background Check Consent Form
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A consent form allowing an employer to conduct background investigations and consumer reports on a potential or current employee.
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Chesapeake Public Schools ParentGuardian Media Release Form For Students
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A form granting permission for students to be photographed, recorded, or videotaped for school-related media purposes.
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Background Check Consent Form
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Consent form for background checks for volunteers and employees at Archbold United Methodist Church.
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Employment Application Addendum
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A consent form for employment background checks that authorizes investigation of personal, professional, and financial history.
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AUTHORIZATION FOR TDPS BACKGROUND CHECK CONSUMER REPORT
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A consent form authorizing Collin County Community College District to obtain criminal background and consumer reports from Texas Department of Public Safety and ChoicePoint WorkPlace Solutions Inc.
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Background Check Consent Form
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A consent form for employees and volunteers to authorize a background check as part of the onboarding process at NYU Langone Medical Center.
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Background Check Consent Form
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A consent form for criminal background check authorization, typically used for employment or volunteer screening in a church or ministry setting.
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Employee Consumer Authorization And Consent Release
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A document authorizing Undercroft Montessori School and Gallant Background Checks LLC to conduct a comprehensive background investigation for employment purposes.
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Background Check Consent Form
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A consent form allowing a ministry to conduct background checks on potential volunteer mentors, with acknowledgment of potential disqualifying factors.
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CONSENT FOR CRIMINAL BACKGROUND CHECK
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A form authorizing a criminal background investigation and consent for information verification from law enforcement and court agencies.
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Criminal Background And Sex Offender Check Disclosure And Consent Form
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A form authorizing criminal background and sex offender checks for volunteers seeking to work with KIPP DC students.
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National Background Screening Consent Form
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A consent form allowing an organization to conduct comprehensive background checks on an applicant, including criminal records, sex offender registries, and identity verification.
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National Background Screening Consent Form
PDF template
Consent form for comprehensive background screening covering criminal records, sex offender registries, and personal information verification.
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Consent To Perform A HistoryBackground Check
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A consent form for conducting criminal history background checks for employment or volunteer positions at Denton Calvary Academy.
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Background Check Consent Form
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A comprehensive form for collecting personal and biographical information for employment or screening purposes.
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Background Check Consent Form
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Consent form for criminal background checks for Boy Scouts of America employees, administrators, and volunteers in California.
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Background Check Consent Form
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Form for obtaining consent and conducting background checks for individuals seeking pastoral ministry positions in the South Georgia Annual Conference.
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Duchesne County School District Background Check Consent Form
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A consent form for conducting criminal history records search for job applicants or volunteers with Duchesne County School District
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Background Check Consent Form
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A consent form allowing South Haven Baptist Church to conduct background investigations for volunteers and employees.
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Background Check Consent Form
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A consent form allowing criminal history record disclosure for a non-profit organization's application process.
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Criminal Background Check Consent Form
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A consent form for conducting a criminal background check by the City of Freeport, Minnesota, requiring personal identification and authorization for record disclosure.
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Informed Consent (123B.03) Volunteer Form
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Consent form for volunteers at Heartland Christian Academy allowing criminal background check and record disclosure.
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Background Check Consent Form
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A government form for collecting personal details and consent for background verification purposes.
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CRIMINAL BACKGROUND CHECK CONSENT FORM
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Consent form allowing Turner's Landscape Inc. to conduct a criminal background investigation for employment purposes.
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Authorization For Release Of Information Background Check Consent Form
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A consent form authorizing First Advantage to conduct a comprehensive background investigation for employment purposes.
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Adjacent Property Owner Consent Form For Backyard Chickens
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A form requiring consent from adjacent property owners for obtaining a permit to keep backyard chickens in Winter Park, Florida.
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Exhibitions And Sponsorship Booking Form
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A form for organizations to book exhibition and sponsorship opportunities at BACP mental health conferences and events.
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2nd 8th Grade Common Student Evaluation Form
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Confidential evaluation form for student applicants to independent schools in the San Francisco Bay Area for grades 2-8
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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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BANNER UNIX ACCOUNT APPLICATION FOR EMPLOYEES
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Form for employees to request access to various Banner modules and Unix accounts at Texas Southern University
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BANNER UNIX ACCOUNT APPLICATION FOR EMPLOYEES
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Form for requesting access to Banner and Unix system modules for Texas Southern University employees
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Baseball Medical Release Form
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A medical authorization and consent form for baseball participants, allowing medical treatment and acknowledging potential risks of participation.
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Non Disclosure Agreement
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A legal document establishing confidentiality obligations between a Disclosing Party and a Receiving Party regarding sensitive information.
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ACHD Bathing Place Incident Report Form
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A comprehensive form for reporting incidents and injuries at public bathing facilities, including water rescues and medical treatments.
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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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VolunteerParental Consent Form
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Legal document outlining volunteer responsibilities, liability waivers, and consent for volunteering at Bernie's Book Bank, including provisions for minor volunteers.
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Liability Media Release Form
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A release form for parents/guardians to authorize child participation in music school programs and grant media usage permissions.
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Sexual Assault Evidence Testing And Storage Consent Form
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A form for sexual assault survivors to choose between unrestricted forensic testing or restricted kit storage with law enforcement.
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Claim Form To Pay InsuredSubscriber
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A comprehensive insurance claim form for documenting medical treatment, injury, or preventive care for reimbursement purposes.
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Claim Form To Pay InsuredSubscriber
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A comprehensive form for submitting medical insurance claims, capturing patient details, treatment information, and other coverage details.
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Western Carolina University Base Camp Cullowhee Health And Medical Form
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A health screening form for participants in outdoor activities, collecting medical history and emergency contact information.
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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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BCS Fellow (FBCS) Application Guidance For OMs
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Comprehensive guidance for professionals applying to become a BCS Fellow, detailing application requirements and criteria.
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Background Check Consent Form For Candidates For Public Office Positions
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A comprehensive form for collecting personal and professional information for candidates seeking public office positions, including consent for background verification.
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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
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A comprehensive medical form for documenting a student's physical health assessment by a healthcare provider.
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Ancillary Order Form
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A medical form for ordering orthotic services, therapy, and documenting patient diagnostic information.
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LANDOWNER CONSENT FORM
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A form granting permission for authorized personnel to access private property to address public health and safety risks from beaver or muskrat populations.
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Behavioral Health Service Request Form
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Healthcare form for requesting behavioral health services and treatment authorization from Molina Healthcare of Texas.
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Benefits Cancellation Form
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Form for employees to cancel or modify health, dental, and life insurance benefits with Haverhill Public Schools.
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Wisconsin Treatment Courts Best Practices For Record Keeping, Confidentiality Ex Parte Information
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A comprehensive guide recommending best practices for Wisconsin treatment courts regarding record-keeping, confidentiality, and ex parte information management.
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Informed Consent, Voluntary Waiver, Release Of Liability, Assumption Of Risk, And Photography Releas
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Legal document for parental consent and liability release for child participation in a program at Bethel University
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Gift Aid Declaration FormGeneral Data Protection Consent Form
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A form for UK taxpayers to declare gift aid donations and provide data protection consent for the Bexhill CAP Centre charity.
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2023 2024 Beyfortus Medication Consent Form
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Medical consent form for Beyfortus (Nirsevimab) RSV preventative antibody for children under 8 months old
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BOISE FIRE DEPARTMENT MEDICAL RELEASE FORM
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Medical form for evaluating and releasing firefighters to full duty after injury or medical assessment.
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Mutual Non Disclosure Agreement
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A legal agreement between Battlefront Miniatures Ltd and another party to protect confidential information shared during business interactions.
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Mental Health Reauthorization Request BhsMentalHealthReauthRequest
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Confidential medical form for requesting reauthorization of mental health services for an eating disorder patient
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Media Release Form
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Legal document granting permission to use an individual's name, image, and likeness for media purposes without financial compensation.
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Substance Abuse Discharge Note
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A comprehensive discharge form for substance abuse rehabilitation facilities documenting patient treatment status, diagnoses, and discharge details.
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TELEHEALTH CONSENT FORM FOR MENTAL HEALTH SERVICES
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A consent form detailing the terms, risks, and responsibilities for receiving mental health services via telehealth technology.
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BH Telehealth Vendor Analysis
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Comprehensive analysis of telehealth solutions for Medicaid mental health services, focusing on vendor capabilities and implementation strategies.
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UH IBC Biological Laboratory Incident Report Form
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A comprehensive form for reporting biological incidents, injuries, or near misses in a laboratory setting, requiring documentation within 24 hours.
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Biometric Identifier Collection Authorization Form
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Authorization form for collecting and using fingerprint data for facility access control at Northwestern University.
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Patient Intake Form
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Comprehensive medical form for collecting patient personal, contact, medical, and insurance information with consent authorization.
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Medication Order Form
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A comprehensive form for patients to provide medical information, contact preferences, and medication order details for Birdi pharmacy services.
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Consent For Employee Background Check
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A consent form authorizing Messiah University to conduct pre-employment background checks and verify employment-related information.
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BL 2 Laboratory Inspection Form
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A comprehensive safety inspection form for biological laboratories, focusing on biosafety level 2 (BL-2) requirements and protocols.
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PATIENT INTAKE FORM
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Comprehensive medical intake form for collecting patient health information, medical history, and current health status.
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Health Insurance Claim Form
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Comprehensive form for collecting patient medical insurance information, health coverage details, and claim submission details.
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Santa Monica College Confidential Medical History
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A comprehensive medical history form for students to document personal health information and medical background.
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Sul Ross State University Bacterial Meningitis Vaccination Compliance Form
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Mandatory form for students to demonstrate compliance with bacterial meningitis vaccination requirements for university enrollment.
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Emergency Contact Form
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A form for collecting emergency contact information and obtaining informed consent for exercise participation in a WICT event
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PIERCING CONSENT RELEASE FORM
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A legal consent form outlining risks, expectations, and patient acknowledgment for body piercing procedures.
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ParentalGuardian Consent Form
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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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BostonSight (HIPAA) MEDICAL RECORDS RELEASE FORM
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A form that allows patients to grant permission for BostonSight to share their medical information with specified individuals or organizations.
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Camp Medical Form
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A medical form for parents/guardians to provide health information and medical history for children attending summer camp.
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RELEASE, INDEMNIFICATION AND HOLD HARMLESS AGREEMENT
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Legal document for releasing liability and obtaining consent for YMCA program participation and activities.
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BRASSEl Pilar Program Medical Form
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Confidential medical history form for participants in an archaeological research program at El Pilar, collecting personal health information and emergency contact details.
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Patient Medical Referral Form
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Comprehensive medical referral form capturing patient demographics, diagnostic information, and key health metrics
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Medi Cal To Healthy Families Bridging Consent Form
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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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The Bridge Program Media Release Form
PDF template
Document allowing or declining consent for media recording and usage by the University of Mississippi's Bridge Program.
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North Florida Area Conference (Area 14) Bridging The Gap Volunteer Form
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Volunteer form for Alcoholics Anonymous members to provide temporary contact support for individuals transitioning from treatment or corrections programs.
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BritainS Got Talent 11 Audition Release Form
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Official release form for participants auditioning for Britain's Got Talent and Britain's Got More Talent television programs
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RHIO CONSENT FORM
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A consent form allowing patients to choose whether to share their medical records electronically through the Bronx RHIO, Inc network.
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BRYC Elite Academy Medical Release Form
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A medical consent form allowing treatment for a youth athlete in case of injury or medical emergency during sports activities.
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Informed Consent, Release Agreement, And Authorization
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A comprehensive consent and medical authorization document for participating in Scouting activities, covering emergency medical treatment and risk acknowledgment.
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Marital And Family Therapy Program Student Evaluation Form Basic Skills Evaluation
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A comprehensive evaluation form for assessing student therapists' skills across conceptual, perceptual, executive, and professional domains.
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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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Bridge The Gap Volunteer Form
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A volunteer commitment form for AA members to help introduce new contacts to the Alcoholics Anonymous program after treatment.
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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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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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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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Proper Use Of The Official Waiver Of Standards Form
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A guide explaining the use of the Official Waiver of Standards Form for termite treatments in South Carolina, detailing regulatory changes and requirements.
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Bullying, Harassment And Inappropriate Behavior Report Form
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A confidential form for reporting incidents of bullying, harassment, or inappropriate behavior at Chrysalis Charter School.
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REQUISITION FORM
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Medical form for referring patients for sleep studies, evaluations, and treatments by Boston University Sleep Medicine specialists.
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Accident Waiver And Release Of Liability Form And Photo Release
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Legal document waiving liability for participants in a recreational event, covering potential risks and injuries.
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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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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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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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Data Processing Agreement Whistleblowing System
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An agreement detailing data processing and confidentiality requirements for a digital whistleblowing system provided by Compliance.One GmbH.
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Data Processing Agreement Whistleblowing System
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Agreement governing the data processing and privacy requirements for a digital whistleblowing system provided by Compliance.One GmbH.
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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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ADOBE INC. LICENSE AGREEMENT FOR PRERELEASE SOFTWARE FOR ADOBE PDF EXTRACT API 0.5
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Legal agreement for prerelease software licensing of Adobe PDF Extract API, outlining terms of use and confidentiality.
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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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Authorization For Examination AndOr Treatment
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A U.S. Department of Labor form authorizing medical examination and treatment for work-related injuries or diseases
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CADDRA Teacher Assessment Form
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A standardized form for teachers to evaluate and report potential ADHD symptoms and behaviors in students
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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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Release Form For Media Recording
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Legal consent form for the Cooley's Anemia Foundation to use photographs or recordings for thalassemia education purposes.
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Confidentiality Agreement For CEII Information
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A confidentiality agreement governing access to Critical Energy Infrastructure Information (CEII) during Southeastern Regional Transmission Planning Process meetings.
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Compeer Activity Reimbursement Form
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A form for mental health consumers to request reimbursement for expenses during outings with volunteer companions, up to $8.00 per week.
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AUTHORIZATION FOR USE OR DISCLOSURE OF HEALTH INFORMATION
PDF template
A form that authorizes the release and use of an individual's health information to specified persons or organizations.
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California Non Disclosure Agreement (NDA)
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A legal agreement designed to prevent unauthorized disclosure of confidential and proprietary business information between two parties.
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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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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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Camp Dina Medical Form PhysicianS Page
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Medical form for physician documentation required for camp enrollment and health tracking.
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Camp Potlatch 2020 Medical Form
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A comprehensive medical form for parents/guardians to provide health information for children attending Camp Potlatch summer camp.
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Camp LMU Registration, Informed Consent, Student Medical Release Form
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Comprehensive registration form for Camp LMU, including personal information, emergency contacts, medical history, and photo release.
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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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Youth Programs Medical Policy
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Medical policy and procedures for Nicholls State University youth program participants, detailing medical record and medication requirements.
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Medical Release Form 2023
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A comprehensive medical release and consent form for summer camp participants, including emergency treatment authorization and sign-out 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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Canada Border Services Agency Consent Form
PDF template
A document for collecting consent and information related to border entry and customs procedures for individuals entering Canada.
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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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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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Canterbury Street Pastors New Data Protection Regulation Consent Form
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A consent form for managing personal data and communication preferences for Canterbury Street Pastors supporters.
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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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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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CAPS Informed Consent Form
PDF template
A comprehensive informed consent document detailing services, confidentiality, and treatment approach for university counseling services.
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Release Of Information Authorization Form
PDF template
A form authorizing Counseling and Psychological Services (CAPS) to release protected clinical information to designated persons or agencies.
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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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Authorization For Release Of (PHI) Protected Health Information
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A form authorizing the release of protected health information from UCLA medical facilities to specified recipients.
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Youth Sports League Roster Waiver
PDF template
A comprehensive form for youth sports team registration, including player and guardian contact information and liability release.
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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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Parent Consultation Feedback Form
PDF template
A form for parents to provide detailed feedback and insights about their child's progress, challenges, and therapeutic process prior to a family counseling session.
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Caregiver Medical History Form
PDF template
A medical history form for caregivers to provide health background information for TNT staff review
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Online Privacy Policy Agreement
PDF template
Privacy policy outlining data collection, usage, and user rights for the California Association of School Business Officials (CASBO).
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Consent Form For Case Reports
PDF template
A consent form for patients to authorize publication of medical information in journals or theses while maintaining patient anonymity.
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Intermountain Project ECHO Eating Disorders Case Submission Form
PDF template
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
PDF template
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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CASL Medical Release Form
PDF template
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
PDF template
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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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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CATCH A Serial Offender Program Sample Form
PDF template
A confidential form for adult sexual assault victims to provide information about a suspected serial offender in the Department of Defense.
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Animal Patient Medical Record
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Comprehensive medical intake form for documenting a veterinary patient's health status and physical examination details.
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Criminal Background Check Consent And Waiver
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Consent form for UMass Chan Medical School students to undergo criminal background checks for clinical rotations.
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Juvenile Criminal Background Check Consent Form
PDF template
Form granting consent for a criminal background check for employment purposes at the University of Delaware
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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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Program Health And Waiver Form
PDF template
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)
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A comprehensive assessment tool for evaluating family interactions and relationships in therapeutic settings.
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BADGE REQUIREMENTS LACS CARD REQUIREMENTS
PDF template
Comprehensive guide outlining acceptable forms of identification for citizenship verification and badge issuance.
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Authorization Form
PDF template
A form authorizing the release of protected information from a student's clinical record at Meredith College Counseling Center/Disability Services.
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CCBHC Referral Form
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A comprehensive referral form for mental health and substance use disorder services for youth and adults in Maui, Hawaii.
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Informed Consent To Treat Form
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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
PDF template
A form for reporting water supply contamination incidents involving backflow, used to document details of potential water quality hazards.
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Consent Form
PDF template
Consent document for parents/guardians regarding child observations, photography, and information sharing at a university lab school.
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CONSENT OF CHILD TO A PUBLIC AGENCY ADOPTION OR PRIVATE AGENCY ADOPTION (FORM 9 102.5)
PDF template
Legal form documenting a child's voluntary consent to being adopted by a specific party, with associated rights and understanding.
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Social Media Release Form
PDF template
A consent form allowing the Association for Creatine Deficiencies to use an individual's photograph and quote for awareness campaigns.
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Liability Waiver And Release Form (Minor Child)
PDF template
A legal document releasing the Chesterfield County Fair from liability for minor children participating in volunteer activities at the fairgrounds.
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Mutual Non Disclosure Agreement
PDF template
A legal document outlining terms for protecting confidential information between two parties during potential business transactions.
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Volunteer Form
PDF template
A comprehensive form for individuals interested in volunteering, collecting personal information and including liability waivers and consent agreements.
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California Consumer Privacy Act Parental Consent Form
PDF template
A form for parents or legal guardians to provide consent for the sale or access of a minor's personal information under California privacy regulations.
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Terra State Community College School Consent Form
PDF template
A form for high school students applying to take college courses through the College Credit Plus program, requiring high school counselor and parental consent.
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Cottonwood Crossing Summer Institute Health Information Form
PDF template
A comprehensive medical form for student participation in summer institute activities, collecting health insurance, medical history, and emergency treatment authorization.
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Confidential Disclosure Agreement
PDF template
Legal agreement for protecting confidential technology information during potential technology licensing evaluation process.
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CDC 50.42A Adult HIV Confidential Case Report
PDF template
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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CDCI Media Release Form
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A consent form allowing the Center on Disability and Community Inclusion to use an individual's media and quotes for educational purposes.
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Authorization For Release Of Information
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A form authorizing the Federal Motor Carrier Safety Administration to disclose medical records related to a commercial vehicle operator's medical exemption application.
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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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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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Estate Planning Questionnaire
PDF template
Confidential questionnaire for collecting comprehensive personal and family information for estate planning purposes.
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Referral Form
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Medical referral form for psychiatric treatment at the Center for Neuromodulation, specifically for Electroconvulsive Therapy (ECT) and Transcranial Magnetic Stimulation (TMS).
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X RAY Requisition Form
PDF template
Medical imaging requisition form for hip and knee x-ray examinations with multiple location options
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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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Psychological Medical Withdrawal Re Enrollment Provider Report Part A
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A form for students seeking readmission after a medical withdrawal, requiring medical provider documentation and student consent for information release.
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Certification Notarization Form
PDF template
A confidentiality and compliance agreement for medical illustrators taking a certification examination, requiring notarization and signature.
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MEDICAL FORM
PDF template
Confidential medical history form for collecting patient personal and health information for medical examination purposes.
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Media Release Form
PDF template
A legal document authorizing the University of Utah College of Fine Arts to use photographs, recordings, and artwork for various promotional purposes.
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Consent Form Checklist For Reliance On External IRBs
PDF template
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
PDF template
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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Levels Of Care Assessment Form
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A comprehensive assessment form for evaluating a child's mental health needs and behavioral challenges within the Illinois child welfare system.
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Consent For Release Of Information
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A form allowing consent for releasing personal information by the Illinois Department of Children and Family Services.
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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
PDF template
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
PDF template
Guide for reporting and documenting workplace accidents, incidents, and injuries at Portland Community College
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MEDICAL INFORMATION AND RELEASE FORM
PDF template
A comprehensive medical form for participants in Hartwick College Challenge Programs, collecting health information and liability acknowledgment.
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CHAMP Assessment Medical History Form
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Comprehensive medical history form for fitness assessment program, collecting health and exercise background information from participants.
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Change Of Use Request
PDF template
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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Tarrant County College District Institutional Review Board Informed Consent Form Checklist
PDF template
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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Cherry Hill Counseling New Client Information Packet
PDF template
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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Health Care Provider Exam Form
PDF template
A comprehensive medical examination form for tracking patient vaccinations, health status, and provider details.
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Immunization And Health Assessment Form
PDF template
Medical form documenting vaccination history, physical exam status, and healthcare recommendations for children.
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Idaho Conditional Attendance To Childcare Schedule Of Intended Immunizations Form
PDF template
A form documenting the intended immunization schedule for children not fully vaccinated at childcare admission
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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
PDF template
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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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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Delaware Child Protection Registry Consent Form
PDF template
Form for authorizing release of substantiated child abuse/neglect cases from the Delaware Child Protection Registry.
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MEDICAL And LIABILITIES RELEASE FORM
PDF template
A comprehensive form for medical information and liability release for children participating in church activities and programs.
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MEDICAL HISTORY CHILD
PDF template
Comprehensive medical history questionnaire for collecting pediatric health information and previous medical conditions.
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Child Travel Consent Form
PDF template
A legal document granting permission for a minor to travel internationally with one parent or guardian, addressing potential child abduction concerns.
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Child Travelling Alone Legal Form
PDF template
Legal form for parents/guardians authorizing solo travel for 16-17 year old participants in CISV international programs with medical consent and release provisions.
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ChildYouth FSP WRAPAROUND Program Referral Form
PDF template
A referral form for children and youth mental health services targeting specific priority populations with behavioral and mental health needs.
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Health Information Form
PDF template
Confidential health information form for participants in an international research program between Alabama A&M University and Nanjing Forestry University.
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STUDENT HEALTH FORM
PDF template
Comprehensive health form for students to provide medical information and health status to an educational institution
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CLIENT REQUISITION FORM
PDF template
A comprehensive medical test requisition form for various health diagnostics including inflammation, lipids, metabolic, and other specialized tests.
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Outpatient Psychology Clinic Referral Form
PDF template
A referral form for routing pediatric patients to appropriate psychological services and clinics for evaluation, testing, and treatment.
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Patient Authorization For Use Or Disclosure Of Protected Health Information
PDF template
A HIPAA-compliant form for authorizing the release of medical records from Women's Obstetrics And Gynecology, P.C.
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Chronic Medical Condition Treatment Compliance Form
PDF template
Form documenting a patient's ongoing medical treatment and compliance with care standards for at least 6 months
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Medical Claim Form
PDF template
Form for submitting medical claims for fellows, trainees, and patients seeking international health insurance reimbursement.
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CIISSI Policy Guide
PDF template
A guide for employees, vendors, and contractors on designating, marking, and handling Confidential and Sensitive Information (CII/SSI) at Virginia Department of Transportation.
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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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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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Military Medical Intake And Deployment Assessment Form
PDF template
Comprehensive medical assessment form for active duty military personnel covering health status, deployment readiness, and substance abuse screening.
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CIEE Claim Form
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A comprehensive medical claim form for student health insurance reimbursement and documentation of medical conditions or treatments.
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Dental Insurance Claim Form
PDF template
Insurance claim form for submitting dental treatment and patient information for reimbursement or coverage verification.
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Employee Information Checklist
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A comprehensive checklist evaluating workplace safety, ergonomics, fire safety, electrical safety, and workstation conditions for employees.
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RELEASE AND CONSENT FORM
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A consent form allowing Clarke Schools to use a student's name, words, art, and images for promotional and educational materials.
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Special Olympics Volunteer Consent Form
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Consent form for volunteers to participate in Special Olympics programs, including personal information usage and privacy agreements.
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Volunteer Application Form Class A Minor (Under 18)
PDF template
Application form for minors under 18 years old interested in volunteering with Special Olympics, including consent and privacy agreements.
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General Media Release Form
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A comprehensive form for media use authorization and liability release for The Cutting Edge Classroom's activities.
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Patient Information Form
PDF template
Comprehensive patient intake form collecting personal, contact, medical, and insurance information for dermatology services.
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NCAA Drug Testing Consent Form
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Legal document requiring student-athletes to consent to drug testing as part of NCAA athletic participation regulations.
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Student Confidential Contact Form
PDF template
A form allowing students to designate a confidential contact person in compliance with the Higher Education Opportunity Act of 2008.
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Client Contact And Supervision Hours
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A New Jersey state form for tracking professional client contact and supervision hours for marriage and family therapists.
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Client Feedback Form
PDF template
A detailed feedback form for evaluating massage therapy service quality and client experience.
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Client Feedback Form
PDF template
A comprehensive feedback form for evaluating massage therapy service quality and client experience
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CLIENT And FAMILY HANDBOOK
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A comprehensive guide for clients detailing services, staff, locations, and crisis support for behavioral health services in Southwestern Pennsylvania.
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Account Holder Authorization And Consent Form
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A consent form allowing the Department of Community Services and Development to share utility account information for energy assistance program evaluation.
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ClientParental Consent Form
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Consent form for clients receiving counseling services from graduate student counselors at Texas A&M University-Commerce, including recording and supervision provisions.
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ParentalStudent Consent Form School Setting
PDF template
A consent form for parents to authorize counseling services for their child by a graduate counseling trainee at Texas A&M University-Commerce.
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Client Payment Agreement
PDF template
A legal agreement outlining payment terms, fees, and financial responsibilities for counseling services with Don Baker, MA, LMHC.
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Client Referral Form
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A form for individuals or professionals to refer themselves or others for mental health, substance use, or intellectual and developmental disability services.
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CLIMBucknell MEDICAL FORM
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Medical history and emergency contact form for participants in a university climbing/ropes course activity
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Paramedic CLINICAL ADDENDUM
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A clinical addendum outlining policies, confidentiality requirements, and student expectations for paramedic clinical training at the University of Toledo.
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Behavioral Health Discharge Clinical Form
PDF template
A clinical form for documenting patient discharge details from behavioral health treatment, including care level, residence, and follow-up appointments.
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Clinical Privileging Of Individual Practitioners
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Policy defining the process for reviewing and approving clinical privileges for mental health practitioners employed by or contracting with Copper Country Mental Health Services Board.
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Horse Lease Agreement
PDF template
A legal document outlining the terms and conditions for leasing a horse, specifying details of the lessor, lessee, horse, lease term, and rental payments.
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Notice Of Field Trip And Waiver Of Liability
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A legal document for students participating in a voluntary field trip, requiring a signed waiver of liability by the participant.
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Data Protection Consent Form
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Consent form for clubs and societies to allow personal data usage on Hethersett Parish Council website in compliance with GDPR regulations.
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Club Sports Informed Consent Form
PDF template
A legal consent and liability release form for students participating in club sports at Connecticut College, acknowledging risks and insurance responsibilities.
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ClubTeam Roster Authorization Form
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A form allowing students to authorize release of their information for club or team rosters, in compliance with FERPA guidelines.
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Medical History Form
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Comprehensive medical history form collecting patient's personal health details, family medical history, and lifestyle information.
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Population Assessment Of Tobacco And Health (PATH) Study Parent Consent And Permission For Youth Int
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A consent form for parents to allow their children aged 12-17 to participate in a national tobacco and health research study.
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Health And Emergency Contact Form
PDF template
A comprehensive form for collecting student medical history, emergency contact details, and healthcare consent at Central Maine Community College.
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PATIENT MEDICAL HISTORY FORM
PDF template
Comprehensive medical history form for collecting patient demographic, family medical history, and personal health information.
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Volunteer Application Form
PDF template
A comprehensive volunteer application form for the Canadian Mental Health Association's Vancouver-Fraser Branch, collecting personal information and volunteer interests.
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Form CMS 10106 Authorization To Disclose Personal Health Information Release Form
PDF template
A form allowing Medicare beneficiaries to authorize the sharing of their personal health information with designated individuals.
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Full Service Partnership Transfer Request Form
PDF template
Los Angeles County Department of Mental Health form for transferring client services between Full Service Partnership programs
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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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Adult Medical History Form
PDF template
Comprehensive medical history form for collecting patient health information, symptoms, and medical conditions.
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Medical Release Form
PDF template
A medical consent and release form for student participation in activities, allowing emergency medical treatment with parental authorization.
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College Of Education And Health Professions ACCIDENTINCIDENT REPORT
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A comprehensive form for documenting accidents, injuries, and incidents within the College of Education and Health Professions.
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Community Of Gardens Teacher Parental Consent Form
PDF template
A consent form allowing children to participate in a digital archive project documenting garden heritage through student submissions.
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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
PDF template
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
PDF template
Medical form for participants of a college tennis exposure camp, capturing health history and emergency contact information.
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General Service Provider Data Sharing And Confidentiality Agreement
PDF template
Agreement establishing terms for data sharing and confidentiality between Colonial Life Insurance and a service provider for insurance administration services.
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ImMTrax Consent Forms Adults And Children
PDF template
Consent form for collecting and storing immunization records for children and adults in a public health information system.
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Information Disclosure Consent Form For UN COVID 19 Medical Evacuation (MEDEVAC) Services
PDF template
Consent form for medical information disclosure and liability release for UN COVID-19 medical evacuation services.
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Combined Safety Inspection Form
PDF template
A comprehensive safety inspection checklist for laboratory environments at Dartmouth College to ensure compliance with safety protocols and regulations.
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Pre Professional Evaluation Waiver Form
PDF template
A form allowing students to choose whether to waive or retain access rights to their recommendation letters for professional school applications.
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2nd 8th Grade Common Student Evaluation Form
PDF template
Confidential evaluation form for student applicants to independent schools in the San Francisco Bay Area for grades 2-8.
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Pre K 1st Grade Common Student Evaluation Form
PDF template
A confidential evaluation form for Pre-K to 1st grade student applications to independent schools in the San Francisco Bay Area.
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Common Confidential Student Evaluation Form (Pre K 1st Grade Applicants)
PDF template
A confidential form for evaluating pre-kindergarten and first-grade student applicants to independent schools in the San Francisco Bay Area.
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AUTHORIZATION TO USE AND EXCHANGE INFORMATION
PDF template
A multi-agency authorization form allowing specified information sharing among various social service, health, and government agencies in Virginia.
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Community Membership Form
PDF template
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
PDF template
Form for enrolling in NEO Wellness community membership with health information and policy acknowledgment.
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Complaint Documentation Form
PDF template
A comprehensive form for documenting and investigating employee complaints, including initial reporting, meeting details, and investigation procedures.
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Complaint Report
PDF template
A form for submitting complaints to the local health department, allowing individuals to report health or nuisance-related issues.
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Complaint Interview Form
PDF template
A confidential form used to record details of discussions with individuals involved in an incident or complaint.
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StepsForms To See Dr. Senior
PDF template
Comprehensive guide for students seeking psychiatric consultation with Dr. Senior, detailing required steps and forms for scheduling and attending appointments.
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Computer Workstation User Agreement Form
PDF template
Agreement defining confidential use of hospital computer systems and electronic communications by employees.
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Media Release Form
PDF template
A consent form allowing Central Ohio Music Therapy to use participant interviews, quotes, photographs, and media for non-profit purposes.
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Concussion Incident Form
PDF template
A form for documenting and reporting concussion-related incidents in sports, specifically for Ringette Canada.
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Concussion Recovery Teacher Feedback Form
PDF template
A form for teachers to provide feedback on a student's post-concussion academic performance and symptoms.
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Concussion Waiver Form
PDF template
A waiver form for student athletes acknowledging their responsibility to report concussion symptoms and potential injuries.
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Concussion Waiver Form
PDF template
A waiver form requiring student athletes to acknowledge their responsibility in reporting concussion symptoms and understanding concussion risks.
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GVIAS Conduct Committee Confidentiality Agreement
PDF template
A confidentiality policy document outlining information protection requirements for members of the Greater Vancouver Interactive Arts Society Conduct Committee.
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Confidentiality Agreement
PDF template
A confidential agreement between an Offeror and Receiver regarding the disclosure and evaluation of an oil and gas exploration prospect.
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BUYER REGISTRATION And CONFIDENTIALITY AGREEMENT
PDF template
A confidentiality agreement for potential practice buyers to register and access business listings through Practice Consultants.
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Confidential Contact Form For Students Residing At Hague Club Apartments
PDF template
Form allowing students to register a confidential contact who will be notified if the student is reported missing.
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Confidentiality Agreement
PDF template
Document outlining employee responsibilities for protecting patient health information and sensitive business data.
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Camp Oochigeas Volunteer Non Disclosure And Confidentiality Agreement
PDF template
A legal document outlining confidentiality requirements and information protection for Camp Oochigeas volunteers.
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Confidentiality Agreement
PDF template
A legal document outlining terms of confidentiality between an Interested Party and Applied Systems Marketing L.L.C. regarding potential business transaction.
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Confidentiality Agreement
PDF template
A legal document outlining an employee's obligation to protect confidential information during and after employment.
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Confidentiality Agreement
PDF template
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
PDF template
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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Zion Baptist Church Confidentiality Agreement
PDF template
A confidentiality policy and agreement for Zion Baptist Church officers to protect sensitive church information and maintain discretion.
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Confidentiality Agreement For Interns
PDF template
A confidentiality agreement and internship terms document for students participating in Survivor Advocacy Services (SAS) internships, outlining information protection and internship conditions.
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LightBox Confidentiality Agreement
PDF template
Agreement between LightBox and another company for sharing confidential broadband-related information for Wyoming State Broadband Program.
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Confidentiality Agreement
PDF template
A legal document establishing confidentiality terms between DynaIndustrial LP and its suppliers regarding proprietary information and trade secrets.
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Confidentiality Agreement
PDF template
Confidentiality agreement for participants in medical simulation and learning programs at the Anaclerio Learning and Assessment Center and Center for Experiential Learning and Simulation.
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Confidentiality Agreement
PDF template
Agreement defining confidential information sharing and protection between parties in relation to Epsilon Software development.
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Confidentiality And Non Disclosure Agreement Form
PDF template
Confidentiality agreement outlining restrictions on sharing information related to GiGi's Playhouse organization and its operations.
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CONFIDENTIALITY AND NON DISCLOSURE AGREEMENT
PDF template
An agreement between Retirement Systems of Alabama (RSA) and a service provider regarding the protection and handling of confidential information.
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Child Placing Agency Confidentiality Agreement
PDF template
A document outlining confidentiality guidelines and privacy expectations for foster parents handling sensitive information about foster children and their families.
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Environmental Health Safety Policy
PDF template
Policy addressing safety procedures and requirements for entering confined spaces at Connecticut College, following OSHA guidelines.
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Acknowledgement Of Agreement Form
PDF template
A registration and consent form for youth participation in the All Saints Confirmation Program, requiring parent or guardian consent and submission of specific documentation.
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SAMPLE CONFLICT OF INTEREST CHECKLIST
PDF template
A comprehensive checklist for law firms to evaluate potential conflicts of interest before engaging with new clients in compliance with professional conduct rules.
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Consent For Participation In Citywide Immunization Registry (CIR) For Individuals 19 Years Of Age An
PDF template
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
PDF template
An informed consent document for a research study exploring perceptions of charismatic speech conducted by Claremont McKenna College.
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DATA PROTECTION CONSENT FORM
PDF template
A consent form for individuals to authorize the church's use of personal contact information for communication and directory purposes.
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Informed Consent Agreement
PDF template
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
PDF template
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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Application For A Background Check Consent Form
PDF template
A consent form allowing Grand Ducal Police to conduct background checks and request criminal record information for an applicant.
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Internet Based Survey Consent Form
PDF template
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
PDF template
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
PDF template
A detailed guide for creating and completing consent forms in RSS, explaining form configuration and submission process.
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BACKGROUND CHECK CONSENT FORM
PDF template
Consent form authorizing the U.S. Air Force to conduct background checks for installation access eligibility.
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WYLIE ISD STUDENT RANDOM DRUG TESTING CONSENT FORM
PDF template
Consent form for random drug testing of students participating in extracurricular activities or parking on school district property.
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Name Based Criminal History Record Information (CHRI) ConsentInquiry Form
PDF template
A form for authorizing criminal history record checks for various purposes including employment and volunteer positions in Cherokee County.
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Consent For The Release Of Police Information And Disclosure Of Personal Information
PDF template
A comprehensive form allowing consent for multiple types of personal information searches, including criminal records, driver records, and background checks.
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Adult Consent Form
PDF template
A comprehensive medical consent form for adults, collecting personal information and health history details prior to medical treatment or vaccination.
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Consent Form Arabic
PDF template
A form for obtaining consent to share personal information about an individual with another party.
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Name Based Criminal History Record Information ConsentInquiry Form
PDF template
A consent form authorizing a criminal history background check for various employment and service purposes in Georgia.
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Child Consent Form
PDF template
A comprehensive health screening form for children to assess medical history and vaccination readiness.
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Consent Form Guide
PDF template
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
PDF template
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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PHOTOVIDEO CONSENT FORM
PDF template
A legal document granting McGill University permission to use photographs or video images of a participant for university purposes.
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Community Partner Assistance Consent Form
PDF template
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)
PDF template
Research consent form for a study exploring participants' experiences related to child abuse and religious contexts.
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Family Educational Rights And Privacy Act (FERPA) Student Consent Form
PDF template
A form allowing students to authorize release of their educational records to specified parties, in compliance with federal privacy regulations.
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Consent Form For Research Participation
PDF template
A comprehensive guide and template for creating a consent form for research participation at Oakland City University.
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Informed Consent To Audiotape Or Videotape Counseling Interviews
PDF template
A consent form allowing audio or video recording of counseling sessions for training and supervision purposes.
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Consent Form For Travelling Abroad With A Minor
PDF template
Official form documenting parental/guardian consent for a minor to travel internationally, including travel and identification details.
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SUNY ONEONTA INSTITUTIONAL REVIEW BOARD CONSENT FORM HELP
PDF template
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
PDF template
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
PDF template
Comprehensive guide for creating ethical research consent forms, outlining required elements and IRB considerations for participant informed consent.
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CONSENT FORM Adults
PDF template
Comprehensive instructions for creating clear and understandable consent forms for research studies involving human subjects.
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Options For The Consent Form Key Information Section
PDF template
Federal guidelines for presenting key information in human research consent forms, focusing on clarity and comprehension for prospective research subjects.
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Loanhead Miners Youth FC Parental Consent Form
PDF template
A comprehensive consent form for parents/guardians to authorize their child's participation in youth football club activities and provide medical and emergency information.
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Utah State Board Of Education ParentGuardian Consent Form Maturation Instruction
PDF template
A parental consent form for students participating in puberty and reproductive health education classes in Utah schools.
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Consent Form To Share Student Information With State Transition Agencies
PDF template
Optional consent form allowing schools to share student information with state transition agencies to support disability services and post-school employment planning.
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CIAC Background Check Consent Form
PDF template
Consent form for high school sports officials in Connecticut requiring a criminal background check for officiating clearance.
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Sample Consent Forms Individual Interviews
PDF template
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
PDF template
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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Vermont Secondary College Student ConsentAgreement Form
PDF template
Multi-section consent form covering local excursions, image usage, technology use, and digital platform access for students at Vermont Secondary College.
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Land Development Division Consent Form
PDF template
A consent form for property owners to authorize an agent to submit land development applications in Palm Beach County.
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Consent To Disclose Tax Return Information
PDF template
A consent form allowing tax preparation services to report aggregate program statistics while protecting individual taxpayer privacy.
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USE OF CLINICAL MATERIALS CONSENT FORM
PDF template
A consent form for CPE students allowing the use of their clinical materials and observation media for certification, peer review, and research purposes.
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Volunteer Criminal Background Check Consent Form
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Authorization form allowing Fulton County School District to conduct criminal history background checks for volunteer applicants.
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Perry County Drug Testing Consent Form
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A consent form for job applicants to agree to a pre-employment drug screening process by Perry County.
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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 Telebehavioral Health
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A consent document outlining the terms, requirements, and privacy standards for receiving telebehavioral health services via teleconferencing platform.
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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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Data Protection Consent Guidance
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Comprehensive guidance on obtaining and managing valid consent for personal data processing under UK GDPR regulations.
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Minor Athlete General Consent Form
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A comprehensive consent form for parents/guardians to authorize various in-program activities and training sessions for minor athletes in USA Gymnastics.
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Authorization For Access To Patient Information
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A form allowing patients to consent or deny access to their electronic health information through HealtheConnections in New York State.
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Consent Of Candidate Local Elections
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Official form for candidates to consent to ballot placement and specify name and party details for local elections in Vermont.
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Annual Consent For One On One Travel Between Adult Participant And Minor Athlete
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Policy governing one-on-one travel between adults with authority and minor athletes, including consent requirements and exceptions
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CONSENT TO EXAMINE AND AUDIT SPECIAL ACCOUNTS
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Form authorizing the Illinois Department of Financial and Professional Regulation to examine and audit special real estate accounts
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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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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 Electronic Delivery Of Forms 1099
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Form for providing consent to receive IRS Form 1099 electronically instead of by paper mail.
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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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Providence Mountain Emergency Services Consent To Treat Form
PDF template
Medical release and emergency treatment authorization form for participants in Providence Mountain program from December to May.
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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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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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ParentGuardian Authorization For Regular Extracurricular Travel And Consent To Emergency Treatment O
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A school district form authorizing student participation in extracurricular activities and providing emergency medical consent.
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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
PDF template
A comprehensive medical history and consent to treat form for USA Hockey participants, covering emergency contact, medical history, and insurance information.
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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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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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CONSENT TO TREAT MINOR CHILDREN
PDF template
A legal form allowing parents or guardians to provide medical treatment consent for a minor child when the parent is not immediately available.
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USA Hockey National Championships Consent To TreatMedical History Form
PDF template
Medical consent and history form for USA Hockey participants, allowing medical treatment and collecting health information for emergency purposes.
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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 Treat Form
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A medical consent form for treatment at Apollo Sports Performance, detailing procedures, risks, and patient agreement.
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Consent To Treat Form For USA Climbing Team Athlete
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A consent form for athletes to receive physical therapy treatment at USA Climbing events with specified terms and conditions.
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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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Medical Release Form (For Students Under The Age Of 18)
PDF template
A consent form allowing medical treatment for students under 18 when parents/guardians cannot be immediately contacted.
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Consent To Volunteer Form
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A consent form for minors seeking to volunteer at Purdue University Fort Wayne, requiring parental/guardian approval and background registry checks.
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CONSENT, WAIVER, RELEASE AND INDEMNITY AGREEMENT
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A legal document outlining participant consent, risk assumption, and liability waiver for a university program or activity.
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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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INDOT Permit Section Consent Form
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A consent form allowing an applicant to authorize a representative to submit documents for obtaining a right of way permit from the Indiana Department of Transportation.
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Agreement For Consulting Services
PDF template
A contract defining consulting services between Hudson Valley Community College and an external consultant, outlining terms of engagement, confidentiality, and service expectations.
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Contact Information And Medical Form
PDF template
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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Environmental Health And Safety Contractor Incident Report
PDF template
A comprehensive form documenting workplace incidents, injuries, and safety-related events for contractors.
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Contract Details Register
PDF template
Compilation of multiple IT, services, and procurement contracts with details of suppliers, dates, and values.
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Liability Waiver Form
PDF template
A legal document releasing the University of Louisville from liability for participation in the Suzuki Studies Program and acknowledging program policies.
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Consent Form Collaborative On Line Research And Learning (CORAL)
PDF template
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
PDF template
Consent form for collecting and storing participant health information through Cornerstone system in Illinois
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COVID 19 Incident Report Form
PDF template
A form to document and track potential COVID-19 exposure and incidents among employees.
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Corps Of Cadets Preparticipation Physical Evaluation Medical History
PDF template
Medical history and health evaluation form required for admission to the Texas A&M Corps of Cadets, verifying medical fitness for cadet program participation.
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Community Referral Form
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A guide from Curry College Counseling Center to help students find appropriate mental health resources and therapists off-campus.
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Counseling Consent Form
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A consent form for parents to authorize counseling for their child by a graduate student counselor at Alfred University.
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Informed Consent
PDF template
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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Counseling Services Referral Form
PDF template
A confidential form for faculty and staff to refer students who may need counseling or support services.
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Counselling Internship Application Form
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An application form for counselling internship opportunities at Pacific Centre Family Services, covering student contact and program preference information.
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Waiver Form
PDF template
A comprehensive waiver form for participation in camp activities, requiring participant information and acknowledging potential risks.
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Waiver Form
PDF template
A comprehensive waiver document for participants at Covenant Harbor Bible Camp and Retreat Center, covering liability and participation risks.
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Medical And Photographic Image Release Form
PDF template
Combined medical consent and photographic release form for students participating in university training programs
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NEW YORK STATE TRAVELER HEALTH FORM
PDF template
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 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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Emergency Leave Request Form
PDF template
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
PDF template
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
PDF template
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
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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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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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REQUEST FOR COVID 19 LEAVE
PDF template
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
PDF template
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
PDF template
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
PDF template
A comprehensive form for collecting patient information and screening for COVID-19 vaccination eligibility.
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Risk Assessment Form For COVID 19 Contact
PDF template
A form for documenting potential COVID-19 exposure and health status for university students and staff.
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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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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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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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Center For Pediatric Therapies Volunteer Application Form
PDF template
A comprehensive application form for potential volunteers at the Center for Pediatric Therapies, including medical and contact information.
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CRAFFTN Interview Form
PDF template
A confidential medical screening form for assessing substance use and potential risks among adolescents or young adults.
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Physical Examination Form
PDF template
Comprehensive medical examination form for assessing physical fitness, likely for occupational certification purposes.
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Committee For Respectful Behavior Incident Report Form
PDF template
A confidential form for reporting allegations of disrespectful behavior within the Town of Ancram's Code of Conduct.
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Settlement Agreement Between The United States And Creative Interventions, LLC
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Legal settlement document addressing disability accommodation issues for a therapy services provider for children with Autism Spectrum Disorder
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Data Protection Policy
PDF template
A comprehensive policy outlining how CRESS handles, protects, and manages personal data in compliance with Data Protection Act and GDPR regulations.
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Consumer Reporting Form Training Manual
PDF template
A comprehensive guide for completing multi-part reporting forms for mental health and substance abuse programs in Delaware.
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Consumer Reporting Form Training Manual
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A training manual for consumer reporting forms used by the Delaware Department of Health and Social Services' Division of Substance Abuse and Mental Health for tracking treatment and client outcomes.
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Criminal Background Check Consent Form
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Consent form allowing Hereford Faith & Life Church to obtain a criminal background report for employment or volunteer purposes.
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Criminal Background Check Consent Form
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A consent form authorizing criminal history record information retrieval for employment or school-related purposes in the Calhoun City School System.
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CREDITCRIMINAL BACKGROUND CHECK CONSENT FORM
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A consent form allowing Rent Grow to conduct a criminal background check for property management screening purposes.
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Name Based Criminal History Record Information ConsentInquiry Form
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A form authorizing a criminal history background check for various employment and personal purposes in Georgia.
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Name Based Criminal History Record Information ConsentInquiry Form
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A form authorizing a criminal history record information inquiry and background check for various purposes such as employment or working with specific populations.
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Name Based Criminal History Record Information (CHRI) ConsentInquiry Form
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A consent form for conducting criminal history record checks for various employment and personal purposes in Georgia.
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Criminal Records Background Check Consent Form
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A consent form for criminal background checks for potential employees and volunteers with Portland Parks & Recreation
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Crisis Leave Request Form
PDF template
A form allowing employees to request leave from a Crisis Leave Pool for personal or family health conditions or extraordinary personal crises.
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New York CityS Residential Crisis Support And Respite Referral Form
PDF template
A referral form for short-term voluntary mental health crisis support programs in New York City, providing temporary supportive environments for individuals experiencing mental health challenges.
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Hepatitis C Virus (HCV) Treatment Procedure
PDF template
Montana Department of Corrections clinical procedure for monitoring and treating Hepatitis C Virus among offenders in secure care facilities.
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Cranleigh School Equestrian Centre Booking Form
PDF template
Booking and registration form for riders at Cranleigh School Equestrian Centre, capturing participant and emergency contact details.
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Required Consent For Release Of Information
PDF template
A consent form for releasing a child's medical, mental health, and treatment information for intensive mental health services coordination in New York City.
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Community Service Program (CSP) Referral Form
PDF template
A comprehensive referral form for Community Service Program and outpatient services, collecting detailed client and referral information.
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Media Release Form
PDF template
A consent form allowing Columbia School of Social Work to record, publish, and use media from events for educational purposes.
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Colorado State University Pueblo Event ParticipationMedical Form
PDF template
Comprehensive medical form for capturing participant health information, emergency contacts, and medical history for Colorado State University Pueblo events.
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Utah FCCLA Media Release Form
PDF template
A comprehensive media release form granting permission for photography, digital media use, and reproduction for educational and promotional purposes.
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Nebraska Career Student Organization Medical Release Form
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A medical consent and emergency contact form for student organization members, allowing medical treatment authorization in parent/guardian's absence.
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LinkedIn Order Form
PDF template
Confidential order form for subscription services between LinkedIn and a supplier, outlining service terms and contact details.
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Participant Consumption Of Alcohol Information And Waiver Form
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A form outlining alcohol consumption guidelines and restrictions for adult participants in Champaign-Urbana Special Recreation activities.
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CUHSR Approved Informed Consent Form Language For Research Studies Using Participant Incentives
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Guidelines for documenting participant compensation and tax implications in research studies at Bradley University
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Custodian Consent Form
PDF template
A form outlining the responsibilities and obligations of a custodian for broker-dealer books and records during a withdrawal process.
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Short Tissue Repository Research Consent Form
PDF template
Consent form for patients to participate in a genetic research biorepository studying cardiovascular health and disease factors.
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Accident Waiver, Release Of Liability Informed Consent Form
PDF template
Legal document waiving liability for participants in activities at the Colonial Williamsburg Musket Range.
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Accident Waiver, Release Of Liability Informed Consent Form
PDF template
Legal document waiving liability for participants in activities at the Colonial Williamsburg Musket Range.
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Nomination Form For Children And Youth Behavioral Health Work Group
PDF template
A nomination form for individuals to join the Children and Youth Behavioral Health Work Group in Washington State, targeting youth, parents, caregivers, and system partners.
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Attachment 1 32 Forms Now Available For Download Only
PDF template
Comprehensive list of 32 medical, consent, and administrative forms for healthcare and government services.
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FORM D 2005 (4 5 2017) CONFIDENTIALITY AGREEMENT FORM
PDF template
Confidentiality agreement for participants in the 2020 Census Local Update of Census Addresses Operation with terms and legal obligations for handling census materials.
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The National Rental Affordability Scheme Tenant Demographic Assessment And Consent Form
PDF template
A form for collecting tenant information to assess eligibility for the National Rental Affordability Scheme (NRAS) rental properties.
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Consent For The Medical Treatment Of A Minor
PDF template
A consent form authorizing medical treatment for a minor student at Sam Houston State University Health Center with payment responsibility details.
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Medical Form Requirements
PDF template
Comprehensive guide for medical form requirements for Boy Scouts of America camps and activities in Colorado.
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Daily Safety Inspection Form
PDF template
A comprehensive form for documenting employee personal protective equipment (PPE) and safety gear compliance during workplace inspections.
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MEDICAL INQUIRY FORM IN RESPONSE TO AN ACCOMMODATION REQUEST
PDF template
A medical form used to assess an employee's disability status and potential need for workplace accommodations under the Americans with Disabilities Act (ADA).
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Personal Data Non Disclosure Agreement
PDF template
A confidentiality agreement governing the handling of personal data between La Leche League International and a recipient of confidential information.
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Data Privacy Provision And Confidentiality And Non Disclosure Statement
PDF template
A document outlining data privacy terms and consent for information collection and handling by the University of Southeastern Philippines.
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Data Privacy High Volume Consent Form Areas Checklist
PDF template
A comprehensive checklist for identifying potential high-volume consent form areas within an institutional setting.
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Data Protection Addendum
PDF template
A confidential legal document defining data protection terms and conditions between Wingify and a customer regarding personal data handling and processing.
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PCO Data Protection And Privacy Policy
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A comprehensive policy detailing how MCI Suisse SA collects, processes, and protects personal data in their event and association management services.
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WESTON BEGGARD PARISH COUNCIL CONSENT FORM
PDF template
A consent form for individuals to authorize communication methods and data usage by the Weston Beggard Parish Council.
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WELSH NEWTON AND LLANROTHAL GROUP PARISH COUNCIL CONSENT FORM KEEPING IN TOUCH
PDF template
A consent form for individuals to agree to receive communications from the Welsh Newton and Llanrothal Group Parish Council through various channels.
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Data Protection Consent Form
PDF template
A form for members of Merthyr West End Bowling Club to provide consent for data storage, publication, and image usage.
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Data Protection Act 2018 Consent Form
PDF template
Consent form for personal data processing and communication preferences for Bodenham Parish Council.
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CRONTON PARISH COUNCIL CONSENT FORM
PDF template
A form for obtaining consent from individuals to receive communications from the local parish council through various channels.
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Data Protection Consent Form
PDF template
Consent form for personal data processing by Sleeping Dragon Acupuncture, outlining data usage, storage, and protection terms.
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Data Protection Consent Form Privacy Policy
PDF template
A comprehensive privacy policy detailing data collection, processing, usage, and user rights for the Atos Data Protection Consent Form website.
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Data Protection Consent Form Members
PDF template
Consent form for members of the Southwell and Nottingham Diocesan Guild of Church Bell Ringers to collect and use personal data.
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Declaration Of Consent And Privacy Policy
PDF template
Privacy policy for participants of the Online-Conference on Social Innovation by the Federal Ministry of Education and Research (BMBF) and German Aerospace Center (DLR).
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Data Protection Notice And Joint Controller Agreement
PDF template
A comprehensive data protection notice explaining how EIT Food collects, processes, and protects personal data in compliance with GDPR.
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Data Protection Consent Form Tower Contact
PDF template
A consent form for tower contacts to manage personal data usage by the Southwell and Nottingham Diocesan Guild of Church Bell Ringers.
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Data Use And Confidentiality Agreement
PDF template
Agreement between The Audience Agency and a client for data sharing and confidentiality in the Audience Answers service.
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DAWN LAFFERTY HOCHSPRUNG DOCTORAL FELLOWSHIP AWARD
PDF template
A monetary award honoring doctoral students conducting research in mental health and school safety at Russell Sage College in memory of Dawn Lafferty Hochsprung.
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Dialectical Behavior Therapy DBT Referral Form
PDF template
A comprehensive referral form for patients seeking Dialectical Behavior Therapy, used to gather client information and assess suitability for DBT treatment.
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Form DC 621 Non Disclosure Addendum
PDF template
A confidential form used in protective order and custody cases to collect and protect sensitive personal information
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Non Disclosure Addendum
PDF template
Legal document for protecting confidential personal information in court cases involving protective orders, support, or child-related matters.
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SECURITY AGREEMENT FORM
PDF template
A legal document outlining computer access rules, data confidentiality, and potential consequences for unauthorized data access or misuse.
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Emergency Consent Form
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A medical consent form that allows parents or guardians to provide advance authorization for emergency medical treatment of a child.
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Text Messaging Consent Form
PDF template
A consent form outlining risks, conditions, and client responsibilities for text message communication with Deschutes County.
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Referral Form For Student Mental Health And Counseling Support
PDF template
A comprehensive form for identifying and referring students who may need mental health or counseling support based on academic, behavioral, and appearance concerns.
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Dekalb County Athletic Participation Consent Form
PDF template
Parental consent form for students participating in inter-scholastic athletics and sports clubs in DeKalb County School District.
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Authorization For Disclosure Of Medical Or Dental Information
PDF template
A form authorizing the release of an individual's protected health information to specified parties for various purposes.
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Privacy Policy
PDF template
A comprehensive policy detailing how DEAC collects, uses, and manages personal information from various sources and interactions.
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Diver Medical Questionnaire Additional Declarations COVID 19
PDF template
A medical questionnaire and health declaration form for divers to assess fitness and COVID-19 risk prior to participating in diving activities.
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Delta Dental Of Minnesota Membership Enrollment Form
PDF template
Membership enrollment form for Delta Dental insurance coverage, allowing employees to select dental plan options and enroll dependents.
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Oral Health Assessment Form
PDF template
California-mandated form for documenting children's dental health screenings required before first year of public school.
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ADA Dental Claim Form Instructions
PDF template
Comprehensive instructions for completing the ADA Dental Claim Form, including general instructions, coordination of benefits, and National Provider Identifier requirements.
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Consent For Dental Procedure And Acknowledgment Of Receipt Of Information
PDF template
A comprehensive consent form for parents or guardians to authorize dental procedures for children at Brooker Memorial Children's Dental Center.
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Dental Insurance EnrollmentWaiver Form
PDF template
A comprehensive form for employees to enroll or waive dental insurance coverage, including personal and dependent information.
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Proof Of School Dental Examination Form
PDF template
State of Illinois form documenting mandatory dental examination for school children in specific grade levels.
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Proof Of School Dental Examination Form
PDF template
A mandatory dental health examination form for students in specific school grades in Illinois, documenting their oral health status.
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Proof Of School Dental Examination Form
PDF template
Official form documenting student dental health examination for Illinois school children in specific grade levels as required by state law.
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Proof Of School Dental Examination Form
PDF template
Official document requiring dental examination for students in specific school grades, documenting oral health status and screenings.
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Kentucky Dental ScreeningExamination Form For School Entry
PDF template
Official form for documenting dental screening or examination required for school entry in Kentucky for five or six-year-old students.
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Proof Of School Dental Examination Form
PDF template
Official form for documenting a student's dental health examination required for school enrollment in Illinois.
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Dental Examination Waiver Form
PDF template
A form for parents or guardians to request a waiver for required dental examinations for students in Illinois schools.
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Dental Examination Waiver Form
PDF template
A form for parents/guardians to request a waiver from required dental examination for school-enrolled children in Illinois.
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Dental Examination Waiver Form
PDF template
A form allowing parents/guardians to request a waiver for required dental examinations for students due to specific insurance or access constraints.
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Proof Of School Dental Examination Form
PDF template
Official state form documenting dental health examination for school-aged children in Illinois, mandated by state law for specific grade levels.
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PROOF OF DENTAL EXAM
PDF template
An official dental examination form for students, documenting oral health status and treatment needs.
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Dental Hygiene Consent Form
PDF template
A comprehensive consent form outlining patient expectations, treatment policies, and administrative guidelines for dental services.
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PATIENT MEDICAL HISTORY FORM
PDF template
A comprehensive medical and dental history form for patient intake, collecting personal health information and current medical status.
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Dental Medical Release Form Template
PDF template
A template form for patients to authorize medical information release and consent for dental treatment.
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Kentucky Dental ScreeningExamination Form For School Entry
PDF template
A mandatory dental health screening form for children entering public school in Kentucky, documenting dental health status and examination details.
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DentalVision Enrollment Form
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Detailed guide for completing a dental and vision insurance enrollment form with step-by-step instructions.
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Medical History Form
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Comprehensive medical history form collecting personal health information, medical background, and current health status.
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Climate Health WA Inquiry
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Submission by Department of Local Government, Sport and Cultural Industries addressing climate change health impacts in Western Australia
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Dependent Audit Form
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A form for employees to verify and update dependent insurance coverage information and personal details.
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Consent To Release Private Data For Recreational Vehicle Registration Renewal
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A consent form allowing release of private electronic licensing system data for vehicle registration renewal by the Minnesota Department of Natural Resources.
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Departmental Software Order Form
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A form for ordering and tracking software licenses and media for Virginia Polytechnic Institute and State University departments.
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Dermatology Medical History
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Comprehensive medical history form for dermatology patients to document health conditions, medications, and allergies.
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Device Delivery Form
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A form documenting the loan of devices, capturing recipient details and liability agreements for device usage and personal data processing.
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DFS 405 Onsite Sewage Agency Referral Form
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Official form documenting the evaluation of a property's suitability for onsite sewage disposal systems in Kentucky.
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Volunteer Application Form
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Comprehensive form for individuals interested in volunteering, capturing personal details, skills, availability, and volunteer preferences.
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CONSENT FORM CONFIDENTIAL HUMAN IMMUNODEFICIENCY VIRUS (HIV) TEST Non Health Care Settings
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Official consent form for HIV testing in non-healthcare settings, documenting informed consent and explaining testing procedures.
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Patient Medical History Form
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Comprehensive medical history form for collecting patient personal information, contact details, and health status.
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Type 2 Diabetes Risk Assessment Form
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A screening tool to evaluate an individual's risk factors for developing type 2 diabetes through a points-based assessment.
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Student Record Card 6
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A health record and immunization documentation form required for student enrollment in Montgomery County Public Schools in Maryland.
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FEMME PHYSIOCARE PATIENT INTAKE FORM
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Comprehensive patient intake form for physiotherapy services with personal information, insurance, and consent sections.
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DIRECT ACCESS PATIENT ATTESTATION AND MEDICAL RELEASE FORM
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A form for patients seeking physical therapy care, documenting current medical care status and providing medical record release consent.
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Direct Client Contact (DCC) Confirmation Form
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Form for verifying and documenting direct client contact hours for psychotherapy professionals seeking category transfer or independent practice requirements.
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Directed Quarantine Leave Request Form
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Form for Philadelphia School District employees to request paid quarantine leave due to COVID-19 exposure or positive test result.
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SUPPLEMENTAL DISABILITY CLAIM FORM
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Claim form for submitting a disability benefit request for IUOE Local 132 Health and Welfare Fund participants
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Group Disability Claim Filing Instructions
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Instructions for filing a disability insurance claim with American Fidelity Assurance Company, detailing the required steps and documentation.
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DISABILITY HEALTH WELFARE HOURS CLAIM FORM
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A form for participants to claim disability hours and benefits through the Southwest Carpenters Health & Welfare Trust
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Disability Health Welfare Hours Claim Form
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A form for carpenters to claim disability health and welfare hours due to illness or injury, requiring participant and physician statements.
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Disability Claim Form
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A comprehensive form for submitting a disability insurance claim, detailing the policyholder's medical condition and disability status.
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Disability Claim Form
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A comprehensive disability claim form for union members to document medical conditions, work status, and employer information.
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Adapted Physical Education Program Medical Form
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Medical form documenting student's disability, exercise limitations, and physical capabilities for adapted physical education program participation.
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One Page Discharge Form
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A standardized form for documenting client discharge from mental health services, capturing key details about the discharge reason and service status.
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Discharge Form
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A comprehensive discharge form for tracking patient discharge details and referral information from Marin Behavioral Health and Recovery Services.
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Discharge Form S117 PRO FORMA
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Official form for discharging a patient from Section 117 Mental Health Act 1983 aftercare services.
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Nursing Service Guidelines Discharge Planning And Continuity Of Care
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Guidelines for systematic discharge planning and continuity of care for psychiatric inpatients, ensuring effective coordination with community resources and ongoing treatment.
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What Are My Discharge Rights From A 24 Hour Mental Health Facility
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A guide explaining discharge rights for voluntary patients in mental health facilities, including treatment plan participation and release processes.
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International Medical History Form
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Comprehensive medical form for collecting personal health information, emergency contacts, and medical history for international travel purposes.
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International Medical History Form
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Comprehensive medical history and emergency contact form for international travelers to ensure safety and medical preparedness.
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NIMH Center For Collaborative Genetic Studies Distribution Agreement
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Agreement for distribution of anonymized genetic research materials and data related to mental health disorders for scientific research purposes.
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Gooding Schools Extracurricular Consent Form
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A consent form for students participating in school extracurricular activities, including drug testing requirements.
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DIVING MEDICAL HISTORY FORM
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A comprehensive medical history form designed to assess an individual's fitness and health risks for participating in scuba diving activities.
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Estate Planning Questionnaire
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A comprehensive questionnaire for collecting personal and legal information related to estate planning services.
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DMA 5044 Consent For Release Of Information
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A form allowing an individual to authorize the release of personal information to a County Department of Social Services for eligibility determination.
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Medical Release Form (Minor)
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A form allowing release or receipt of a patient's medical records with specific consent for disclosure of confidential health information.
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COMPLAINT FORM
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A form for filing complaints related to mental health services, clients, employees, or incidents within the Massachusetts Department of Mental Health.
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2023 24 CONSENT TO TREAT FORM
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Parental consent form allowing medical providers to treat minor athletes during sports-related activities when parents are unavailable.
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Media Release Form
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Official form granting the State of Alaska permission to use an individual's photographic, video, or verbal content for public communication purposes.
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Sample Verification Consent Form
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Consent form for noncitizen family members to verify eligible immigration status for housing financial assistance.
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Disclosure Relating To Electronic Services Online Services Agreement
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Terms and conditions governing the use of Legal & General America's online services and website, including user consent and agreement to digital interactions.
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DoctorS Signature Form
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A comprehensive medical form for documenting a camper's health information, medical history, medications, and physician details.
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Drug Testing Consent Form
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A consent form for drug testing for individuals contracted with the Suwannee River Area Council of Boy Scouts of America.
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HUD 9887A Fact Sheet
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Document package for obtaining consent from housing assistance applicants to verify personal information with various government agencies.
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Tips And Tricks For Writing Your Ethics Application Documents
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A comprehensive guide for researchers preparing ethics application documents, covering key components like study protocol, letter of information, and consent forms.
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Documentum Authorization Form
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Form for granting authorized personnel access to student records in compliance with FERPA privacy regulations.
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Electronic Record And Signature Disclosure
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Legal document outlining electronic communication and signature consent for Polam Federal Credit Union members.
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Using E Signature To Help Manage HIPAA Compliance
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An eBook exploring how electronic signatures can help healthcare providers manage HIPAA compliance and improve patient documentation processes.
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Non Disclosure Agreement
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Authorization For The Release Of Health Information And Confidential HIV Related Information DOH 255
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A form for releasing general health and HIV-related information to single or multiple healthcare providers with specific guidelines for usage.
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Authorization For Use Or Disclosure Of Protected Health Information (PHI)
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A legal form allowing authorized use and disclosure of an individual's protected health information by the Hawaii State Department of Health.
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DOH COVID 19 Vaccination Consent Form
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A comprehensive form for capturing patient information and screening for COVID-19 vaccination eligibility and potential health risks.
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Authorization For The Release Of Health Information And Confidential HIV Related Information DOH 255
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A standardized form for releasing health and HIV-related information between healthcare providers with specific guidelines for usage and completion.
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COVID 19 Emergency Paid Leave (EPL) Employee Notification And Supplemental Leave Request Form
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Form for federal employees to request emergency paid leave related to COVID-19 circumstances and qualifying conditions
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RELEASE INDEMNIFICATION FOR DOMESTIC TRAVEL FORM
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A legal document for releasing liability and indemnifying the university for domestic student travel activities.
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INFORMED CONSENT TO DONATE EMBRYOSWAIVER OF LIABILITY
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Legal document for donating cryopreserved embryos to the National Embryo Donation Center for reproductive purposes.
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Disaster Leave
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Policy prescribing procedures for granting leave for disaster relief operations in support of the American Red Cross Memorandum of Understanding.
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Pledge Of Confidentiality
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A legal document outlining confidentiality obligations and responsibilities for individuals working with sensitive data from the Massachusetts Department of Public Health.
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Oklahoma Department Of Public Safety Driver Data Information Request
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A form for requesting driver information from the Oklahoma Department of Public Safety for various authorized purposes such as insurance claims, employment, and other permitted uses.
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Design A Consent Form
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A guide for creating consent forms that clearly establish service expectations and information collection terms, based on New Zealand's Data Protection and Use Policy.
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Driver Medical History Form
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Medical history and physical examination form for taxi and limousine drivers to assess fitness for operating a motor vehicle.
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SDRIC Employee Handbook
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Comprehensive handbook outlining employment policies, expectations, and confidentiality requirements for employees of the San Diego Regional Interfaith Collaborative.
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Non Disclosure Agreement
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A confidentiality agreement between NICDC Logistics Data Services Limited and another company/individual regarding the Unified Logistics Interface Platform (ULIP) project.
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Integrative Medicine Intake Form
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Comprehensive medical intake form for patients seeking integrative medicine services, collecting medical history, current health concerns, and personal health information.
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Medical Drop Off Consent Form
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A consent form for veterinary medical services and pet drop-off, including pet health status and treatment authorization.
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Drug Testing Consent NCAA Division III
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Consent form for NCAA Division III student-athletes agreeing to drug testing and understanding potential consequences of positive tests.
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Student Drug Testing Consent Form
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Consent form for student drug testing as a condition of participating in co- and extra-curricular activities
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Drug Testing Applicant Consent Form
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A consent form for job applicants to authorize substance screening as part of the employment application process.
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DRUG TESTING CONSENT FORM
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Consent form for drug testing as a condition of employment with Haywood County Consolidated School System.
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Drug Testing Consent
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A consent form for employees to voluntarily submit to drug testing, acknowledging potential disciplinary consequences and confidentiality protocols.
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Drug Testing Consent Form
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A comprehensive consent form for drug testing administered by the Manila Health Department Public Health Laboratory for various purposes.
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Pre Employment Drug Testing Consent Form
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A consent form for job applicants to undergo mandatory pre-employment drug testing as a condition of employment at The Larkin Center.
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Drug Testing Consent
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A consent form authorizing drug and alcohol testing for employment purposes at Centurion Moving and Storage.
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Form 10 3f Drug Testing Consent NCAA Division III
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A mandatory consent form for NCAA Division III student-athletes to agree to drug testing and understand associated consequences.
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BP 5131.61 Student Athlete Drug Testing
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A school district policy establishing a drug testing program for student athletes to promote health, safety, and deterrence of substance abuse.
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Student Drug Testing Consent Form
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A consent form for students to participate in random drug and alcohol testing as a condition of attending school-sponsored activities
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Drug Testing Consent Form
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Consent form for job applicants to undergo drug testing as a condition of employment with Reaction Co.
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Dry Needling Consent To Treat Form
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A consent form detailing the risks and patient agreement for dry needling treatment by a physical therapist.
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Transportation Frequently Asked Questions
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Document explaining transportation funding and support services for clients of the Division of Substance Abuse and Mental Health through the Opioid Impact Fund.
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Medical Examination Form
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Comprehensive medical examination form documenting patient's physical condition, vision, hearing, and overall health status.
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Medical Examination For Immigrant Or Refugee Applicant (DS 2053)
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Comprehensive guide for panel physicians completing medical examinations for immigrant and refugee applicants, detailing required assessments and evaluation process.
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Student Insurance Claim Form
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A comprehensive insurance claim form for students to report medical examinations, illnesses, prescriptions, or injuries for insurance coverage.
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ConsentAuthorization Form For Child Medical ChildFamily Evaluations
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A consent form authorizing medical and family evaluations for children under child protective services assessment.
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Service Provider Feedback Form
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A comprehensive feedback survey for Crisis Counseling Program staff to assess training effectiveness and workplace experiences.
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Change Of Information Form
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A form for patients to update their personal, contact, insurance, and payment information with Double Talk Therapy, PLLC.
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REFERRAL FORM
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A comprehensive referral form for children's therapeutic services including demographic, contact, and legal information.
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Dual Agency Consent Agreement
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A legal document outlining consent and terms for a real estate brokerage to represent both buyer and seller in a property transaction.
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Informed Consent For Fitness Assessment
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Consent document for participating in a comprehensive fitness assessment conducted by exercise physiology students at the College of St. Scholastica during the City of Duluth Health Fair.
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Informed Consent For Fitness Assessment
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Consent document for a fitness assessment conducted by exercise physiology students at the College of St. Scholastica during a City of Duluth Health Fair.
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Washington State Disclosure And Background Check Consent Form
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A consent form for criminal background checks by Dynamic Language in Washington State, requiring personal and legal disclosure of criminal history.
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Consent Authorization Form For EAP Assisters In The Federally Facilitated Marketplace
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Authorization form for consumers seeking enrollment assistance through the Marketplace, allowing interaction with Cognosante's Enrollment Assistance Program (EAP) Assisters.
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Employee Assistance Program For Teachers Counsellor Invoice Form
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A form for counsellors to submit invoices for services rendered through the Employee Assistance Program for Teachers.
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Equine Assisted Psychotherapy Informed Consent To Treat
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A consent document outlining treatment policies, confidentiality, and expectations for equine-assisted psychotherapy with Dr. Deborah S. Zwick.
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EAP Psychological Services Patient Service Agreement
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A consent and service agreement for psychological services provided through Oklahoma State University's Employee Assistance Program, offering confidential counseling support for employees.
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Assumption Of The Risk, Release Waiver Of Liability
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Liability waiver for participants in a research program, acknowledging risks and providing emergency consent.
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EASy Applicant Instructions Infant Mental Health Endorsement
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Instructions for professionals seeking endorsement in infant mental health through the Endorsement Application System (EASy)
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Hazard Report Form
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A standardized form for employees to report potential workplace safety hazards and risks.
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Binghamton University Eating Concerns Evaluation Referral Form
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A medical provider referral form for evaluating Binghamton University students with potential eating disorders and determining appropriate care level.
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Example Travel Health Declaration Form
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A form for collecting traveler health information, specifically related to Ebola outbreak monitoring during international travel.
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Volunteer Field Trip Waiver Form
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A waiver form for volunteers participating in activities with the East Bay Regional Park District, covering liability, medical consent, and photo permissions.
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Bank Account Update Form
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Form for healthcare service providers to update their bank account details for receiving EFT/ERA payments from ECHO Health, Inc.
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Electronic Transmission Authorization And Consent Form
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A form authorizing electronic submission and exchange of personal health information for insurance claims processing and administration.
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Comparison Of Different Methods Of Obtaining Consent Signatures
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A detailed comparison of various methods for obtaining consent signatures in research studies, including physical, DocuSign, and REDCap eConsent approaches.
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FAQ EConsent Framework
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A comprehensive guide explaining the REDCap electronic consent framework, its usage, requirements, and key considerations for research studies.
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Media Release Form
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Consent form for inmates to be photographed or interviewed by media, with bilingual instructions and legal release provisions.
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NCAAR Drug Testing Program, 1999 2000
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Comprehensive drug testing program for student-athletes to ensure fair competition and athlete health and safety.
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Motion PicturePhotograph Release Form
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Legal document granting the City of Los Angeles Economic & Workforce Development Department permission to use an individual's image, likeness, and comments in media productions.
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Guidelines On Consent Under Regulation 2016679
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Comprehensive guidelines for obtaining valid consent under the General Data Protection Regulation (GDPR)
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Educational Seminar Grant Evaluation Form
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A form for documenting and evaluating educational seminars funded by the Collie Health Foundation, including event details, costs, and educational impact.
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Education Verification Consent Form
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A form that allows students to provide consent for releasing their educational records and verification of enrollment information.
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Level Of Care (LOC) Billing Form
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A Medicaid billing form for documenting school-based health services and therapy hours for students with IEPs.
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Traveler Health And Medical Information
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A comprehensive guide for group leaders to collect and manage travelers' medical information and health considerations during travel programs.
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EnhanceFitness Post Program Evaluation Form
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A survey assessing participant experience and physical activity levels in the EnhanceFitness program.
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Extended Health Care Claim Form
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A comprehensive form for submitting medical and health care expense claims to an insurance provider, requiring detailed personal and coverage information.
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Emergency Eye Wash Monthly Inspection Form
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Guidelines for monthly inspection and maintenance of emergency eye wash stations in laboratory settings to ensure safety and proper functionality.
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LABORATORY SAFETY INSPECTION WORK FORM
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A comprehensive checklist for evaluating safety protocols and environmental conditions in laboratory settings
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STUDENT MEDICAL HISTORY
PDF template
Comprehensive medical history form for students, covering various health aspects and potential medical conditions.
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Service Request Form
PDF template
A form for requesting environmental, health, and safety services from Environmental, Health & Safety Solutions, Inc.
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USEF Competition EHV 1 Declaration Form
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A health declaration form for horse owners and trainers to certify their horses' health status and exposure risk for EHV-1 at competitive events.
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Electronic Communication ConsentChange Form
PDF template
Form allowing homeowners to consent to receiving community newsletter electronically instead of by mail
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Confidentiality Agreement
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A confidentiality agreement related to potential acquisition of Elcano Assets by a recipient, in connection with a court-appointed receivership process.
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Consent Form For Electronic Distribution Of Benefit Materials And Notices
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A consent form allowing employees to receive electronic copies of benefit materials and notices from Michigan State University.
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Electronic Statement Disclosure Agreement
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Agreement for electronic delivery of bank statements, disclosures, and notices in lieu of paper documents
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Electronic Tax Assessment Notice Consent Form
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Form for property owners to consent to receiving tax and assessment notices electronically from the Town of Innisfail.
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EFT And ERA Electronic Funds Transfer And Electronic Remittance Advice Transactions Basics
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A comprehensive overview of Electronic Funds Transfer (EFT) and Electronic Remittance Advice (ERA) transactions in healthcare payment systems.
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Address DesignationConsent To Electronic Delivery Form
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A form for unit owners to designate their postal and electronic contact information for a condominium association.
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Consent Form For Electronic Communication
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A form allowing victims to consent to receiving electronic communications about their criminal case from the Pima County Attorney's Office.
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Active Directory And Email Access Request Form
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Form for requesting and authorizing Active Directory and email system access for faculty, staff, and consultants
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EMAIL CONSENT FORM
PDF template
A consent form for residents to receive municipal and utility notices via email, acknowledging potential risks of electronic communication.
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Eye Movement Desensitization And Reprocessing (EMDR) Agency Agreement
PDF template
Application for organizations to participate in EMDR training program with specific time commitment and practitioner requirements.
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Emergency Contact Form
PDF template
Form for collecting emergency contact details and medical information for children participating in a program.
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Emergency Contact Form
PDF template
A form for collecting personal health details and emergency contact information for club or organizational trips.
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Emergency Contact Parental Consent Form
PDF template
A comprehensive form for collecting emergency contact, medical, and consent information for children in care.
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St. Joseph School Emergency Contact Information
PDF template
Form for collecting student emergency contact details, health information, and parental consent for medical care
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Emergency Contact Form
PDF template
A comprehensive form for collecting student emergency contact details, medical information, and guardian contact information for school records.
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Student Emergency And Release Form
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Confidential form for collecting student medical information, emergency contacts, and special needs details for Howell Mountain Elementary School District.
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EMERGENCY CONTACT FORM
PDF template
A comprehensive form for collecting emergency contact and health information for a child enrolled in preschool
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Consent To Use Name, Photography, And Film Voice
PDF template
Permission form for media use of children's images and emergency contact information for Sloan Museum and Longway Planetarium activities
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Health Office Emergency Contact Form
PDF template
A comprehensive form collecting student contact, medical, and insurance information for school emergency purposes.
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Hickory Hill Member Family Emergency Contact Form
PDF template
A form for collecting emergency contact information and medical authorization for family members at a club or organization.
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PADRE PIO ACADEMY EMERGENCY MEDICAL FORM
PDF template
A medical form for collecting student emergency contact and treatment authorization information for Padre Pio Academy.
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Emergency Medical Form
PDF template
A comprehensive form for collecting student medical information and emergency contact details with parental consent for medical treatment.
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Emergency Medical Treatment Form
PDF template
A comprehensive medical information form for emergency medical treatment and patient details, designed to be posted on a refrigerator for quick access.
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EmergencyMedical Release Authorization Form
PDF template
A form authorizing school staff to seek medical treatment for a child in case of emergency and acknowledging parental responsibility for medical expenses.
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EmergencyMedical Release Authorization Form
PDF template
Authorization form allowing school staff to seek medical treatment for a child in emergency situations with parental consent.
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Emergency Medical Release Form
PDF template
A comprehensive medical form for collecting health information and emergency contact details for participants in adaptive or therapeutic horseback riding programs.
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Emergency Medical Release Form
PDF template
A form authorizing school officials to consent to medical treatment for a minor in case parents/guardians cannot be reached.
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Emergency Paid Sick Leave Request Form
PDF template
A form for employees to request paid sick leave related to COVID-19 under the Emergency Paid Sick Leave Act.
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DUTCHESS COMMUNITY COLLEGE EMERGENCY MEDICAL FORM
PDF template
A consent form allowing medical treatment for a child during a summer program, with parental emergency contact authorization.
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EmergencyMedical Authorization Waiver Form For Minor Participants
PDF template
A form authorizing emergency medical treatment and waiving liability for minor participants in a Ferris State University camp or program.
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Emeriti Retirement Health Solutions Personal Contribution Form
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A form for making personal contributions to an employer-sponsored retirement health plan managed by TIAA-CREF.
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EMERGENCY MEDICAL FORM
PDF template
A form for parents to authorize emergency medical treatment for students and provide critical medical contact and health information.
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The Emotional Sobriety Inventory Revised
PDF template
A self-reflective inventory designed to help individuals identify emotional patterns and unenforceable rules in recovery
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Employee Emergency Medical Form
PDF template
Confidential form for collecting employee emergency contact details, medical conditions, and treatment consent.
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ENROLLMENT, CHANGE, CANCELLATION, OR OPT OUT EMPLOYEES ONLY HEALTH AND WELFARE PLANS
PDF template
A form for Lawrence Livermore National Security employees to enroll, change, cancel, or opt out of health and welfare benefit plans.
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EXIT INTERVIEW FORM
PDF template
Formal document for capturing employee departure details, final employment information, and confidentiality agreement.
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Historial De Entrevista Del Empleado
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Confidential form for collecting employee interview information to ensure compliance with federal labor standards in construction work.
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Virginia Tech Employee Software Sales Order Form
PDF template
Order form for Virginia Tech employees to purchase software and technology accessories at discounted rates.
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New Patient Intake Form
PDF template
Comprehensive medical form for collecting new patient health history, chronic conditions, surgical history, medications, and family medical background.
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Reasonable Accommodations For Employees Suffering From Depression
PDF template
A legal analysis of employer obligations under the Americans with Disabilities Act for employees suffering from depression.
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KAVALIRO EMPLOYMENT AGREEMENT
PDF template
A comprehensive employment contract defining employee responsibilities, confidentiality obligations, and terms of employment with Kavaliro.
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Expert Forum On Employment Trade Secret Protection Litigation
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Conference for in-house counsel and legal professionals focusing on strategies for protecting business information and trade secrets through employee agreements.
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NEW PATIENT INTAKE FORM
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A comprehensive medical history form for new patients, capturing personal information, medical history, and current health concerns.
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MMF DZB Study END OF TREATMENT CONTACT FORM
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A form to record details of contact with a study subject at the end of their treatment period.
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Authorization And Consent To Treatment
PDF template
A comprehensive document outlining patient consent for medical treatment, insurance benefits assignment, and payment responsibilities.
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NeurOptimal Client Informed Consent Form
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Legal document outlining the terms and understanding of NeurOptimal brain training, emphasizing it is not a medical treatment.
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Youth Programs Mandatory Forms
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Comprehensive legal document for youth program participation, covering travel, risk, and liability waivers for participants or their guardians.
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Baylor College Of Medicine Teen Health Clinic Patient Consent Form
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A consent form for teenagers to receive comprehensive medical services at the Baylor College of Medicine Teen Health Clinic in Houston.
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Non Disclosure Agreement
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Confidentiality agreement between 3Faktur GmbH and a client regarding protection of technical and operational information shared during business interactions.
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Authorization For Disclosure Of Protected Health Information
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A form authorizing Blue Cross and Blue Shield of Alabama to disclose an individual's protected health information to specified parties.
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Westtown Township Health And Wellness Registration And Insurance Form
PDF template
Registration form for Westtown Township's fitness programs including Pilates and Yoga, with health history and consent sections.
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ENROLLMENT FORM NATIONAL ELEVATOR INDUSTRY BENEFIT PLANS
PDF template
An enrollment form for employees of the National Elevator Industry to enroll in benefit plans and update personal and dependent information.
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Electronic Consent Contact Form
PDF template
A consent form allowing patients to receive medical communications via email, SMS, and phone for allergy treatment updates and appointment reminders.
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Health History Examination Form South Carolina Envirothon Program
PDF template
Comprehensive health and emergency contact form for documenting medical information and insurance details for program participants.
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Vermont Town Health Officer Complaint Inspection Form
PDF template
A standardized form for documenting health-related complaints and property inspections by local town health officers in Vermont.
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Complaint Form For Filing A Protected Disclosure Of Improper Governmental Activities AndOr Significa
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A form for employees or applicants to report improper governmental activities or significant health and safety threats.
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Expression Of Interest (EOI) And Data Protection Consent Form
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A form for expressing interest in the Rural Development Programme 2014-2022 (LEADER) funding process in County Mayo, Ireland.
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Youth Sports Medical History Form
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A comprehensive medical history form for youth sports participants, requiring detailed health information and medical practitioner verification.
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Disposition Authorities Frozen Under The Epidemiological Moratorium
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Comprehensive list of disposition authorities for health-related records under moratorium at the Department of Energy as of March 2008.
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Episodic Medical Form
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A comprehensive medical intake form for students to document current health issues and medical history at Ramapo College's Health Services.
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COVID 19 Emergency Paid Leave (EPL) Employee Notification And Leave Request Form
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Form for employees to request emergency paid leave related to COVID-19 circumstances and qualifying conditions
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Notice Of Health Information Practices
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A document detailing how patient health information is collected, used, and protected by Equilibrium Physical Therapy, outlining patient rights and organizational responsibilities.
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Waiver And Release Agreement
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Applied Behavior Analysis (ABA) Clinical Service Request Form
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Canada Summer Jobs Employee Consent Form
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OSHS ESSC Project Director Training Feedback Form
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Florida Certification Board Ethical Complaint Process Form
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Detailed guidelines for filing an ethical complaint against a certified health and human services professional with the Florida Certification Board.
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Authorization To Release Or Request ConfidentialHealth Information
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DATA PROTECTION CONSENT FORM
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Customer consent form for data processing and information sharing in compliance with EU General Data Protection Regulation (GDPR)
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Evaluation To Sign Consent Form
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A structured assessment to determine a patient's capacity to provide informed consent for a medical study or research protocol.
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Feedback Form
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Survey collecting feedback from TV writers and producers about CDC resource materials and tip sheets for health-related storytelling.
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Waiver Form
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A legal document providing consent and releasing liability for participation in a St. Jude Children's Research Hospital event.
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East Valley Youth Symphony Media Release Form 2024 2025
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Equine Welfare Data Collective Internship APPLICATION FORM
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Piercing Consent Release Form
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Legal document providing informed consent for body piercing procedures, detailing risks and patient acknowledgments.
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Volunteer Management Toolkit Health And Safety Information
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Parental Permission For A Minor To Participate In Research
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A consent form for parents to allow their high school junior to participate in a research study about student opinions on school start times.
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MEDICAL BENEFITS SUBSCRIBER CLAIM FORM
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A comprehensive medical insurance claim form for submitting healthcare reimbursement or coverage information.
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Exercise Waiver And Release Form
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Exhibit A(X) Scope Of Work (SOW) Service Team
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Detailed scope of work for a behavioral health service contractor providing mental health and support services to adults with serious mental illness in Alameda County.
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Supervisor Safety Accident Report Form
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A comprehensive form for documenting workplace accidents, injuries, and recommended corrective actions.
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Exhibition Booking Form
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Booking form for virtual exhibition participants at the 5th High-level Ministerial Meeting on Transport, Health and Environment
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Exit Interview
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A legal document outlining the conditions and process for a student under 16-18 years old withdrawing from school before graduation.
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Loan Interview Form
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Comprehensive form for collecting student personal, financial, and contact information for loan processing.
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Exit Interviews A Useful Tool For Employers In The Departing Employee Context
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A comprehensive overview of best practices for conducting exit interviews to protect company interests and gather important information when employees leave.
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G Adventures Confidential Medical Form
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A confidential medical form for travelers with pre-existing medical conditions to assess fitness for expedition travel.
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Exposure Incident Investigation Form
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A form used to document and investigate workplace exposure incidents involving potentially infectious materials.
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Exposure Incident Investigation Form
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A detailed form for documenting and investigating workplace exposure incidents, including route of exposure, materials involved, and prevention recommendations.
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EyewashDrench Hose Weekly Inspection Form
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Weekly safety inspection form for verifying proper functioning and accessibility of emergency eyewash stations in a workplace or laboratory setting.
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EYEWASH SHOWER INSPECTION RECORD
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A monthly inspection record for eyewash stations and safety showers in laboratory settings to ensure proper functioning and emergency readiness.
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Eyewash Weekly Inspection Form
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Weekly safety inspection form for verifying emergency eyewash station functionality and accessibility in workplace environments.
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Consent For Sterilization Completion Instructions
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Detailed instructions for completing a mandatory consent form for sterilization procedures under Wisconsin's ForwardHealth program.
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Consent To Provide Limited Personal Information About Highly Qualified Personnel (HQP) To NSERC
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A form for obtaining consent from supervised personnel to share limited personal information with NSERC for assessment purposes.
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Donor Consent Form
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Authorization To Access TIAA Accounts
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Texas Immunization Registry (ImmTrac2) Adult Consent Form
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Consent form for registering immunization records in the Texas Immunization Registry, allowing authorized entities to access vaccination history.
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Form 15080
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IRS form allowing consent for tax return information sharing with VITA/TCE tax preparation sites.
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All Of Us Research Program Sample Consent Form
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A consent form for participating in a large-scale health research program funded by the U.S. government to collect health data from 1 million participants.
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Form 2624 Consent For Third Party Contact
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A form allowing taxpayers to authorize the IRS to contact a third party regarding tax information or to revoke such authorization.
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Medical Dental Vision Prescription Weekly Disability Claim Form
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Comprehensive claim form for medical, dental, vision, prescription, and weekly disability benefits for NW Plumbers & Pipefitters Health Fund members.
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CVCP Initial Response And Assessment Form II
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One E App Health E Arizona
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An electronic application system for assistance programs supported by One-e-App software, used by FAA, AHCCCS, and authorized organizations.
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Spectra Undergraduate Research Journal Faculty Advisor Agreement
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Background Check Consent Form For Academic Hires
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Domestic Academic Student Travel Waiver Form
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A legal waiver document for students participating in academic field trips or off-campus activities, outlining risk assumptions, medical consent, and vehicle use conditions.
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Westtown Township Health And Fitness Registration And Insurance Form
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Registration form for fitness programs with health history and medical information collection
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Permission To Contact Form
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Consent form for referral to Families First services in Essex County, focusing on youth and family support.
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Family Camp Medical Form
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Medical form for capturing health details and emergency contact information for families attending a camp
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Home Office Consent For Verification Form
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A consent form allowing the Home Office to verify application information and documentation from the applicant and third parties.
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Siskiyou County Assisted Outpatient Treatment Family Contribution Form
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Family Counseling Client Assessment Form
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A comprehensive intake form for individuals seeking family counseling services, collecting personal, financial, and demographic information.
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Family Emergency Plan
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A comprehensive document for recording family medical details, emergency contacts, and critical health information for emergency preparedness.
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Family Medical History Form
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A comprehensive form for documenting family medical history across multiple health conditions and genetic risks.
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FAQs About Affordable Care Act Implementation Part 31, Mental Health Parity Implementation, And Wome
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Guidance document providing frequently asked questions about implementation of market reform provisions related to healthcare coverage, mental health parity, and women's health services.
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New Medical Form Consent Form FAQ
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Explanation of changes to Special Olympics Illinois medical documentation requirements including new Medical Form and Consent Form procedures.
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FAQs About Affordable Care Act Implementation Part 31, Mental Health Parity Implementation, And Wome
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Frequently Asked Questions regarding implementation of market reform provisions in healthcare, covering preventive services, mental health parity, and women's health rights.
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Granor Farm Camp MEDIA RELEASE FORM
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A consent form authorizing Granor Farm to use participant images and recordings for promotional and educational purposes.
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WRITTEN CONSENT FOR RELEASE OF PERSONAL INFORMATION
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A form authorizing the Nebraska Department of Motor Vehicles to release specific personal records via fax to a designated recipient.
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BioDynamic Manual Therapy, LLC Patient Questionnaire
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Comprehensive medical intake form for collecting patient health history, current symptoms, and personal health details
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Job Applicant Drug Testing Consent Form
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Consent form for drug testing as part of job application process for the Department of Juvenile Justice in Florida.
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LSU Faculty Dental Practice Medical History Form
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Comprehensive medical history form for patients at LSU Faculty Dental Practice, collecting personal health information and medical background.
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Federal And University Guidelines For Protection Of Human Subjects Involved In Research (IRB Applica
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Guidelines for protecting human subjects in research, including IRB review procedures, informed consent requirements, and research definitions.
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Patient Intake Form
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Comprehensive intake form for collecting patient personal, contact, and medical background information with emphasis on privacy and demographic details.
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Health Benefits Claim Form
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A comprehensive form for submitting health insurance benefits claims, including patient and insurance information.
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FERPA CONSENT FORM
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A form allowing students to consent to disclosure of educational records under the Family Educational Rights and Privacy Act (FERPA)
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Consent To Ongoing Release Of Student Information Under FERPA
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A form allowing students to authorize release of their academic records to specified individuals or entities under FERPA guidelines.
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FERPA Prior Consent Form For Meetings
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A form allowing students to consent to disclosure of their educational records for specific meetings at The University of Toledo.
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AUTHORIZATION OF DISCLOSURE CONSENT FORM
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A form allowing a student to authorize the release of their personal records to specified individuals or departments
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One Time Guest Consent Form
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A consent form allowing students to authorize UVU employees to discuss their educational records with specified guests during a single interaction.
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Financial Aid And Billing Information Release Authorization Form
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A form allowing Rensselaer Polytechnic Institute students to authorize release of their financial aid and billing information to designated individuals.
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FERPA Waiver Form Notice
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Detailed instructions for students and parents regarding FERPA password requirements and record disclosure policies.
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Reference Request Consent Form
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A form allowing students to authorize references for employment, educational admission, scholarships, or other purposes with specified consent parameters.
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Student Consent For Release Of Information
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A form allowing students to authorize or withdraw consent for third parties to access their educational records at California State University, Sacramento.
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Student Information Release Authorization
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A form allowing students to authorize third-party access to their academic, financial aid, and student finance records in compliance with FERPA.
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FERPA Waiver Form
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A document allowing students to consent to sharing their educational records during academic advising sessions and waive FERPA privacy rights.
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Nebraska FFA Association Medical Release Form
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A comprehensive medical consent and emergency contact form for FFA members, allowing parental consent for medical treatment and providing essential health information.
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FAMILIES FIRST CORONAVIRUS RESPONSE ACT (FFCRA) LEAVE REQUEST FORM
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A form for employees to request paid leave under the Families First Coronavirus Response Act for various COVID-19 related reasons.
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Fragile Families Scales Documentation For Five Year Questionnaires
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A comprehensive document detailing questionnaire scales, question sources, and methodological information for a five-year survey on fragile families.
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Mutual Non Disclosure Agreement
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A legal agreement between two parties to protect confidential information during potential cooperation discussions.
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Preparticipation Physical Evaluation Medical History Form
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Comprehensive medical history form for students participating in sports, requiring detailed health information and medical evaluation
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Medical History Form
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Comprehensive medical history and health screening form for student-athletes to assess fitness for sports participation
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FHSU Psychological Screening Clinic Referral Form
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A referral form for psychological screening services at Fort Hays State University Psychological Screening Clinic.
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Early Psychosis Interventions In North Carolina (EPI NC) Program Fidelity Guide
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A comprehensive guide detailing service criteria, population targeting, and measurement standards for early psychosis intervention programs in North Carolina.
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Confidentiality Agreement
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A confidentiality agreement between an intern, an affiliate organization, and the University of Hawai'i outlining protection of sensitive information.
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Media Release Form
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A document allowing parents to grant or deny permission for their child to be photographed, videotaped, or interviewed during school events.
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YMCA Camp Independence 2024 Health History And Examination Form
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Medical form for collecting camper health information and emergency contact details for YMCA summer camp participation.
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Written Consent Form Commercial Co Venturer And Charitable Organization
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A legal form documenting consent and details for a commercial co-venturer conducting a charitable sales promotion in Hawaii.
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Confidentiality Agreement
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A comprehensive confidentiality agreement outlining information protection requirements for employees and contractors of A & T.
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Confidentiality Policy And Consent For Therapy And Assessment Services Agreement
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A comprehensive policy document detailing therapy services, patient rights, and confidentiality guidelines for a community healthcare clinic.
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Patient Demographics Form
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Comprehensive medical intake form collecting patient personal, contact, insurance, and consent information for healthcare services.
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Parental Consent And Waiver Form For Minor Students
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A consent form for parents/guardians allowing minor students (17 or younger) to enroll in Lone Star College courses with specific terms and conditions.
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DOTM FORM 1024 FFCRA SICK LEAVE REQUEST
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A form for employees to request paid sick leave under the Families First Coronavirus Response Act (FFCRA) during the COVID-19 pandemic.
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An In Home Family Therapy Program Referral Form
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A comprehensive referral form for in-home and telehealth family therapy services with detailed client and insurance information collection.
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Focus Group Consent Release Form
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Consent form for children to participate in a Title V needs assessment focus group conducted by the Pennsylvania Department of Health.
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Consent Form
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Authorization for Rockaway Development and Revitalization Corporation to obtain personal financial information for credit counseling services.
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Official LFCS Media Release Form
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A consent form allowing Lutheran Family and Children's Services to use an individual's image, voice, words, or story for publicity and other purposes.
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Medical Report Health Statement And Immunizations For 2023 2024
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Medical form for documenting student health status and required immunizations for St. Paul's School enrollment
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MEDICAL HISTORY FORM
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Comprehensive medical history form for capturing patient health information, medical conditions, lifestyle factors, and current health concerns.
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Medical Information Form
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A comprehensive medical form for students to provide health information, medication details, and parental consent for school medical procedures.
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Authorization To Disclose Health Information
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A form that allows patients to authorize the release of their medical records to specified healthcare providers or entities.
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2024 25 PermissionWaiver Emergency Information Form Minor
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A comprehensive form for minor participants to provide emergency contact information and release liability for church activities
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Naturopathic Patient Intake Form
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Comprehensive intake form for new patients seeking naturopathic medical consultation, collecting detailed personal and health history information.
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Osteopathy Patient Intake Form
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Comprehensive medical intake form for osteopathic patient assessment and medical history documentation.
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OVER THE COUNTER MEDICATION CONSENT FORM
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A consent form for parents/guardians to authorize over-the-counter medication administration for students at school.
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Patient Discharge Form
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A standardized form for documenting patient discharge details, treatment status, and medical recommendations.
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Consent To Publish PicturesTestimonialsRecordingsVideo
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Legal document granting Algoma University permission to use participant's images, recordings, and testimonials for promotional purposes.
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PRESCRIPTION MEDICATION CONSENT FORM
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A form for authorizing prescription medication administration for students, either by school personnel or self-administered.
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Santee Recreation Registration Form
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Registration form for participants to sign up for recreation activities in the City of Santee, including personal and medical information.
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Sports Participant Waiver Form
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Legal waiver for participants in sports activities, releasing the organization from liability for potential injuries or damages.
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Sexual Violence Prevention And Support Centre Service Agreement Informed Consent Form
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A service agreement outlining support services for students, staff, and faculty who have experienced sexual violence or related challenges at the University of Toronto.
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Immunization Consent Form
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A comprehensive form for collecting patient demographic, insurance, and consent information for immunization services.
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Volunteer And Confidentiality Form 2024
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A comprehensive volunteer registration form collecting personal information, demographics, and contact details for potential volunteers.
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Volunteer And Confidentiality Form 2024
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A comprehensive form for volunteer recruitment and demographic data collection by N2N Centre.
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Confidentiality Agreement VolunteerStudent
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A confidentiality agreement outlining obligations for volunteers and students regarding protected health information and confidential data.
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CLARK COUNTY SCHOOL DISTRICT VOLUNTEER WAIVER AND RELEASE
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Legal document releasing Clark County School District from liability for volunteer activities and potential risks during service.
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Film Budget Pro Confidentiality Agreement
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A confidentiality agreement between Film Budget Pro and a client to protect sensitive information during potential film budgeting services discussions.
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Comments Of National Consumer Law Center Et Al. Regarding TCPA Rules
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Public comments submitted to the FCC regarding robocall regulations and consumer consent revocation rules under the Telephone Consumer Protection Act.
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TELEMEDICINE INFORMED CONSENT FORM
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A consent form for students participating in telemedicine services, outlining rights, risks, and understanding of remote healthcare delivery.
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Paths To Health NM Tools For Healthier Living Referral Form
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A referral form for participants to join Paths to Health NM health programs with provider contact information.
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SDGR Membership Declaration
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Official membership declaration and consent form for members of the Salisbury Diocesan Guild of Ringers, including safeguarding and data protection agreements.
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Financial Policy Consent To Treat
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A comprehensive form for patient authorization, consent for treatment, and medical information sharing at a pediatric medical practice.
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Financial Policy Consent To Treat
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Medical consent and financial policy document for pediatric patient treatment and information disclosure
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Financing Options
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A document outlining multiple financing options for dental treatment, including Care Credit and payment plan arrangements.
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Type 2 Diabetes Risk Assessment Form
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A comprehensive questionnaire to assess an individual's risk of developing type 2 diabetes within the next 10 years.
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First Aid Policy
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A comprehensive policy outlining first aid requirements, responsibilities, and procedures for ensuring health and safety in school settings.
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First Aid Report Form
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A comprehensive form for documenting first aid incidents, medical assessment, and treatment details for a single victim.
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First Book Liability And Media Release Form
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A legal document providing liability waiver and media release for participants in First Book events, particularly for minors.
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First Contact Form
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A form for collecting initial client identification and referral information for treatment services.
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Management Benefits Fund (MBF) Health And Fitness Reimbursement Program Claim Form
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A form for MBF members to claim reimbursement for health and fitness expenses for themselves and their spouse/domestic partner.
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HealthFitness Center Reimbursement Form
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A form for Capital Health Plan members to request reimbursement for health and fitness center memberships up to $150 per family or member.
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Standard Immunization Requirements For Admission To U.S. Schools
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A comprehensive medical form documenting vaccination history and requirements for students entering U.S. schools or programs
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Flu Vaccine Form
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A comprehensive form for patient consent and medical screening prior to receiving a flu vaccine.
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Professional Counselor Supervisor Approval Form
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A form for applicants seeking approval for professional counselor supervision, detailing supervision requirements and eligibility criteria.
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Informed Consent To Body Pierce
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Legal form for obtaining patient consent and documentation for body piercing procedures in Wisconsin.
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Informed Consent To Tattoo Procedure
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A legal form for documenting informed consent and required patron information before receiving a tattoo procedure in Wisconsin.
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Community Support Team Referral Form Electronic
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A referral form for non-emergency community support services, used to request assistance and support for individuals in Sacramento County.
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SUD Youth Referral Form
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Referral form for youth substance use prevention and treatment services in Sacramento County
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Hospital Discharge Plan For Tuberculosis Patients
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Comprehensive discharge planning document for patients being treated for tuberculosis, including medical details and follow-up instructions.
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Family Medical Leave Request Form (FMLA)
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Form for employees to request Family and Medical Leave for various personal and family health-related reasons.
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JANDAKOT AIRPORT HOLDINGS HAZARD REPORT FORM
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A form for reporting safety hazards and potential risks at Jandakot Airport, used by tenants, employees, and visitors to document safety concerns.
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Food Establishment Inspection Report
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Official inspection report for evaluating food service establishments' compliance with health and safety regulations.
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Food Label Approval Form
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A form used by the Rhode Island Department of Health for reviewing and approving food product labels.
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Medical Record Release Authorization
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A form authorizing the release of medical records from Foothill Family Clinic, with details about patient consent and information disclosure.
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FOOT Medical And Insurance Form
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Medical and insurance form for participants in the Yale First-Year Outdoor Orientation Trips (FOOT) program, collecting health and emergency contact information.
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International Travel Waiver Form
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A consent form allowing parent/guardian permission for a minor to participate in an international travel event, including liability release and emergency medical consent.
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Foresight Carrier Screen Requisition Form
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A medical form for requesting genetic carrier screening, collecting patient and clinic information, and processing billing details.
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LASER DEVICE REGISTRATION FORM
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Official form for registering laser devices with the Florida Department of Health Bureau of Radiation Control.
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Health And Immunization Form
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Comprehensive health form required for all undergraduate students detailing medical history, immunizations, and emergency contact information.
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Form 22 Request For Confidentiality
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A form for contractors to request confidential treatment of specific sections in a proposal submitted to an agency.
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Form 22 Request For Confidentiality
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A form for contractors to request confidential treatment of proposal materials, with specific instructions and limitations
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Johnson Wales University Health Services Requirements
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Comprehensive health documentation and vaccination requirements for new students enrolling at Johnson & Wales University
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Background Security Clearance Civilian Employees And Volunteers
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A comprehensive background check authorization form for civilian employees and volunteers seeking to work with the Delta Police Department.
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Acceptance Of Site Specific Health And Safety Plan (SSHASP) Form
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Internal form for documenting compliance and acceptance of a contractor's site-specific health and safety plan by an NJSDA Field Compliance Inspector.
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Form A Confidentiality Agreement
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A confidentiality agreement for students and faculty detailing the handling of sensitive healthcare information and patient privacy requirements.
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Alaska Travel Declaration Form
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Required form for travelers entering Alaska, documenting health status and travel details during COVID-19 pandemic.
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Health Exam Form B
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A medical form for student athletes to obtain health clearance for participation in school athletic activities in Utah.
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SEIU Michigan Health And Welfare Fund MemberS Change Of Address Form
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A form for SEIU Michigan Health and Welfare Fund members to update their personal and employment information.
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Criminal Background Check Consent Form For Applicants
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Consent form allowing Connors State College to conduct criminal background checks for employment or volunteer opportunities.
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FORM D 1 PARENTGUARDIAN PERMISSION SLIP FOR STUDENT TO BE TRANSPORTED BY A PRIVATE VEHICLE
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Legal form granting parental permission for a student to be transported in a private vehicle by a diocesan-approved driver.
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Maryland Schools Record Of Physical Examination
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Document outlining physical examination, immunization, and blood lead testing requirements for students entering Maryland public schools.
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COVID 19 LEAVE REQUEST FORM
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A form for employees to request leave related to COVID-19 situations and circumstances
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Physical Examination Form
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Medical form for students at American School of Warsaw to document health status and medical clearance for school attendance and sports participation.
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Medical History Form
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Required medical history form for students living on campus or participating in sports, documenting health conditions and physical readiness.
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Nebraska FBLA Medical Release Form
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A medical release and emergency contact form for Future Business Leaders of America (FBLA) chapter members during events or activities.
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Nebraska FBLA Medical Release Form
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Medical consent and emergency information form for FBLA chapter members, providing authorization for medical treatment and contact details.
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Peer Support Authorization RequestDischarge Form
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A form for requesting and documenting peer support services, including member and provider information, service type, and authorization details.
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Physical Examination
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A comprehensive medical examination form for girls participating in multi-day trips, documenting health status and medical clearance.
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Substance Use Disorder IOP Program Prior Authorization RequestDischarge Form
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A healthcare form for prior authorization and discharge requests for Intensive Outpatient Program (IOP) substance use disorder treatment.
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Patient Intake Form
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Comprehensive medical intake form for collecting patient personal and health information for medical treatment purposes.
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StudentSADD Dataset End User License Agreement
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License agreement for accessing and using the StudentSADD research database on student mental health during the COVID-19 pandemic.
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Psychiatric Inpatient Discharge Form
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A comprehensive form documenting patient discharge details from psychiatric inpatient care, including follow-up care instructions.
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Hoxworth Blood Center Donor Consent Form
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Consent form for student blood donors requiring parental permission and acknowledgment of donation procedures.
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Therapy Treatment Referral
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Medical form for referring patients to various therapy disciplines including physical, occupational, and speech therapy services.
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Privacy Audit Form
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A comprehensive checklist for healthcare facilities to assess and improve patient privacy protections in various clinic areas and interactions.
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Expression Of Interest In Application For Nissan Franchise
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Expression Of Interest In Application For Nissan Franchise
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Text, E Booking E Mail Consent Form
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Patient consent form outlining risks and conditions for electronic communication with healthcare providers.
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Medical Release For Training Programs
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Consent Form
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Consent form for data protection and communication preferences for the Leominster Allotment Association members.
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Official form for high school students to obtain parental consent and medical release for athletic participation in Kentucky.
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Media Release Form
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Bridge To Wellness Wellbeing Program General Medical Form
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Risk assessment document for Covid-19 workplace safety at NatWest Mentor Services Main Building
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University Health Report
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Pre Participation Physical Evaluation History Form
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Giant Food Pharmacy Vaccine Informed Consent
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Background Check Consent Form
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Official form for providing biographical and personal information to authorize a background check investigation.
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Michigan Gastrointestinal Illness Complaint Interview Form
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Consent For Physical Therapy
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Medical form for assessing a camper's health status, medical conditions, and fitness for camp participation.
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Health And Medical History Form
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Girl Scouts Health History And Medical Examination Form For Minors
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Comprehensive medical and health history form for Girl Scout participants to capture essential health information and emergency contact details.
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Health History And Medical Examination Form For Minors
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Comprehensive medical form for collecting health information and medical history for Girl Scouts participants under 18 years old.
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Application form for individuals seeking to volunteer at Galt Joint Union Elementary School District for various school activities.
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Great Path Academy 2017 2018 Appearance Release
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Bay Area Independent School Common Confidential Student Evaluation Form For 2nd 8th Grade Applican
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Confidential form for evaluating student applicants from 2nd to 8th grade, to be completed by the current teacher.
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Common Confidential Student Evaluation Form (1st 8th Grade Applicants)
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A confidential form for collecting student information and teacher evaluations for school admissions for grades 1-8.
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Document outlining conditions and terms for mental health treatment scholarships funded by state grants for individuals without insurance or financial means.
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Group Counseling Intake Form
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Comprehensive intake form for registering children in group counseling programs focusing on emotional wellness and support.
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G.S. 7B 528 Infant Safe Surrender Information
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Legal guidelines for creating informational materials about safe infant surrender, including parent rights and confidentiality provisions.
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GSS Waiver
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Legal document releasing UBC Graduate Students Society from liability for potential risks during an event or activity.
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Girl Scouts Health History And Medical Examination Form For Minors
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Comprehensive health history and medical examination form for Girl Scout participants to document medical information and insurance details.
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Shared Sick Leave Request Form
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A form that allows Georgia Tech employees to request donated sick leave when they have exhausted their own paid leave due to serious health conditions.
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Accident Claim Form
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Insurance claim form for documenting student accident details and health information authorization
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Comprehensive form for documenting dental procedures, treatments, and insurance billing details.
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REQUEST FOR PROPOSALS Oracle Customer Cloud Service (CCS, OUAV, OUTA), Oracle Cloud Infrastructure (
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Request for competitive proposals for Oracle cloud system managed services and support for Greenville Utilities Commission.
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Guest Medical Information Form
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Confidential medical form for assessing guest fitness and suitability for an Antarctic expedition, collecting comprehensive health history.
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Guidance Obtaining Consent From Subjects With Limited English Proficiency
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Media Release Form
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Medical History Form
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Functional Assessment Interview FormYoung Child
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Request For Hospital DischargeTransfer Approval Form (H 804)
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Guidance for individuals on keeping medical billing information private when using someone else's health insurance.
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ApplicantLicenseeS Psychiatric History
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Medical evaluation form assessing an applicant's psychiatric history and potential mental health conditions that might impact handgun licensure in Texas.
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Health Alert Network Advisory Accessing Tecovirimat (TPOXX) For Patients With Monkeypox
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Advisory document providing guidance on using Tecovirimat for treating monkeypox infection under CDC's Expanded Access protocol.
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XAVIER HAP 2024 Personal Health History
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A comprehensive medical history form for students, to be completed by parents or guardians before submitting to a medical provider.
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MC Hardware Request
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SERVICE AGREEMENT
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Hawaii HIPAA Authorization For Release Of Information
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A form allowing patients to authorize the release of their personal health information to specified individuals or organizations.
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Registration Form
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Comprehensive intake form for collecting patient personal, contact, insurance, and medical history information for mental health services.
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HAZARD REPORT FORM
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HAZARD REPORT FORM
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Authorization To Disclose Protected Health Information
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Sample Of Consent Form For The HCBS CAHPS Survey
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Declaration For Mental Health Treatment
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Media Release Form
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Participant Consent Form (Health Care Providers)
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Mandatory Tuberculosis (TB) Risk Assessment Form
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Role And Function Of The Joint Health Safety Environmental Committee Of The Mona Campus
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Western Carolina University Base Camp Cullowhee Health And Medical Form
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Health And Temperament Agreement
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A legal agreement outlining owner responsibilities and liability waivers for dogs attending a dog daycare facility.
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Business Associate Agreement
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SUNY State College Of Optometry Health Assessment
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Medical immunization and health screening form for SUNY State College of Optometry credentialing purposes.
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Health Assessment Form For Compliance With K.S.A. 72 5214
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Software Solutions For The School Setting
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A software solution for tracking student and staff health information, designed to support schools during pandemic return-to-school protocols.
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Health Examination Form (Form 003)
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Comprehensive health examination and immunization requirements form for nursing students entering a clinical program.
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Guam Travelers Health Declaration Form
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Health screening form for travelers entering Guam, tracking travel history, health symptoms, and potential exposure risks.
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HEALTH DECLARATION FORM
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A form for travelers to declare their COVID-19 health status and potential exposure prior to travel.
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Student Health Services Health Evaluation Form
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Medical form used by students to document health status, current conditions, and activity clearance for university health services.
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Required NYS School Health Examination Form
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Comprehensive health assessment form for students in New York State, documenting medical history and physical examination details.
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CHILDCARE GENERAL HEALTH EXAMINATION FORM
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A health examination form for children enrolling in early education programs to document their medical status and health conditions.
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Student Health Fee Reimbursement Form
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Form for Florida A&M University law students to request reimbursement for health service fees
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Health Form
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Medical health assessment form for participants in wilderness expeditions with Alaska Mountain Guides and Climbing School Inc.
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Girl Scouts Of West Central Florida Health Examination Form
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Comprehensive health form for documenting medical history and emergency contact information for Girl Scouts participants and volunteers.
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Emergency And Health Forms Checklist
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Comprehensive checklist of required health and emergency forms for new and returning students to complete before the school year
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Medical History Form
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Comprehensive medical history form for students collecting personal health information, medical conditions, and health maintenance details.
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Medical History Form
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Comprehensive medical history form capturing patient's health status, previous illnesses, and current medical conditions.
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Health History Physical Exam Form
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Confidential medical history form for Allied Health and Nursing students at Minnesota West Community and Technical College to document health status and medical background.
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Health History Form
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Comprehensive health form for students to provide medical history, insurance, and emergency contact information to the university's student health center.
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Student Athlete Health History Questionnaire
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Comprehensive medical history questionnaire for student-athletes at State University of New York at Potsdam, focusing on orthopedic and head injury history.
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Male Health History Questionnaire
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Comprehensive medical questionnaire for collecting a male patient's health history, current concerns, and personal details.
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Health Incident Report Form
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A form for documenting health and safety incidents involving nursing students and faculty, to be completed within 24 hours of an occurrence.
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Health Information Form
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Detailed medical history and personal health form for participants, collecting comprehensive health information and emergency contact details.
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Retiree Health Cancellation Form
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A form for retirees to cancel their health coverage and dependent coverage through Blue Cross Blue Shield.
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School Health Inspection Form
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Official form for documenting health and safety inspections of school facilities in New Hampshire, ensuring compliance with state education standards.
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School Health Inspection Form
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Official form for documenting health and safety inspections of school facilities by local health officials in New Hampshire.
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Maryland State Department Of Education Health Inventory
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A comprehensive health documentation form for children enrolling in Maryland child care facilities, requiring physical examination, immunization records, and blood-lead testing information.
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HEALTH INVENTORY FORM
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Authorization For Use Or Disclosure Of Protected Health Information
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A confidential form authorizing the disclosure of protected health information by The Episcopal Church Medical Trust
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HEALTHPHYSICAL EXAMINATION FORM
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Medical examination form for students enrolling in various healthcare and child care educational programs to assess physical fitness and health status.
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Lindgren Child Care Center Health Procedures
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Comprehensive guidelines for handwashing and managing child health procedures in a child care center, focusing on preventing illness spread.
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HEALTH PROFESSIONS STUDENT HEALTH FORM
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Medical documentation form for students in nursing, pharmacy, physician assistant, and dietetic internship programs, requiring immunization history and verification.
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ETA FORM 653 Job Corps Health Questionnaire
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A health assessment form for Job Corps applicants to provide medical information and authorize basic healthcare services
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Authorization To Release Protected Health AndOr Substance Use Disorder Records
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A comprehensive form authorizing the release of protected health information, including medical, mental health, and substance use records.
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Health Risk Assessment Form
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A comprehensive form that evaluates an individual's physical health, personal safety, fitness, nutrition, work environment, and social-emotional well-being.
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Health And Safety Student Waiver Form Part A
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COVID-19 safety waiver for students participating in boot camp activities at the Bahamas Technical and Vocational Institute.
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Physical Examination Form
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A comprehensive medical examination form required for admission to health science programs at Laredo College.
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Death Review Committee Attendance Form
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A confidential form for tracking attendance and participation in a death review committee meeting, with signatures of participants.
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MCPS Form SRS 6 Student Record Card 6
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A comprehensive health form for students entering Maryland public schools, requiring medical examination and immunization documentation.
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Meningitis And Hepatitis B Immunization Health History Form
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Comprehensive form detailing immunization requirements for students, including MMR, Varicella, and Tuberculosis skin test documentation guidelines.
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School Health Services Health Survey Form
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A comprehensive health information form for students entering school, collecting medical history, contact information, and health service needs.
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Vital Strategies Healthy Food Policy Fellowship Application Form
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Application form for a fellowship program focused on contributing to healthier food environments in selected countries.
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DCH 1315 Health Risk Assessment
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A confidential form for collecting personal health information to help individuals improve their health and healthcare coverage through the Healthy Michigan Plan.
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STUDENT RECORD CARD SR 6 (Local)
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A mandatory health form for students entering Maryland public schools, documenting physical examinations and immunization requirements.
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NYU Langone Health Information Exchange Consent Form
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A consent form allowing patients to choose whether NYU Langone Health can access and share medical records through health information exchanges.
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Medical Form
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Medical history and immunization form for students, requiring detailed health information and parental consent.
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Medical Form
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Comprehensive medical history and immunization form for students, requiring detailed health information to be completed by parents/guardians and physicians.
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Grade 7 School Immunization Program Consent Form For HB And HPV Vaccines
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A consent form for Hepatitis B and HPV vaccinations for Grade 7 students, requiring parent/guardian approval and health assessment.
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THREE WAY CONFIDENTIALITY AGREEMENT
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A multi-party confidentiality agreement for potential research and business collaboration involving exchanging sensitive information.
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Parental Consent Form Highlighting Effective Teaching Strategies (HETS) Project
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HFT Sample IRB Consent Form
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Consent document for using human fetal tissue collected during abortion for research purposes, ensuring voluntary donation without coercion.
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Consent For Total Body Donation
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A legal form for next of kin to consent to donating a deceased person's body for anatomical study and research.
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NYCHHC HIPAA Authorization To Disclose Health Information
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A form authorizing the release of personal medical and health information with specific privacy protections and consent requirements.
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Hickory Hill Member Family Emergency Contact Form
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A form for collecting emergency contact and medical authorization details for club members and their families.
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HAWAII INSTITUTE OF MARINE BIOLOGY YOUTH WAIVER
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Waiver form for non-employees, including visitors, interns, volunteers, and researchers under 18 years old visiting the Hawai'i Institute of Marine Biology property.
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Patient Intake Form
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Comprehensive medical questionnaire collecting patient personal, insurance, and health history information for medical providers.
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HIPAA Authorization Checklist For Attorneys
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A detailed checklist for attorneys preparing HIPAA authorization forms when requesting medical information from Blue Cross and Blue Shield of Alabama.
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FDNY HIPAA AUTHORIZATION TO DISCLOSE HEALTH INFORMATION
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Form authorizing the release of personal health information with specific consent parameters and privacy protections.
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HIPAA Business Associate Agreement
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A legal agreement outlining the responsibilities of a business associate in handling protected health information in compliance with HIPAA regulations.
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HIPAA Business Associate Agreement
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A legal document outlining the responsibilities and obligations of a business associate in handling protected health information (PHI) in compliance with HIPAA regulations.
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HIPAA Compliance Patient Consent Form
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A form detailing patient consent for healthcare information usage, disclosure, and privacy practices under HIPAA regulations.
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Consent To Treat Form Acknowledgement Authorization Of HIPAA Privacy Practices
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A consent form for patients receiving occupational therapy, outlining treatment authorization and patient rights regarding medical information and procedures.
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Authorization Form For The Disclosure Of ProtectedConfidential Information By NH DHHS To A Third Par
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A form used by Department of Health & Human Services clients to authorize release of protected information to another person or organization.
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HIPAA Disclosure
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A detailed explanation of Haverford College Health Services' commitment to patient privacy and confidentiality of health information under HIPAA regulations.
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Authorization For Release Of Health Information Pursuant To HIPAA
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Official form allowing patient authorization for release of sensitive medical information in compliance with HIPAA regulations.
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CASSIA Notice Of Privacy Practices
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Detailed document outlining how medical information is used, disclosed, and protected under HIPAA regulations.
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HIPAA Acknowledgement And Medical Information Release Form
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A form for patients to authorize release of medical information and provide contact preferences for communication.
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HCF 1.06 Notice Of Privacy Practices
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Document outlining privacy practices and legal rights regarding Protected Health Information (PHI) for Forsyth County Emergency Services.
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Privacy Complaint Form
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A form for patients to submit written complaints regarding privacy and confidentiality of protected health information.
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HIPAA Medical Release Form
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A form allowing patients to authorize disclosure of protected health information to specified individuals and physicians under HIPAA guidelines.
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HIPAA Risk Assessment
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A detailed guide for healthcare practices to conduct periodic risk assessments of patient information privacy and security safeguards.
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HIPAA Safe Harbor Checklist Form For RADx Rad
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A comprehensive checklist for removing HIPAA-defined personal identifiers from research data before submission to a repository.
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Maryland Confidentiality Of Medical Records Act Compared With HIPAA Privacy Statute Regulation
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A comprehensive chart exploring similarities and differences between Maryland's medical records confidentiality law and federal HIPAA privacy regulations.
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HIPAA Authorization Form
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A form for dependents to authorize disclosure of protected health information to an account holder in compliance with HIPAA regulations.
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Notice Of Privacy Policy
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Legal document describing how health information is used, disclosed, and protected in compliance with federal and state laws.
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HIPAA Privacy Authorization Form
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A form authorizing the use and disclosure of protected health information (PHI) in compliance with HIPAA regulations.
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Medical History Form
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Comprehensive medical form for capturing patient health history, symptoms, and medical conditions across various body systems.
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Hixny Electronic Data Access Consent Form
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A form allowing patients to consent or deny access to their medical records through the Healthcare Information Xchange of New York (Hixny) electronic network.
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REFERRAL CHECKLIST FORM
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A comprehensive referral form for healthcare providers to submit patient information and service requests to HealthLinkNow.
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Salisbury University Student Health Services Parental Consent Form
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A consent form for parents/guardians to authorize medical treatment for students under 18 at Salisbury University.
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Minors In Research Laboratories
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Procedure defining requirements and safety guidelines for minors under 18 participating in university research laboratory activities.
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HMIS End User Agreement
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A legal agreement outlining confidentiality and data usage requirements for authorized users of the Homeless Management Information System in Sacramento and Yolo County.
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HMIS UserS Agreement
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Legal agreement for HMIS users outlining responsibilities for protecting client personal information and data confidentiality.
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Hampton Roads HMIS Client Consent Form
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A consent form for sharing basic client information within the Homeless Management Information System (HMIS) for service coordination.
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Hampton Roads HMIS Client Consent Form
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A consent form for sharing client information within the Homeless Management Information System (HMIS) for service coordination.
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MEDIA RELEASE FORM
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A legal document granting The Hockaday School permission to create, use, and distribute recordings of participants in school events.
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Harvard Outing Club Medical Form
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A comprehensive medical form for Outing Club members to provide emergency medical information and disclose health conditions that might impact trip participation.
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Designating An Authorized Representative
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A form that allows members of the National Association of Letter Carriers Health Benefit Plan to designate an authorized representative for discussing their health plan information.
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Hope And Help Campaign Video PSA Contest
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A creative video PSA contest encouraging community awareness about opioid issues, with themes of hope, change, and help.
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Hospital Admission And Discharge Records
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A document discussing a new standardized form for recording psychiatric hospital patient admissions and discharges, with concerns about patient confidentiality.
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How To Obtain A ConsumerS Authorization Before Gaining Access To Personally Identifiable Information
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Guidelines for Navigators and certified application counselors on obtaining consumer consent before accessing personally identifiable information in Federally-facilitated Marketplaces.
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Data Protection Consent Form
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A consent form for individuals to approve communication methods and data usage by the local parish council.
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Health Professions Recruitment And Exposure Program 2022 Parental Consent Form
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Consent form for minor students participating in a medical education recruitment and exposure program at Weill Cornell Medical College.
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PARENTAL CONSENT FORM
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Consent form for minors to participate in the Health Professions Recruitment and Exposure Program at Weill Cornell Medical College.
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Medical History Form
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Comprehensive form for documenting patient medical history, conditions, and potential health issues
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Safety Inspections Policy
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Policy detailing monthly safety inspection requirements for all CCLA sites and facilities by safety administrators or Health & Safety Manager.
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Health Research Institute Membership Form
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Form for faculty members to apply for membership in the Health Research Institute, requiring personal details and departmental approval.
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Authorization For Examination AndOr Treatment
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Official Department of Labor form authorizing medical examination and treatment for work-related injuries or illnesses.
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Wellness Program Reimbursement Form
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Form for full-time employees to request up to $50 annual reimbursement for health and fitness program costs for themselves and dependents.
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SUPPLEMENTARY STI PATIENT INTERVIEW FORM
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Medical form documenting screening and treatment for sexually transmitted infections including chlamydia, gonorrhea, syphilis, and HIV.
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Texas Tech University System Requisition Form Identification Security Access Device
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Form for requesting, changing, or terminating security access and identification devices for Texas Tech University personnel
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Media Release Form
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Legal document authorizing the University of North Texas Health Science Center to use an individual's likeness for promotional purposes.
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Health Contact Form
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A bilingual form for tracking medical, dental, and health visits for foster children in Sonoma County
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Dual Enrollment Consent Form
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A document explaining FERPA rights and student privacy for dual enrollment students and their parents/guardians at Golden West College.
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HEALTH CONCERN SAFETY HAZARD CHEMICAL SPILL REPORT FORM
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A form for reporting health concerns, safety hazards, or chemical spills with details and recommended actions.
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Health And Safety Form General Risk Assessment (Dynamic)
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A comprehensive document for assessing workplace health and safety risks across multiple potential hazard categories.
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Health And Safety Form Incident Investigation Form
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A confidential form used to document and investigate workplace incidents and accidents for North Lanarkshire Council.
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INCIDENT REPORTING FORM
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Official form for documenting work-related injuries, illnesses, or near-miss events in a workplace setting.
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High School Program Parent Permission And Consent Form
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Parent permission form for students participating in St. Joseph's College Bridge Program for high school students.
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Manual Handling Risk Assessment Form
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A comprehensive form for assessing potential risks in manual handling tasks for employees and students.
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Physical Examination Form
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A comprehensive medical physical examination form for nursing students at Mennonite College of Nursing, Illinois State University.
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HSR Special Risk Claim Form Fill Able
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Comprehensive guide for filing a special risk insurance claim, detailing required documentation and submission process.
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Health Standards Post Event Assessment Form
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A comprehensive form for assessing facility conditions and readiness after an emergency event, specifically for healthcare facilities and nursing homes.
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BARBADOS LOGISTICS INFORMATION
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Provides travel and entry information for participants attending health services seminars in Barbados in October 2012.
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ParentGuardian Consent Form For Children And Youth
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A consent form for parents/guardians to authorize their children's participation in church-sponsored activities and provide medical information.
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Drug Alcohol Education And Testing Program
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Policy outlining drug and alcohol testing requirements for student-athletes, focusing on health, safety, and athletic integrity.
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ConnectHome Focus Group Consent Form
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A consent form for a HUD research study exploring community perspectives on home internet access through a focus group discussion.
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Historial De Entrevista Del Empleado
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A U.S. Department of Housing and Urban Development form for conducting interviews with construction workers to ensure compliance with federal labor standards.
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Authorization For The Release Of InformationPrivacy Act Notice
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A form authorizing the U.S. Department of Housing and Urban Development to request verification of personal financial information for housing assistance purposes.
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Human Informed Consent Form
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A template form for obtaining informed consent from research participants in science fair projects, ensuring ethical research practices.
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Huron Valley Percussion Physical Examination Form
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Comprehensive health screening form for student musicians detailing medical history and physician examination findings.
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Homework Coaching Program Confidentiality Non Disclosure Agreement Form
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A non-disclosure agreement for employees and partners of Forster Fulop, outlining confidentiality requirements for student and program information.
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Confidentiality Agreement
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A confidentiality agreement between a potential buyer and International Business Exchange, Inc. to protect proprietary business information during potential acquisition negotiations.
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MEDICAL HISTORY FORM TEMPLATE
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A comprehensive form for collecting patient medical information including medications, surgical procedures, illnesses, and vaccination history.
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Patient Discharge Form
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A comprehensive form for documenting patient discharge details, medical treatment, and follow-up information.
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Celiac Disease Foundation Patient Registry Data Access Guidelines
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Guidelines for researchers requesting access to the Celiac Disease Foundation's patient registry data, outlining approval process and confidentiality requirements.
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Consent To Treat And Authorizations
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Medical consent form documenting patient agreement to treatment, testing, and understanding of independent practitioner services at Blessing Health System facilities.
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Nursing Home Resident Fingerprint Consent Form
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Consent form for fingerprinting nursing home residents identified as potential offenders for criminal history record checks.
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Fingerprint Identification Policy
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Policy detailing acceptable identification documents for fingerprint identification purposes, categorized into government-issued photo IDs, non-government photo IDs, and government non-photo IDs.
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RELEASE FORM
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A legal document granting IEEE permission to use participant's media and content for various business and promotional purposes without compensation.
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Preparticipation Physical Evaluation Medical Eligibility Form
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Medical form for evaluating student-athlete's health and sports participation eligibility, including medical history and emergency contact information.
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Staff And Physician Q A Changes To Consent Policy Forms
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Detailed guidance on updates to medical consent forms, including new separate forms for different types of medical consent and procedures.
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Saint Ignatius High School FreshmanTransfer PHYSICAL EXAMINATION FORM
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Required medical examination form for freshmen and transfer students at Saint Ignatius High School, including health screening and medical history details.
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Immune Globulin Referral Form
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Medical referral form for patients requiring immune globulin treatment for various neurological and immune disorders.
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Employee SystemsAccess Checklist Form
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A form for tracking and managing system access and resources for new or transitioning employees in an educational or administrative setting.
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Instructional And Informational Memorandum IIM LD 236
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Guidelines for protecting sensitive security information at the Virginia Department of Transportation, addressing identification and safeguarding of critical infrastructure data.
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T. Gerding Construction Company Injury Illness Prevention Program
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Comprehensive safety and health management manual for construction company covering administrative procedures, occupational health, and safety protocols.
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Proof Of School Dental Examination Form
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A mandatory dental examination form for students in kindergarten, 2nd, 6th, and 9th grades in Illinois, documenting oral health status.
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Proof Of School Dental Examination Form
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A comprehensive dental health form for documenting a student's oral health status and treatment needs for school enrollment.
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Image ReproductionMedia Release Form (Minor)
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A form granting permission for Orange County Department of Education to use a minor's image, voice, and likeness for educational and media purposes.
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Media Release Form
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A legal document authorizing EAST Inc. to use an individual's personal media and likeness for marketing and promotional purposes
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Required Certificate Of Immunization
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A comprehensive form documenting required immunizations for students, including vaccination history and personal information.
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Immunization Consent Form
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A medical form capturing patient consent for immunizations, detailing potential adverse reactions and risks associated with vaccine administration.
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Immunization Record Form
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A comprehensive form for documenting student immunization history and requirements for university enrollment.
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Immunization Request For ExemptionWaiver Form
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A form allowing students to request medical or personal exemptions from required immunizations for university admission.
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South Dakota Immunization Order Form
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Order form for immunization-related supplies, forms, and resources for healthcare providers in South Dakota.
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Authorization For Release Of MedicalHealth Information
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Missouri Department of Social Services form authorizing the release of an individual's medical and health information to specified parties.
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Parental Consent Form
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Consent form for students to participate in computerized concussion baseline testing program for athletic participation.
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Medical Permission And Media Release Form
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A comprehensive form for parental consent for youth participation in IMPACT activities and media usage rights for Bethel University.
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Incident And Hazard Report Physical And Psychosocial
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A comprehensive form for documenting workplace incidents, hazards, injuries, and required corrective actions.
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INCIDENT INJURY HAZARD REPORTING PROCEDURE
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A comprehensive procedure for reporting, investigating, and preventing workplace incidents, injuries, and hazards to ensure health and safety.
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Incident Report
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A confidential form for documenting and reporting various types of incidents involving clients, staff, or facilities.
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Incident Report Form
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A comprehensive form for reporting workplace or campus-related incidents, injuries, and potential safety issues.
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Wildlife Incident Report Form
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A comprehensive form for documenting and reporting wildlife health incidents, including species details, environmental conditions, and collected specimens.
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How To File An Incident Report
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Comprehensive guide for reporting workplace, student, and visitor incidents at Clark College, detailing the proper procedures for documenting accidents and near misses.
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CANTON PUBLIC SCHOOLS INCIDENT REPORTS FOR STUDENTS AND STAFF
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Guidelines for documenting and reporting accidents, injuries, and significant health incidents involving students and staff at Canton Public Schools.
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Surveyor Agreement Form
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A legal agreement for surveyors conducting confidential income surveys for community development grant applications.
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Indemnity And Waiver Form For Acro Angels Gymnastics
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Legal document waiving liability for potential injuries during gymnastics activities at Acro Angels Gymnastics.
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LMG HIM 1401 Health Information Release Authorization
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Authorization form for releasing patient health information under HIPAA privacy regulations.
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Individual Membership Form
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A confidential membership form for individuals interested in joining the Narcolepsy Network organization with various membership levels and donation options.
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Individual Player Waiver Form
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A comprehensive waiver form for sports participants covering liability, medical information, and consent for activities at Crown Sports Center.
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Background Waiver Release Form
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A document authorizing background screening and information collection for employment or other purposes, with potential legal implications.
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Patient Intake History
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A comprehensive intake form for patients seeking fertility treatment, collecting detailed personal and medical information.
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Influenza Sample Submission Form
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A detailed form for submitting influenza test samples to the South Dakota Public Health Laboratory with comprehensive patient and specimen information.
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Information Release Consent Form
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A form allowing University of Wisconsin-Parkside students to consent to release of their educational and financial records to specified parties.
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Information For Potential Research Volunteers Who Complete MCW On Line Webforms
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Document outlining data collection, usage, and privacy practices for medical research volunteer webforms at Medical College of Wisconsin.
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Informed Consent Form Template Instructions
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A comprehensive guide and template for creating an informed consent document for research studies, providing instructions and structure for researchers.
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Informed Consent And Liability Waiver Form
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A consent form detailing patient rights, treatment expectations, and liability release for physical therapy services.
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Informed Consent And Service Agreement Form
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Professional document outlining counseling services, client-therapist relationship, and terms of engagement for therapeutic services.
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Informed Consent Form
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A consent form for individuals applying for or receiving long-term care assistance, authorizing medical record access and assessment.
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MAC Graduate Handbook Informed Consent Form
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Legal document outlining counseling services provided by East Texas Baptist University Master of Arts in Counseling graduate student, including nature of counseling, supervision, and confidentiality.
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Informed Consent Form
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A template for obtaining voluntary participant consent for a research study, outlining study details, risks, benefits, and participant rights.
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UNIVERSITY OF PENNSYLVANIA RESEARCH SUBJECT INFORMED CONSENT AND HIPAA AUTHORIZATION FORM
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Informed consent document for participation in medical research biobank involving genetic and biological sample collection and research studies.
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Informed Consent Process
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Comprehensive guidelines for obtaining voluntary and informed consent from research subjects, detailing requirements, exceptions, and federal regulations.
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Example Informed Consent For An Anonymous Online Survey
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Informed consent document for a research study examining consumer attitudes towards online shopping, conducted anonymously with university students.
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Winston Salem State University Informed Consent Form
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A template document for obtaining voluntary participant consent for a research study, outlining study details, procedures, and participant rights.
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TREATMENT CONSENT FORM
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Consent form for behavioral health, substance use treatment, vocational, and audiology services provided by Catalyst Life Services.
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TREATMENT CONSENT FORM
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A consent form for patients receiving behavioral health, substance use, vocational, and audiology services from Catalyst Life Services.
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Minnesota State University Moorhead Infuse Mental Health Grant Service Agreement
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Grant service agreement for students receiving mental health service scholarship at Minnesota State University Moorhead, outlining service obligations and requirements.
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Individual Authorization And Consent Form For Child Care Criminal Background Check Based Determinati
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Authorization form allowing Louisiana Department of Education to conduct comprehensive criminal background checks for child care providers
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INITIAL CONTACT FORM (ICF)
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Comprehensive intake form for patient medical, substance use, and treatment history for healthcare services.
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Order Of Protection Division Intake
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Legal intake form for individuals seeking Orders of Protection and free legal assistance from Ascend Justice.
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Initial Interview Form Children
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A detailed intake form for gathering comprehensive information about a child's medical, psychological, and personal background for counseling purposes.
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Medical History Form
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Comprehensive medical history questionnaire used by Egea Medical Weight Loss Center to collect patient health information and background.
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Injury And Illness Prevention Program
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Comprehensive safety policy and procedures manual for preventing workplace injuries and addressing health risks in a school district setting.
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INJURY AND ILLNESS PREVENTION PROGRAM
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Comprehensive safety and health program detailing hazard prevention, training, and workplace safety protocols for school district employees.
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IncidentInjuryHazard Notification Form
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A comprehensive form for reporting workplace incidents, injuries, illnesses, hazards, or near misses within a university setting.
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PUBLIC POOL AND SPA INJURY INCIDENT REPORT FORM
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A standardized form for reporting injuries, drownings, or near-drownings at public pools and spas to local health districts.
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UVU Injury Accident Report Form
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Comprehensive form for documenting accidents and injuries occurring at Utah Valley University or during university-sponsored activities.
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Injury And Third Party Liability Form
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A form for documenting injuries potentially involving third-party liability for the Southern California Pipe Trades Health & Welfare Fund.
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Non Disclosure Agreement Form For Inventions And Related Matters
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A confidential agreement between an inventor and the University of Lagos Research & Innovation Office for sharing proprietary information and protecting intellectual property.
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Consent Form For Blood Spot Collection Testing (IRB 09 026A)
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A consent form for a medical research study involving blood spot collection and testing for health risk assessment purposes.
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LABORATORY SAFETY INSPECTION FORM
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Comprehensive safety inspection form for evaluating laboratory safety protocols, equipment, and compliance with safety standards.
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Lab Safety Inspection Form
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Comprehensive safety inspection form for evaluating laboratory safety conditions and compliance with environmental health standards.
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Adolescent Partial Fax Referral Form
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A referral form for Fuller Hospital's Inspire Program, an intensive group therapy program for adolescents ages 12-18.
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INSTRUCTIONS FOR MEDICAL REQUIREMENTS FOR CONDITIONALLY APPOINTED APPLICANTS
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Detailed guidelines for completing medical forms for conditionally appointed VMI applicants through the Medicat Portal.
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Dental Insurance Information
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Insurance form for collecting patient dental insurance details and treatment consent
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Insurance Form For Residence Hall Students
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Form for collecting student health insurance information for residential students at Monroe Community College.
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DELL COMPUTER REQUEST FORM
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Official form for requesting Dell computer products for university departments, with specific instructions for processing and approval.
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Consent To Treat
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A legal document authorizing medical treatment and explaining patient rights under HIPAA privacy regulations.
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Patient Intake Form
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Comprehensive medical intake form for new chiropractic patients to document personal information, health history, and current medical conditions.
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Checklist For TPI, Inc. Clinical Business Files
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A comprehensive checklist for documenting and organizing clinical client files for a therapy practice in Southwest Iowa.
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Patient Intake Form
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Comprehensive patient intake form collecting personal information, medical history, insurance details, and pre-examination assessment for medical treatment.
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Mississippi Department Of Mental Health Interested Provider Application Checklist
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A checklist for mental health service providers seeking certification to provide services within Mississippi's public mental health system.
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RESIDENCY APPLICATION FORM
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Comprehensive application form for professional residency in marriage and family counseling, collecting personal, educational, and professional background information.
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International Claim Form
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A comprehensive form for submitting international healthcare insurance claims with patient and coverage details.
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Health Insurance Pre Authorization Form For Therapy
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Insurance form for pre-authorization of physical, occupational, speech, and chiropractic therapy treatments.
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Global Sights Photo Contest Media Release Form
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A legal document granting Minot State University permission to use photographic or video content featuring the signee.
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International Student Insurance Refund Request
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A form for international students studying remotely due to COVID-19 to request a health insurance refund for the Spring 2023 semester.
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Therapist Intern Job Description
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Unpaid clinical internship for graduate students in counseling, psychology, or social work, providing services to children, youth, and families.
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Therapist Intern Job Description
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An unpaid clinical internship position for graduate students in counseling, psychology, or social work, providing services to children, youth, and families.
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StudentInternPracticum Application
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Application form for students seeking internship placement at Vera French Community Mental Health Center in Davenport, Iowa.
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StudentInternPracticum Application
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Application form for students seeking internship or practicum placement at a community mental health center
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Counselor Internship Application
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An internship opportunity for graduate students in mental health counseling at the Counseling and Resource Center, offering comprehensive clinical experience and training.
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Entry Medical Examination United Nations And Specialized Agencies
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Medical examination form for employment candidates seeking positions with United Nations and specialized agencies, requiring comprehensive health disclosure and authorization for medical record review.
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Waukee Community Education Intramural Waiver Form
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A consent and release form for students participating in Waukee Community Education intramural programs, acknowledging risks and providing medical authorization.
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Investigation Checklist Form
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A structured guide for conducting neutral and confidential workplace investigations into employee complaints or harassment concerns.
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Victim Of Trafficking Screening Interview Form
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Confidential interview form for identifying and documenting potential victims of human trafficking for support and assistance purposes.
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IPA TRAVEL FORM
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Travel form for IPA members seeking assistance and travel arrangements between police sections.
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Data Protection Consent Form For Athletes
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Consent form for athletes regarding transfer of World Para Snow Sports governance from IPC to International Ski and Snowboard Federation (FIS)
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Data Protection Consent Form For Athletes
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Consent form for athletes regarding the transfer of Para dance sport governance from IPC to World Abilitysport
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Media Release Form
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A consent form allowing Youth Services System to use photographs and videos of individuals for media and promotional purposes.
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Informed Consent Form (Audiotape)
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A consent form for audio recording and transcribing research interviews with privacy protections and participant rights.
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Informed Consent Form
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A standard template for documenting informed consent for research studies, outlining participant rights and study details.
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IRB Application Checklist
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A comprehensive checklist for preparing and submitting an IRB application for research involving human subjects.
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UMassD IRB Class Project Form
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A form for students to submit class research projects for IRB review and confirmation of project designation.
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Consent Form Checklist
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A comprehensive checklist for creating research consent forms at North Park University, covering required elements and sections for documentation.
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Consent Form Checklist
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A comprehensive checklist for researchers preparing consent forms for human participant research projects at Northwest University.
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FORM D CONSENT FORM TEMPLATE
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A template for creating a consent form for research study participants, outlining study details, procedures, risks, and benefits.
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Informed Consent For Research Participation
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A template for obtaining informed consent from research study participants at Washburn University.
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Informed Consent For Participation Of A MINOR In A Research Study
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A legal document obtaining parental consent for a minor's participation in a research study, outlining study details and participant rights.
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Research Participant Information And Informed Consent Form
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Guidelines for creating a research study consent form with template sections and formatting recommendations.
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Behavioral Science Parental Consent Template
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Detailed guidelines for creating parental consent forms for behavioral and social science research studies involving children.
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Wheaton College Institutional Review Board (IRB) Research Proposal For Human Participants
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An official document for researchers to submit research proposals involving human participants for review and approval by Wheaton College's Institutional Review Board.
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Sample Assent Form For Child
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A template form for obtaining a child's voluntary agreement to participate in a research study with parental consent.
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Form 8821
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IRS form authorizing an appointee to inspect and receive confidential tax information for specified tax matters.
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International Relations Summer Institute Media Release Form
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A consent form allowing Seton Hall University to use photographs, videos, and recordings of a participant's image, voice, name, and quotes for university purposes.
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Form 8821
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IRS form authorizing disclosure of confidential tax information to a designated appointee.
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Property Owner Consent Form
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A form authorizing a designated representative to allow access and participation in an annual property easement monitoring visit.
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CUI Notice 2020 03 Non Disclosure Agreement Template For CUI
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Official guidance providing an optional non-disclosure agreement template for handling Controlled Unclassified Information (CUI) in executive branch agencies.
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Information Technology Project Request Form
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A comprehensive form for submitting and evaluating technology project proposals within an organization
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Common Confidential Student Evaluation Form
PDF template
A confidential form for evaluating student applicants, to be completed by teachers for school admissions purposes.
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40.01.012a Information Security And Privacy Agreement
PDF template
A comprehensive agreement outlining confidentiality and information security responsibilities for users accessing Boston Medical Center's information systems.
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IT Addendum To ContractorS Contract Form
PDF template
An addendum modifying standard contract terms for IT services between a contractor and the Virginia Community College System (VCCS)
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WELLNESS CENTER LIABILITY WAIVER
PDF template
A comprehensive liability waiver for participation in university wellness center activities and events, acknowledging risks and releasing the university from potential claims.
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CDW Customer Service Order Form
PDF template
Agreement between Tulsa County and CDW Government, LLC for Mimecast M2A and LCS-Gold annual subscriptions
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3.3 Incident Investigation Form
PDF template
A comprehensive form for documenting and investigating workplace incidents, accidents, and near misses, designed to capture detailed information about safety events.
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Customer Services Agreement
PDF template
A service agreement between Triad Resource Group and Huerfano County for employee assistance program services.
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I.T Maintenance Request Form
PDF template
A form used to document and track IT equipment maintenance requests within an organization.
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ITP 3 Technology Governance And Procurement Review
PDF template
Administrative procedure defining the technology governance process and requirements for technology procurement review at Marshall University.
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Information Technology Professional Services Agreement
PDF template
A service agreement between Cornell University and a technology consultant for professional IT services and deliverables.
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SIUE ITS Network Infrastructure Management Service Requisition Form
PDF template
A form for requesting network and infrastructure services at Southern Illinois University Edwardsville (SIUE)
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Information Technology Services Purchase Requisition Form
PDF template
Guidelines for staff to request and purchase IT equipment through the Information Technology Services department's requisition process.
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IRB Application
PDF template
A comprehensive form for researchers to submit detailed information about a proposed research project for ethical review and approval.
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Joe Burrow Foundation Do Good Grant Application
PDF template
A grant application process for supporting projects addressing mental health and food insecurity in Ohio and Louisiana.
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Joe Burrow Foundation Do Good Grant Application
PDF template
A grant application process for supporting underprivileged and underserved communities, focusing on children with mental illness and food insecurity in Ohio, Kentucky, Indiana, and Louisiana.
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Authorization For Release Of Medical Information
PDF template
A form allowing patients to authorize Thomas Jefferson University Hospitals to disclose specific medical information to designated parties.
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Medical Release Form
PDF template
A form for documenting participant medical history, conditions, medications, and emergency contact information.
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Medical Alert Form
PDF template
Medical information form for students using Johnson Bus Company transportation services in Menomonee Falls School District.
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2020 Clinic Application
PDF template
Application form for Josh Lyons LLC horse training clinics including participant and horse information, pricing, and payment details.
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Jamestown Injury And Illness Prevention Program
PDF template
Comprehensive safety program outlining injury prevention, hazard identification, and employee health protocols for Jamestown School District.
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JAMESTOWN INJURY AND ILLNESS PREVENTION PROGRAM
PDF template
Comprehensive safety and health program outlining hazard prevention, employee training, and communication protocols for Jamestown School District.
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WHS Forms Register
PDF template
Comprehensive register of workplace health and safety documentation with revision details and version tracking.
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Physical Examination Form
PDF template
Required medical form for participants in Junior Hilltoppers Sports Clubs, documenting health status and emergency contact information.
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Medical Form
PDF template
A comprehensive medical history form for applicants to the JVC Northwest program, to be completed by a healthcare professional.
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Bay Area Independent School Confidential Student Evaluation Form For Pre K 1st Grade Applicants
PDF template
Confidential form for evaluating pre-K to 1st grade student applicants, completed by current teachers to support school admission process.
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Kansas City Regional Fusion Center Non Disclosure Agreement (NDA)
PDF template
A legal document outlining confidentiality requirements and conditions for accessing Sensitive but Unclassified (SBU) information from the Kansas City Regional Fusion Center.
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Media ReleaseConsent Form For The Parent Or Guardian Of A Minor
PDF template
A legal document granting permission for the William & Sheila Konar Foundation to use a minor's image, likeness, and personal information for various media purposes.
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Fertility Assessment Form
PDF template
A detailed medical form for couples assessing fertility challenges and medical history related to reproductive health.
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New Patient Intake Form
PDF template
Comprehensive medical intake form for collecting new patient personal, contact, and health provider information
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Consent For Administration Of Health Treatment AndOr Medication At School
PDF template
A form for parents and healthcare providers to authorize medical treatments and medication administration during school hours.
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Marriage License Consent Form
PDF template
A legal document allowing parents or guardians to provide consent for a minor's marriage.
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MEDIATION CONFIDENTIALITY AGREEMENT
PDF template
A legal document outlining the confidentiality terms and processes for mediation participants, focusing on protecting communication and information shared during mediation.
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Kindergarten Oral Health Assessment Form
PDF template
California mandated form for documenting kindergarten students' dental health assessment as required by state education law.
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Office Policies
PDF template
Confidentiality and practice policies for a licensed clinical psychologist in Pendleton, Oregon.
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MEDIA RELEASECONSENT FORM
PDF template
A legal document allowing the William & Sheila Konar Foundation to use an individual's name, image, and likeness for various media and promotional purposes.
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Volunteer Application Form
PDF template
A comprehensive application form for individuals seeking to volunteer at Kamehameha Schools, requiring personal information, emergency contacts, and a confidentiality pledge.
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Volunteer Application Form
PDF template
Application form for individuals seeking to volunteer at Kamehameha Schools, requiring personal information and background check details.
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KSPCData ProtectionConsent Form
PDF template
A consent form for collecting personal contact information and communication preferences for the Kirk Smeaton Parish Council.
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Youth Volunteer Application Form
PDF template
Comprehensive application form for youth volunteers, including personal information, parental contacts, and confidentiality pledge.
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Accident Waiver And Release Of Liability Form
PDF template
A legal document that releases event organizers from liability and confirms participant's fitness and understanding of potential risks.
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PREVENTATIVE HEALTH CARE EXAMINATION FORM
PDF template
A comprehensive health screening form for students entering Kentucky public schools, documenting medical history and physical examination results.
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PREVENTATIVE HEALTH CARE EXAMINATION FORM
PDF template
Required health examination form for Kentucky public school students entering school or sixth grade, documenting medical history and physical screening results.
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Benefit Application Form For Ontario Works
PDF template
A comprehensive application form for accessing various social assistance benefits and support services in Ontario, specifically for Gull Bay First Nation.
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Laboratory Contact Information And Emergency Procedures
PDF template
A document detailing emergency contact information and procedures for laboratory settings, including emergency contact details and reporting protocols.
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Emergency Procedures And Contact Information
PDF template
A document outlining emergency contact details and procedures for laboratory safety and emergency response.
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LABORATORY SAFETY CHECKLIST (FORM 3010)
PDF template
A comprehensive safety checklist designed to ensure awareness and compliance with laboratory safety policies and procedures for employees and visitors.
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Lab Biosafety Self Audit Form
PDF template
A comprehensive form for documenting biosafety practices and microbiological materials used in a research laboratory setting.
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Lab Safety Checklist
PDF template
A comprehensive safety inspection form for evaluating laboratory safety conditions and compliance with workplace safety standards.
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My Medical Info
PDF template
A comprehensive medical information form designed to provide critical health details for emergency personnel in case of medical emergencies.
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Health Declaration Form For Applicants
PDF template
A health declaration form for international students applying to study in Malaysia, requiring disclosure of medical conditions and agreeing to health examinations.
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Instructions For Completing The UW Madison Laboratory Chemical Hygiene Plan Template
PDF template
Guidance for creating a laboratory chemical hygiene plan to ensure compliance with OSHA Laboratory Standard and workplace safety requirements.
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Laser Safety Inventory Form
PDF template
A form for documenting laser equipment details and safety information for The George Washington University laboratory environments.
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CPUC Local Agency Technical Assistance Program Consent Form
PDF template
A consent form for local agencies and tribes to acknowledge and accept terms for a California Public Utilities Commission grant.
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WIC Vendor Agreement
PDF template
Agreement between Louisiana Department of Health and WIC food vendors detailing participation requirements and terms for accepting WIC benefits.
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Parent Or Guardian Consent Form
PDF template
Form for parents or guardians to consent to employment of minors aged 16-17 during summer vacation months.
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INSURANCE PRE AUTHORIZATION FORM
PDF template
A form for collecting client and insurance details for pre-authorization of therapeutic services.
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Mental Health Care Power Of Attorney
PDF template
A legal document allowing an individual to appoint an agent to make mental health care decisions on their behalf if they become incapable of making informed decisions.
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Universal Referral Form
PDF template
A referral form for individuals seeking Assertive Community Treatment services, assessing eligibility and gathering comprehensive participant information.
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Lease Agreement
PDF template
A lease document for transferring horse ownership or usage rights within the Paso Fino Horse Association.
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COVID19 Leave Request Form
PDF template
A form for employees to request leave related to COVID-19 public health emergency situations
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Letter Of Authorization
PDF template
A document allowing a third party to submit and manage a passport application on behalf of an individual, with specific consent provisions.
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Linux Foundation Certification And Confidentiality Agreement
PDF template
A legal agreement outlining confidentiality terms and conditions for Linux Foundation certification exams and intellectual property protection.
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LHC Supplemental Medical 2023 Update23
PDF template
Medical form for Laurel Highlands Council camp registration requiring health information and medication permissions for scouts
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Preparticipation Physical Evaluation Physical Examination Form
PDF template
A comprehensive medical evaluation form for athletes to assess physical fitness and health status prior to participation in sports activities.
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Accident Waiver And Release Of Liability Form
PDF template
Legal document releasing The First Tee of San Antonio from liability for potential injuries or damages during volunteer activities.
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Teen Entrepreneur Academy (TEA) Liability Medical Release Form
PDF template
Liability and medical release form for participants in the Teen Entrepreneur Academy program at Concordia University, Irvine.
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Liability And Photo Media Release Form
PDF template
A comprehensive release form for participants covering liability, health insurance, and media usage rights for museum activities.
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Liability Media Release Form Required Of All Students
PDF template
A legal document for student registration that includes liability waiver and media release permissions for Community Music School activities.
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UNIVERSITY DAY LIABILITY RELEASE FORM
PDF template
A legal document for releasing liability and providing medical consent for campus visitors to Franciscan University of Steubenville.
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Waiver Of Liability And Hold Harmless Agreement
PDF template
Legal document releasing College of the Mainland from liability for potential injuries or damages during an activity.
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Liability Release And Assumption Of Risk For Activity Participation And Local Travel
PDF template
A legal document releasing the University of Maryland, Baltimore County (UMBC) from liability during an activity or travel event
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Release Liability Medical Release Form
PDF template
A comprehensive form for collecting student medical information, emergency contacts, and liability release for a summer orientation program
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Waiver, Indemnification, And Media Release Form
PDF template
Legal document releasing Houston Christian University from liability for participants in university events and activities.
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Arkansas Tech University Student Liability Waiver
PDF template
A comprehensive liability waiver for students participating in on or off-campus university activities, outlining participant responsibilities and risks.
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Disability Claim Form
PDF template
A comprehensive form for employees to report disability, injury, or illness for benefits claim purposes.
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Permission Form For Minors With Indemnity Agreement And Emergency Contacts
PDF template
A consent and liability waiver form for parents/guardians allowing minor children to participate in a diocesan event with legal indemnification provisions.
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PHYSICAL EXAMINATION FORM
PDF template
Comprehensive medical examination form for health assessment and licensing purposes.
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Non Disclosure Agreement
PDF template
A confidentiality agreement between LIFO-PRO, Inc. and a client detailing the protection and handling of confidential information.
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Volunteer Application Packet Checklist
PDF template
A comprehensive checklist for volunteer applicants to submit required documentation for volunteer program enrollment.
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Medical Release Form
PDF template
A comprehensive medical consent and release form for students at Lyndon Institute's Boarding or Summer Program, granting medical treatment permissions and health information sharing.
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Limestone College Medical Consent Form
PDF template
A medical consent form for collecting student medical history and immunization records to support health monitoring and campus safety.
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Adult LIPOS Private BedPHPAdmissionUtilization Form
PDF template
A form for documenting admission and utilization details for mental health hospital or partial hospitalization program (PHP) services.
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ADULT LIPOS PRIVATE BED PHP DISCHARGE FORM
PDF template
A discharge form for inpatient psychiatric or Partial Hospitalization Program services documenting patient transfer and clinical disposition.
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Youth LIPOS Funding Discharge Form
PDF template
Form for documenting discharge and funding verification for youth psychiatric inpatient or partial hospitalization services without insurance coverage.
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Medical IncidentAccident Report
PDF template
A comprehensive form for documenting medical incidents or accidents, detailing injury specifics and first aid procedures.
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Litchfield School District Student COPPA Compliance Form
PDF template
Parental consent form for children under 13 to use web-based educational applications and tools in compliance with COPPA guidelines.
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LitCoin NLP Challenge ParentLegal Guardian Consent Form
PDF template
Consent form for parents or legal guardians of minors participating in the LitCoin NLP Challenge, granting permission and releasing liability.
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Locomotive Compliance Form
PDF template
A detailed inspection form for documenting locomotive sanitation, equipment condition, and compliance with occupational health and safety regulations.
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Student Blanket Insurance Policy Disability Claim Form
PDF template
A comprehensive form for students to file a disability insurance claim, documenting medical conditions, educational status, and treatment details.
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LOTUS RECOVERY HOUSE EMERGENCY, SAFETY AND PROPERTY POLICY
PDF template
Comprehensive policy outlining safety, emergency protocols, and property management guidelines for Lotus Recovery House.
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RISK ASSESSMENT FORM
PDF template
Comprehensive risk assessment form for evaluating potential hazards and safety risks during travel.
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Trips And Visits Medical And Consent Form
PDF template
A comprehensive medical and consent form for students participating in a school trip, collecting health and emergency contact information.
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LTBB Media Release Form
PDF template
A media release authorization form allowing LTBB to use participant images, audio, and video for promotional and educational purposes.
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LTBB Permission And Medical Release Form
PDF template
A form providing authorization for medical treatment and participation in LTBB department and program events, including emergency contact information.
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Consent Form Notice To Facility For Authorized Electronic Monitoring
PDF template
A consent form for residents or their representatives to authorize electronic monitoring in healthcare facility rooms, detailing video and audio recording preferences.
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Long Term Care Insurance Medical History Form
PDF template
A medical history form for long-term care insurance professionals to collect patient health information for underwriting purposes.
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Ombudsman Disclosure Consent Form
PDF template
A consent form allowing residents of licensed facilities to authorize release of investigation findings to specified individuals by the State Long-Term Care Ombudsman.
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Long Term Disability Claim Form Employer Statement
PDF template
Comprehensive employer statement form for filing a long-term disability insurance claim, capturing employee and claim details.
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Lutheridge Adult Medical Form
PDF template
A comprehensive medical form for collecting health and emergency contact information for adult participants at Lutheridge camp.
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Lutheridge Camper Medical Form
PDF template
Comprehensive medical and registration form for children attending Lutheran church camp programs, capturing health information, emergency contacts, and medication details.
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Lutherock Camper Medical Form
PDF template
Comprehensive medical and emergency contact form for children attending Lutheran summer camp programs
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Luther Springs Camper Medical Form
PDF template
Medical and emergency information form for children attending Luther Springs summer camp programs
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Medical Release Form
PDF template
Medical authorization form for cancer patients to participate in wellness programs including yoga, facials, and massage designed to support healing and reduce treatment side effects.
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Medical Release Form
PDF template
A medical release form for cancer patients to participate in wellness programs designed to support healing and improve physical condition during treatment.
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Lynchburg IRB Quick Reference Guide
PDF template
A comprehensive guide for researchers outlining the Institutional Review Board (IRB) consent process, ethics training requirements, and proposal submission steps.
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Massachusetts COVID 19 Temporary Emergency Paid Sick Leave Request Form
PDF template
A form for employees to request temporary emergency paid sick leave related to COVID-19 in Massachusetts.
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NBPS Magnus Instruction Changing Credentials
PDF template
Comprehensive guide for parents to complete online health documentation and enrollment forms for students at Notre Dame school
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Health Care Power Of Attorney
PDF template
Legal document allowing an individual to designate an agent to make mental health care decisions on their behalf under Maine state law.
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HIPAA Medical Release Form
PDF template
A legal document authorizing disclosure of personal health information (PHI) for legal proceedings under HIPAA regulations.
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Male Medical History Form
PDF template
A comprehensive medical history form specifically designed for male patients to record personal and family health information.
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Male Medical History Form
PDF template
Comprehensive medical history form specifically designed for male patients, covering sexual health, medical conditions, and personal health background.
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MAMI Assessment Form
PDF template
A comprehensive medical assessment form for infants, evaluating health status, growth, and potential risks.
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Medical History Form
PDF template
A comprehensive medical form for camp participants to document health information, emergency contacts, and treatment authorization.
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Extended Health Care Claim
PDF template
Insurance claim form for submitting extended healthcare expenses to Manufacturers Life Insurance Company group benefits plan.
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OrthoCAD Submission Form
PDF template
A form for submitting patient and provider information for orthodontic treatment request and authorization.
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Department Of State Academic Exchanges Participant Medical History And Examination Form
PDF template
A medical form required for participants in U.S. Department of State educational exchange programs to confirm health status and obtain medical clearance.
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Student Physical Exam Information Form
PDF template
Comprehensive health form for collecting student physical examination details and medical history for college enrollment.
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PhotoVideo Marketing And Media Release Form
PDF template
Legal document granting permission for Southland Therapy Services to use photographs, video images, and statements for marketing purposes.
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Marketplace Appeal Request EAII Form (062019)
PDF template
A form for appealing decisions related to health insurance marketplace eligibility and financial assistance.
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Miami County Marlins Swim Team Emergency Medical Authorization Form
PDF template
A form allowing parents to authorize emergency medical treatment for children during swim team activities when parents cannot be reached.
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Parental Consent Form
PDF template
A legal document for parental consent when a minor (aged 16-18) seeks to obtain a marriage license in South Dakota.
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MAP Marshall Adventure Program Commitment To Excellence Media Release Form
PDF template
A form outlining participant expectations and media usage consent for Marshall University's Adventure Program activities.
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ITP 1 Technology Governance And Procurement Review
PDF template
Defines the technology governance process and outlines requirements for technology procurement review at Marshall University.
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Consent To Release Educational Records For Medicaid Billing
PDF template
A consent form allowing school district to release student educational records for Medicaid reimbursement of special education services.
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Client Feedback Form
PDF template
A detailed feedback form for evaluating client experience and satisfaction with massage therapy services.
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Master Medical Form
PDF template
Comprehensive medical form for camp participation, focusing on epilepsy and health conditions for Epilepsy Alliance Ohio's Camp Flame Catcher/Camp for Champs.
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NORTH DAVIS PREPARATORY ACADEMY (NDPA) STUDENT MEDICAL FORM
PDF template
A comprehensive medical form for collecting student health information and emergency contact details for North Davis Preparatory Academy.
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MAT Approval Form
PDF template
Form documenting client's eligibility and approval for Medication Assisted Treatment services through CJRC/AO Treatment services.
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Adult TB Risk Assessment And Screening Form
PDF template
A comprehensive screening form to assess an individual's risk factors and symptoms related to tuberculosis (TB) infection.
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MetroPlusHealth Wellness And Fitness App Reimbursement Program
PDF template
A program offering up to $300 per year in reimbursements for specific wellness and fitness mobile applications for MetroPlusHealth members.
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Human Subjects Research Project Consent Form Checklist
PDF template
Checklist for ensuring compliance with informed consent requirements for human subjects research at Monroe Community College.
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MCH 213G School Health Entrance Form Instructions
PDF template
A comprehensive form for documenting student health information, immunization status, and physical examination required for school entry in Virginia.
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MCO Discharge Form
PDF template
A comprehensive discharge form for behavioral health and recovery services tracking client status, diagnoses, and referral information.
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MEDICAL HISTORY FORM
PDF template
Comprehensive medical intake form collecting patient personal, medical, social, and health history details.
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Mount Sinai Adolescent School Based Health Center Parental Consent Form
PDF template
Parental consent form for students to use school-based health center services at Manhattan area schools.
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Name Based Criminal History Record Information ConsentInquiry Form
PDF template
A consent form for conducting criminal history background checks for various employment and service purposes in Georgia.
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Release And Indemnification Agreement
PDF template
A legal document releasing The Medical College of Wisconsin from liability for potential injuries or damages during an unspecified activity involving a minor participant.
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Referral Form For Family Peer Support Services
PDF template
A comprehensive referral form for obtaining family peer support services for youth with behavioral health needs in Maryland
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Media Release Parental Consent Form
PDF template
A form allowing parental consent for students to be photographed, videotaped, or interviewed at school events for media use.
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Endorser Consent Form For Ballot Measure
PDF template
Form for individuals to consent to being named as an endorser for a ballot measure in the City of Hayward Special Municipal Election.
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Consent For Administration Of Health Treatment AndOr Medication At School
PDF template
A form for obtaining parental and physician consent to administer medical treatments or medications to students during school hours.
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ENROLLMENT FORM
PDF template
A comprehensive form for employees to enroll in medical, dental, vision, and life insurance benefits with dependent information and coverage election details.
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Online User Guide
PDF template
A guide for accessing and using the online medical and dental plan portal, explaining login, ID card access, claims viewing, and privacy rules.
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MEDEX ACADEMY Consent Form
PDF template
Consent form for students 21 years and older participating in MedEx Academy, covering medical treatment, liability release, and media permissions.
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ParentalGuardian Consent Form
PDF template
A consent form for parents/guardians to authorize student participation in the MedEx Academy program, including medical treatment and promotional permissions.
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Student Medical Form
PDF template
Comprehensive medical form collecting student health details, emergency contact information, and medical history for school purposes.
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Media Release Form
PDF template
A form granting permission to use photos or videos of a child taken during a 4-H event for various media and marketing purposes.
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Media Release Form
PDF template
A comprehensive release form for participation in university programs, covering media usage and liability waiver for participants and guardians.
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Media Release Form
PDF template
A consent form authorizing the use of audio, photographs, videotape, or film of a child for publicity and marketing purposes.
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Medical Release Form
PDF template
A form authorizing the release of medical treatment information to specified facilities or individuals.
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Media Release Form
PDF template
Legal document granting permission for a school to use a child's photographs and recordings for marketing and social media purposes.
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Media Release Form
PDF template
A form allowing parents to consent or decline permission for their children to be photographed or recorded during school activities.
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Media Recording And Performance Release Form
PDF template
A legal document granting State University of New York at Fredonia permission to record, distribute, and use an artist's performance media and likeness.
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Media Release Form 16
PDF template
A form allowing individuals 16 and older to grant permission for their image to be used in marketing materials by Henry Ford College.
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Adult Media Release
PDF template
A consent form allowing media coverage of participants in the Citizen Police Academy program.
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Media Release Form
PDF template
Legal document granting permission to use an individual's or child's photo, video, or likeness for promotional purposes by the Optometric Foundation of North Dakota.
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Media Release Form
PDF template
A consent form for parents/guardians to authorize the use of swim team photos, statistics, and contact information for team communications and media purposes.
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Media Release Form
PDF template
A form granting permission for the Special Education Service Agency (SESA) to use an individual's or minor's media materials for various publications and communications.
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MEDIA RELEASE FORM
PDF template
Legal form granting permission for student photography and media usage by the Catholic Archdiocese of Atlanta.
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Student Media Release Form
PDF template
A form allowing parents/guardians to consent or deny permission for student media publication and directory listing.
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Media Release Consent Form
PDF template
Consent form allowing Sport for Life Society to use participant's interviews, recordings, photographs, and videos for organizational purposes.
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Media RecordingUsage Release
PDF template
A legal document granting West Virginia University permission to record, photograph, and use an individual's image for various media purposes.
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Media Release Form
PDF template
A form granting permission for the College to use photos and videos of individuals for promotional purposes.
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2021 2022 Media Release Form
PDF template
A legal form granting permission for The Arc Allegany-Steuben to use an individual's image, name, and personal testimony for promotional purposes.
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MEDIA RELEASE FORM
PDF template
A consent form for photographing, interviewing, and using an individual's media content for non-profit purposes.
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Media Release Form
PDF template
Legal document granting permission for the State of Kansas to use an individual's image across various media platforms.
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Media Release Opt Out Form
PDF template
A form allowing faculty, staff, students, and parents to opt out of media usage and promotional materials by the college.
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Media Release Form
PDF template
A legal document granting permission to record, use, and distribute images or recordings of a student for educational and promotional purposes.
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Media Release Form
PDF template
A form granting permission for the College to use photographs and video images of individuals for promotional purposes.
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Media Release Form
PDF template
A form granting permission for Hood College to use an individual's photographs, likeness, stories, artwork, or recordings for promotional purposes.
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Media Release Form 2022 2023 Season
PDF template
A consent form allowing the Bismarck Mandan Symphony Orchestra to use an individual's image and name for media and promotional purposes.
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Media Release Form
PDF template
Legal document granting permission to record and use an individual's image, voice, or performance for educational and promotional purposes.
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MEDIA RELEASE FORM
PDF template
A legal document authorizing Oregon Health & Science University to use an individual's image, likeness, and recordings for various media and communication purposes.
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LULAC Adelante America Program Media Release Form
PDF template
A consent form allowing LULAC and Verizon to use participant images and statements for marketing and promotional purposes.
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MEDIA RELEASE FORM
PDF template
Legal document granting permission to use images, video, and biographical information for media purposes by the American Humane Association.
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Media Authorization Release Form Community
PDF template
A legal document authorizing Johnson County Community College to use an individual's image, voice, and likeness for educational and promotional purposes.
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Media Release Form
PDF template
A form granting permission to Literacy Connects to use photographs, videos, and written materials for non-commercial promotional purposes.
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Faculty Staff Media Release Form
PDF template
A consent form allowing Southern Utah University to use media and information from international travelers for various communications and marketing purposes.
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Media Release Opt Out Form
PDF template
Form allowing faculty, staff, and students to opt out of media usage for promotional purposes by College of The Albemarle.
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Media Release Form
PDF template
A form outlining photo and media documentation consent for students at Prairie Sky School, including guidelines for photo usage in various school media channels.
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Media Release Form
PDF template
A form granting or denying permission for Qalipu First Nation to use participant images and media for various productions.
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Media Release Form For Students
PDF template
A form for parents/guardians to grant or deny permission for their child's media representation in school-related communications and events.
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Media Release Form
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A consent form allowing Northside ISD to use a student's image and name for publicity purposes related to intramural sports.
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Media Authorization And Release
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A consent form granting Catholic Charities Community Services permission to use photographs, videos, and images of participants and their children for various purposes.
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LULAC Latina Entrepreneur Academy Media Release Form
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A consent form allowing LULAC and Coca-Cola Foundation to use participant images and statements for marketing purposes.
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Media Release Form Mental Health Awareness Patch
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A consent form allowing the International Bipolar Foundation to use photos for mental health awareness materials and social media.
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Media, Photo Video Release Form
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Legal document granting Wright State University rights to use photographs and recordings of a minor participant in university media and promotional materials.
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Media Release Form
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A legal document granting Nevada Volunteers permission to use a volunteer's name, image, and likeness for promotional purposes without compensation.
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Media Release Form
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Legal document authorizing University Libraries to record, use, and distribute an individual's likeness and performance across various media platforms.
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Media Release Form
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A consent form allowing or denying permission for Girl Scout members to be photographed, interviewed, or videotaped for promotional materials.
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Temple Beth Torah Media Release Form
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A consent form allowing Temple Beth Torah to use photographs and videos of children for educational and promotional purposes.
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Media Release Form
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A form granting Anne Arundel County Public Schools permission to use photographs, images, videos, and voice recordings for educational purposes.
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Media Release Form For Photographs, Videos, And Other Recordings
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A consent form allowing Etiwanda School District to use a child's photographs, videos, recordings, and interview content for educational and promotional purposes.
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Media Release Form
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Legal document authorizing the use of participant's likeness and information for educational and marketing purposes during a study abroad program.
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Media Release Form
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A form allowing parents/guardians to grant or deny permission for using a swimmer's photos, statistics, and contact information for team communication and media purposes.
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Macalester College Media Release Form
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A form authorizing Macalester College to record, archive, and use an individual's presentation or event materials for academic and non-commercial purposes.
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MEDIA RELEASE FORM
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A legal form granting permission for a school to use a child's image in various publications and media.
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MEDIA RELEASE FORM
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Legal document granting New York University permission to use photographs, videos, and audio recordings of an individual for promotional purposes.
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Media Release Form For Parent And Minor
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A form granting permission for Henry Ford College to use photos, videos, and digital representations of a minor for marketing purposes.
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Media Release Form
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A consent form allowing Keystone Mission to use an individual's photos, recordings, and personal story for media and fundraising purposes.
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Sigma Tau Delta Media Release Form
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A legal release form authorizing Sigma Tau Delta to use participant's photographic, video, and audio recordings for organizational purposes.
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Media Release Form
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A legal document granting permission for the Department of Financial Protection and Innovation to use an individual's image across various media platforms.
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Ventura County Library Foundation Media Release Form
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A legal document granting the Ventura County Library Foundation permission to use photographs, videos, and audio of individuals for various purposes.
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Media Release Form
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A consent form allowing National PTA and TikTok to photograph, record, and use images of individuals and their families for various purposes.
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Media Release Form
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Official document granting the Idaho Transportation Department permission to use agency images for various media and publication purposes.
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MEDIATION CONSENT FORM
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A formal document outlining the voluntary mediation process, confidentiality terms, and participant agreements for dispute resolution.
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NJCAA Medical Evaluation Form
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Comprehensive medical history and evaluation form for student athletes to assess their health and fitness for sports participation.
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Medical History Form
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Instructions and form for students to provide medical history, immunization records, and insurance information for campus health services.
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NAUI Medical Form
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Medical screening form for diving training applicants to assess potential health contraindications for SCUBA activities.
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Medical Release Form For 4 H Youth Adults
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A comprehensive medical release and health information form for 4-H program participants, collecting emergency contact, medical history, and treatment authorization details.
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COLTS YOUTH ORGANIZATION MEDICAL RELEASE FORM
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A comprehensive medical history and health disclosure form for Colts Youth Organization volunteers and staff members.
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USA Ultimate Medical Authorization Form
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A medical authorization form for parents/guardians to provide emergency treatment consent for children participating in Ultimate activities.
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Claim Form To Pay InsuredSubscriber
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A comprehensive form for submitting medical insurance claims, capturing patient and treatment details for reimbursement.
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Claim Form To Pay InsuredSubscriber
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A comprehensive medical insurance claim form for submitting healthcare treatment reimbursement or payment requests.
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Medical Clearance Form
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A comprehensive medical form for incoming students requiring medical history, immunization records, TB screening, and insurance information.
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Medication Consent Form
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Form for parents/guardians to provide consent for medication administration to children in child care settings
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Medication Consent Form
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A form for parents/guardians to authorize medication administration for children in child care settings.
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Medical Emergency Contact Form For StudyInternTeach Away
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A medical contact and history form for students participating in study, internship, or teaching programs abroad.
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Easterseals Wisconsin Camps Medical Examination Form
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Medical form for documenting a camper's health status, medical history, and immunization records for participation in Easterseals Wisconsin Camps.
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Form MCSA 5875 Medical Examination Report Form
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Medical examination form for commercial driver license (CDL) applicants to assess medical fitness for driving.
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Medical History Form
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A comprehensive medical history form for assessing health status and potential exercise risks, specifically for Central Oregon Community College's Exercise Physiology Lab.
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Seoul International School Authorization For Medical Procedure Student Medical History Health Fo
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Medical authorization and health history document for students at Seoul International School, covering emergency care permissions and medical history details.
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ISTEM Summer Program Medical Form
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Medical form for students attending the UCF iSTEM Summer Program, collecting personal, emergency, and health information.
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Medical Information Form
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A comprehensive medical form for participants in Andes Climb and Atacama Leadership Ventures, requiring full medical disclosure and physician examination.
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COLTS DRUM BUGLE CORPS MEDICAL HISTORY FORM
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Comprehensive medical history form for student members of a drum and bugle corps, covering personal health history and potential medical conditions.
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MEDICAL FORM PERSONAL INFORMATION
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A confidential form to collect medical and personal details for kayaking tour participants to ensure safety and appropriate instruction.
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Medical Information Form
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A detailed medical form capturing patient and treatment information for cancer patients seeking support from Angel Foundation.
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Emergency Contact And Medical Information
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Form for collecting medical information, emergency contacts, and medical authorization for a child during a specific event or period.
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Medical Form
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Comprehensive medical history and health information form for students at St. Mary's College.
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Upward Bound Medical Information Release Form
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A comprehensive medical form for students in the Ohio State ATI Upward Bound Program that provides medical information, emergency contact details, and parental consent for medical treatment.
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Medical Consent Form
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Comprehensive medical form for collecting a child's health history, emergency contact information, and medication permissions.
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New York State Science Olympiad Medical Form
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Medical form for participants and alternates in Science Olympiad tournament, requiring comprehensive health and emergency contact information.
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Medication Emergency Treatment Authorization For Participants In Programs Involving Minors
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A comprehensive medical authorization form for parents/guardians to provide health and emergency contact information for children participating in Boston College youth programs.
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Medical Form
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A comprehensive medical form for collecting student health information, emergency contacts, and parental consent for medical treatment.
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Adult Confidential Medical Record
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A comprehensive medical form for collecting personal health information and emergency contact details for program participation.
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Diving Medical History Form
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A comprehensive medical screening form for applicant-divers to assess their fitness for diving activities and potential health risks.
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MEDICAL FORM SELF REPORT
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A comprehensive medical self-report form for patients to document their medical history and current health conditions.
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Camp Mak A Dream Summer Staff Medical Information Form 2023
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Comprehensive medical information form for summer camp staff to document health history, immunizations, medical conditions, and emergency contacts.
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Camp Mak A Dream Summer Staff Medical Information Form 2024
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Comprehensive medical history and health information form for summer camp staff members, collecting details about medical conditions, immunizations, and emergency contacts.
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Medical Form
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A comprehensive medical information form for students to provide health details, emergency contact information, and medical treatment permissions.
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Messiah University Young Writers Workshop Medical Form
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A medical form for participants of a youth writing workshop, capturing emergency contact, medical history, and medication information.
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Medical History Form
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Comprehensive medical history questionnaire for patient medical assessment, including health conditions, personal details, and examination data.
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Cottonwood Crossing Summer Institute Health Insurance And Medical History Form
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A form collecting student health information, insurance details, and medical emergency consent for a summer program participation.
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Medical History And Permission Form For Treatment
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Medical authorization and medication details form for parents of summer program participants to provide medical treatment consent and medication information.
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MEDICAL HISTORY
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Comprehensive medical history form covering personal health, medical conditions, medications, allergies, lifestyle, and previous medical procedures.
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MEDICAL HISTORY FORM
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A comprehensive form for collecting patient personal and insurance information for medical purposes.
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Sport Club Medical History Form
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Medical history and health screening form for participants in sport club activities at CSU Recreation Services.
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MEDICAL HISTORY FORM
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Comprehensive medical history and personal health information form for students at Vanguard University's Health Center.
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MEDICAL HISTORY FORM
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Comprehensive medical history form for collecting patient personal details, health conditions, and contact information.
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Medical History Form
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A comprehensive form for collecting patient medical history, current health status, and therapy-related information.
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Patient Questionnaire Medical History Form
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Comprehensive medical intake form for patient history and current medical condition assessment, used in healthcare settings.
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Student Health History Form
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Comprehensive health history form for students enrolling at Watertown campus, collecting personal and family medical information.
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PARTICIPANT MEDICAL HISTORY FORM
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Comprehensive medical history form for participant health information, emergency contacts, and authorization details for a camp or program.
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Medical History
PDF template
Comprehensive medical history form for collecting patient health information, medical conditions, and lifestyle details.
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Medical History
PDF template
Detailed medical history document capturing patient health information across multiple body systems and medical conditions.
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Health History Form
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A comprehensive medical history form for students to document their personal health information and medical conditions.
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Medical History Form (For Immigration Examination)
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Comprehensive medical history form for immigration purposes, covering various health conditions and medical background
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Medical History Form
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Comprehensive medical form for collecting patient's personal and family medical history, including past diagnoses, allergies, and health conditions.
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Medical History Form
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Comprehensive medical form for collecting patient's personal health information, medical history, current symptoms, and social history.
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UVM OUTING CLUB MEDICAL HISTORY FORM
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Comprehensive medical information form for University of Vermont Outing Club participants to assess health status and potential risks during outdoor activities.
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Medical History Form
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Comprehensive medical history form for dental patients to provide health background and current medical status.
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Medical History Form
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Comprehensive medical history and health status documentation form for patients at Freedom House for Women
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SLEEP STUDIES PERSONAL HISTORY FORM
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Comprehensive medical history form for patients undergoing sleep studies, collecting personal health information and symptoms.
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Personal Medical History
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Comprehensive form for collecting patient's personal medical history, surgical history, allergies, and family medical background.