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AO Alliance (AOA) Surgeon Fellowship Application Form
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NAFSA 2020 Annual Conference Current Topics Workshop Proposal Form
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A submission form for proposing workshops for the NAFSA 2020 Annual Conference, requiring detailed workshop and trainer information.
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Work Study Evaluation Form
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A comprehensive performance review form for student employees in work-study programs, assessing core values, learning outcomes, and job-specific tasks.
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Wheelchair Initial Evaluation Form
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A comprehensive medical form for evaluating a patient's need and suitability for a wheelchair, including medical and functional assessments.
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Boletn De Oportunidades De Cooperacin TIC
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A bulletin highlighting international technology cooperation opportunities and partnership requests across various technological domains.
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Universal Design Training RFP 2021 06
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A solicitation by Southwest Wisconsin Technical College seeking proposals for Universal Design Training services.
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Intent To Request Extension From OMB Of One Current Public Collection Of Information Law Enforcement
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Notice from Transportation Security Administration seeking public comment on an information collection request related to law enforcement officer flying armed training database maintenance.
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MEDICAL HISTORY FORM
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Comprehensive medical history form collecting details about patient's allergies, environmental sensitivities, and dermatologic conditions.
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Annual Pre Participation Physical Evaluation
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A comprehensive health screening form for student-athletes to assess medical eligibility for sports participation during the 2021-22 school year.
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Emergency Medical Form
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Comprehensive medical information and emergency contact form for school students with parent and emergency contact details.
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POGS Sickness Benefit Application Form
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Application form for members of the Philippine Obstetrical and Gynecological Society to claim sickness benefits
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2021 Crown Automotive ATHENA Award Nomination Form
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A professional recognition award honoring individuals who demonstrate excellence, community contribution, and leadership support for women.
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Warranty Claim Form
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Form for submitting warranty claims for prosthetic products and detailing product and patient information.
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CONTINUING EDUCATION FORM
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Form for optometrists to report and verify continuing education credits for license renewal in Hawaii.
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Change Order Request
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A form for requesting design changes or field adjustments in a development project related to water and sanitation infrastructure.
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Ultrasound Fellowship Application Form
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Application form for physicians seeking an ultrasound fellowship position in the Department of Emergency Medicine at the University of British Columbia.
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LHA Trust Funds Grant Application Form
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Grant application form for LHA Trust Funds members seeking funding for healthcare-related projects, with a maximum award of $25,000.
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Idaho Health Examination And Consent Form
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Required medical examination form for Idaho high school students participating in interscholastic athletics in 9th and 11th grades.
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2021 MASTER GARDENER APPLICATION
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Application form for individuals seeking to join the Master Gardener Training Program through Texas A&M AgriLife Extension Service in Smith County.
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2021 Maximum Per Unit Total Development Cost Waiver Form
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Form for requesting a waiver for maximum per unit total development costs for housing projects in Georgia.
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Employee Medical Inquiry Form
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Medical form for employees requesting workplace accommodations, to be completed by both employee and healthcare provider to assess disability and potential workplace adaptations.
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2021 States 4 H OB Medical Form (Non Japan)
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Medical history and health assessment form for participants in a cross-cultural youth exchange program.
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Cardiology Medical History Form
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Comprehensive medical history form for cardiology patients to document health conditions, medications, and allergies.
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Permission To Participate Medical Treatment Consent And Release, Waiver, And Indemnity Agreement
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A comprehensive form granting permission for a child to participate in church activities and providing medical treatment consent and liability release.
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Employment Application
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Comprehensive employment application form for job seekers at Hussey-Mayfield Memorial Public Library in Zionsville, Indiana.
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State Conference Grant Application Form
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A grant application form for AAUP state conferences to request funding for special campaigns and projects.
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YOUTH JUNIOR VOLLEYBALL PLAYER MEDICAL RELEASE FORM
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A medical release form for youth and junior volleyball players to document health information and parental consent for participation.
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Via West Participant Application
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Registration packet for participants with required forms for camp enrollment in 2021.
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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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2021 2022 GASCCP Batch Payroll Deduction Form
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A comprehensive resource toolkit for coordinators managing the Georgia State Charitable Contributions Program campaign materials and processes.
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ParentGuardian Consent And Medical Release Form For 2022 23 JSMC Youth And Junior Youth Events
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A consent form for parents/guardians to authorize child participation in church youth events and provide medical information
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Privit Profile Instructions For Students
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Comprehensive guide for students to create and complete their digital health record using Privit Profile platform for Wilmington College.
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2022 23 SBHC Patient Intake Form
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Comprehensive medical intake form for patients at Generations Family Health Center, collecting personal, contact, and demographic information.
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Cooperative (Co Op) Education Student Handbook
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A comprehensive guide for students participating in a Cooperative Education Program, covering program details, expectations, and workplace guidelines.
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FAM Fellowship Application
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Application form for a paid academic-year fellowship at the Frist Art Museum designed for students and emerging professionals interested in museum exhibition processes.
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Claim Form
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A comprehensive claim form for medical reimbursement from GlobeMed Qatar/SEIB insurance network covering various healthcare services.
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Annual Performance Review Guidelines
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Comprehensive guidelines for conducting annual employee performance reviews, including purpose, timeline, and review process details.
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POGS MAP Sickness Benefit Application Form
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A form for members of the Philippine Obstetrical and Gynecological Society to apply for sickness benefits for medical and COVID-related conditions.
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BHC Non Surgical Program Registration Form
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Registration form for patients seeking admission to a non-surgical program at Boone Hospital Center, collecting comprehensive personal and medical information.
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Continuing Education Unit (CEU) Submission Form
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A form for professionals to submit continuing education units for certification renewal in professional organizations.
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Chen Institute Science Writer Fellowship Application Form
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Scholarship program for early career investigators to attend RNATx2022 conference and write a scientific report about conference proceedings.
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Expense Report Form (Request For Reimbursement Of Team Oregon Fee)
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A form for requesting reimbursement for Team Oregon motorcycle training class expenses by A.B.A.T.E. of Oregon members.
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Notice Of Privacy PracticeClinics
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A consent form documenting patient acknowledgment of privacy practices and permissions for health information disclosure and communication.
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John T. Gorman Fellowship Application Instructions
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Detailed instructions for applying to the John T. Gorman Fellowship program for nonprofit organizations.
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Volunteer Orientation
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Comprehensive guide outlining volunteer opportunities, objectives, and expectations for college students interested in physical therapy service learning.
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Subdivision Final Plat Application
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Official application form for submitting a final plat for subdivision development in the City of Wildwood, Florida
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Adult Medical Release Form
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Medical information and emergency authorization form for adult participants of the Summit Music Festival
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2022 KAVLI NSI FELLOWSHIP APPLICATION FORM
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Application form for graduate students and postdocs seeking a fellowship at the Kavli Neural Systems Institute, collecting voluntary demographic data.
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Long Term Disability Claim Form Statement Of Employee
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A comprehensive form for employees to file a long-term disability claim with Lincoln Financial Group, detailing personal, employment, and medical information.
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2022 Fellowship Application
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A summer fellowship program for law students to work on student-initiated projects supporting immigrants' rights and social justice.
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MEDICAL HISTORY FORM
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Comprehensive medical form for documenting student's health history, childhood illnesses, current physical conditions, and immunization records.
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2022 COCM Membership Application
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Annual membership application for code officials and industry professionals in Michigan for the year 2022
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New Mexico Nurse Educator Loan For Service Program Application 2022
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A loan program to support nursing educators in obtaining advanced degrees while committing to teach in New Mexico public post-secondary institutions.
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Conference Attendance Form
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Attendance form for a conference focused on veterans' issues, addiction services, and related support topics.
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PATIENTS INTAKE FORM
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Comprehensive medical intake form for patient registration and insurance information at a podiatry medical practice.
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Pritchard Fellowship Application Form
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An application form for the Pritchard Fellowship, requiring a project plan, supervisory training plan, and collaboration plan.
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Subdivision Re Plat Application
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Official application form for subdivision re-platting in the City of Wildwood, Florida, used to request land parcel reconfiguration.
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IMPACT GRANT APPLICATION FORM
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A comprehensive form for submitting grant proposals at Ridge Meadows Hospital with detailed sections for applicant information, project summary, and departmental approvals.
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GSU Scholarship Program Application Form
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Scholarship application form for members of the Grain and General Services Union and their spouses for educational support.
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Spotlight On Education Competition Interview Form
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A structured interview form for students to document professional insights during a career exploration competition.
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Easter Seals Colorado Rocky Mountain Village Camper Medical Form
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A comprehensive medical form for documenting a camper's health status and medical history prior to attending camp.
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Foreign Language And Area Studies (FLAS) Fellowships For Undergraduate Students
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Fellowship program for undergraduate students to study select foreign languages and conduct international research at Pennsylvania State University.
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Medical Release Form
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Medical consent and emergency contact form for minors attending music camp programs at Sam Houston State University
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Form For Documenting Medical And Physical Disabilities
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A form for healthcare professionals to document student medical disabilities and support academic accommodation requests.
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Agreement Form For Contracted Services
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Contract for i-Ready educational licenses, Teacher Toolbox, and Professional Development services for Indian River County School Board
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Graduate Fellowship Application Form
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Application form for graduate students seeking fellowship funding at the University of Nebraska with specific eligibility requirements.
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Health Safety Training Reimbursement Request
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A form for child care providers to request partial reimbursement for health and safety training courses in select California cities.
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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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Annual Performance Review Form
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Comprehensive performance assessment document for evaluating employee performance across multiple competency areas.
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2023 2024 Surgical History Fellowship
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Fellowship program offering research support and funding for scholars studying surgical history using American College of Surgeons archives.
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Annual Pre Participation Physical Evaluation
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A comprehensive medical screening form for student-athletes to assess their health and fitness for sports participation during the 2023-24 school year.
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Core Trainings Registration And Reimbursement Form
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Form for registering and requesting reimbursement for professional training programs for Education Minnesota members.
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2023 2024 Membership Form Organizations
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Membership form for organizations to join the Minnesota Association of Black Lawyers (MABL) with various membership levels and mission alignment questions.
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2023 Academic Exchange Support Program For North Korean And Unification Studies
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Fellowship program supporting international scholars and researchers studying North Korea, Korean unification, and peace studies for a 6-month research period.
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2023 Armenian Fellowship Application Form
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A comprehensive application form for individuals seeking fellowship funding from the H.Hovnanian Family Foundation for professional and academic development.
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2023 Armenian Fellowship Application Form
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A comprehensive application form for individuals seeking fellowship grants from the H.Hovnanian Family Foundation to support academic and professional development.
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ASCVTS Bundang Thoracic Fellowship Program Application Form
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Application form for medical professionals seeking a fellowship in cardiovascular and thoracic surgery with the Asian Society for Cardiovascular and Thoracic Surgery.
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Hawaii Board Of Optometry Continuing Education Form
PDF template
Form for optometrists to document and report continuing education credits for license renewal period
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2023 COMMITTEE SPECIAL TASK VOLUNTEER FORM
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Volunteer form for Nevada County Association of REALTORS committees and special tasks for 2023.
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Donald W. Banner Diversity Fellowship For Law Students
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A fellowship program designed to promote diversity and inclusion in intellectual property law by providing financial support to law students from underrepresented groups.
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2023 Teen Expeditions Questionnaire And Medical Form
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Comprehensive medical questionnaire for participants of Lake Champlain Maritime Museum teen expeditions to ensure safety and proper medical support.
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Fellowship Application Form
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Application form for recognizing significant contributions to the architectural profession through Fellowship elevation.
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Preparticipation Physical Evaluation History Form
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Comprehensive medical history form for athletes to evaluate health status and potential medical concerns prior to sports participation
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PATIENT INTAKE FORM
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A comprehensive form for patients to complete and schedule appointments at various PanCare Health clinics in Florida counties.
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2023 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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Application For Employment Non Teaching Position
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Comprehensive job application form for non-teaching positions with detailed personal, professional, and child protection sections.
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2023 OCCE Membership Form
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Membership application for chamber of commerce professionals in Oklahoma, offering professional development and networking opportunities.
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William OFarrell Fellowship Application
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Fellowship for researchers studying moving image history and culture, with a focus on amateur and nontheatrical film collections.
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PW Hong Memorial Fellowship Program Application Form
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Application form for medical professionals seeking a fellowship with the Asian Society for Cardiovascular and Thoracic Surgery
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Royal Commission For The Exhibition Of 1851 Research Fellowships In Science Or Engineering
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Guidelines for early career scientists and engineers seeking research funding for exceptional research projects in physical and biological sciences, mathematics, applied science, or engineering.
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Elmer Hafer American Legion State Police National Guard Youth Camp
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A specialized summer camp for Pennsylvania youth aged 15-17 focusing on leadership, military, and law enforcement training and skills development.
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Pre Authorization Request Form
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A medical pre-authorization form for healthcare providers to request service approval from UHSM, detailing patient and provider information.
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Pre Authorization Request Form
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A form for healthcare providers to request pre-authorization for medical services from UHSM with detailed documentation requirements.
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Invoice Form For Morphology
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A detailed medical form for collecting patient morphological diagnostic information related to hematological conditions.
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Law Enforcement Officer Flying Armed Training Information Collection Request
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Notice of intent to request an extension for an existing information collection related to law enforcement officer flying armed training database maintenance.
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2024 2025 Benefits Enrollment Form
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Form for employees to select health benefit plans, add or remove dependents, and update personal information for the upcoming benefits year.
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Group Medical Plan Waiver Form
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A form for employees to waive medical plan coverage by certifying alternative health insurance coverage and understanding ACA requirements.
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TASBO Membership And Professional Liability Insurance Form
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Membership registration form for Texas Association of School Business Officials with optional professional liability insurance coverage
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RC 10 SUSTAINING MEMBERSHIP FORM
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A membership registration form for retired education professionals to join NYSUT Retiree Council 10 with options for membership and scholarship donation.
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TAPPS MEDICAL HISTORY FORM
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Annual medical history form for students participating in TAPPS athletic and fine art activities to assess health risks.
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2024 2026 FAIR Fellowship Job Description
PDF template
A unique 18-month fellowship for new attorneys to work in employment justice, supporting diversity in the legal profession through placements at Legal Aid at Work and a CELA-affiliated firm.
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Annual Pre Participation Physical Evaluation
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Medical evaluation form for student-athletes to assess physical fitness and health conditions for sports participation.
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2024 2025 Surgical History Fellowship
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Fellowship program supporting research scholars in exploring surgical history using American College of Surgeons archival collections.
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Bluffton University Educator Preparation Program Handbook 2024 2025
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A comprehensive guide for students pursuing teaching certification at Bluffton University, detailing program requirements, admission checkpoints, and professional expectations.
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IBA Experience And Exchange Grant Application Form
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Grant program supporting biologists and wildlife managers in bear conservation through international project exchanges and training opportunities.
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2024 2025 Sports Qualifying Physical Examination Medical Eligibility Form
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Medical form for determining student athletes' medical eligibility and participation in high school sports
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Sports Physical Examination Form
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Comprehensive medical evaluation form for students participating in school sports, requiring parental authorization and medical provider assessment.
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MEDICAL EXAMINATION FORM
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Medical form to assess physical and mental fitness of individuals applying for motorcycle event participation licenses.
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MEDICAL HISTORY FORM
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Comprehensive medical history form for capturing individual health details, medical conditions, and consent for medical information sharing.
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MEDICAL EXAMINATION FORM
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A comprehensive medical examination form to assess physical and mental fitness for participating in motorcycle events.
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The CBF Kimball R. Anderson And Karen Gatsis Anderson Public Interest Law Fellowship 2024 Applicatio
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An application form for lawyers seeking a public interest law fellowship, collecting professional and educational details.
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International Artists In Residence Residency Application Form
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Application form for international artists seeking residency opportunities at Medalta for the 2023-2024 program year.
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2024 ACIC CJIS Training Symposium Registration Form
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Registration form for the 2024 Arkansas Crime Information Center CJIS Training Symposium to be held September 25-27, 2024.
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NRPA Annual Conference Registration Form
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Registration form for professionals in parks, recreation, and related fields to attend the annual conference.
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2025 2026 Affiliated Fellowships Doctoral Competition Applicants In Social Sciences And Humanities
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Application form for doctoral students in social sciences and humanities at the University of British Columbia seeking fellowship funding for the 2025-2026 academic year.
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2024 Arizona EL Teacher Of The Year Nomination Form
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Nomination form for recognizing outstanding English Language teachers in Arizona for the 2024 award year.
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2024 Local Development Grant Application Form
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A grant application form for local development funding, focused on addressing poverty through institutional change.
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Conference Registration And Invoice Form
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Registration form for a professional conference with multiple attendance options and pricing tiers
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2024 State Facilities Training Schedule
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Comprehensive training schedule for facilities investigation and reporting in state healthcare facilities for 2024.
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FIDA Application Form
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Application form for submitting project proposals to the Fund for the International Development of Archives (FIDA), an initiative of the International Council on Archives (ICA).
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Patient Demographic Form
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A comprehensive form for collecting patient personal, contact, and insurance information for medical services.
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2024 MEMBER NOMINATION FORM
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A form for nominating new members to the National Academy of Social Insurance, requiring three active Academy member nominations.
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Ascension Illinois Influenza Vaccination Billing Form
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Medical form for collecting patient information for influenza vaccination and billing 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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Jersey Shore School Education Foundation Student Scholarship Form
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A scholarship opportunity for Jersey Shore Area High School graduating seniors pursuing healthcare-related college programs with awards of $1000 for one four-year and one two-year program recipient.
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Kamehameha Schools Summer Programs Medical Forms
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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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HSA Payroll Deduction Form 2024
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A form for employees to authorize payroll deductions for Health Savings Account contributions with IRS contribution limits and University contribution details.
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Pre Employment Health Clearance Requirements
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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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Incoming Trainee Timeline August 1, 2024
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Comprehensive timeline and requirements for incoming medical trainees, detailing necessary documentation and submission processes for licensing and staff appointment.
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YMCA CAMP HI ROCK 2024 Leader In Training Application Form
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Application form for teenagers interested in participating in the YMCA Camp Hi-Rock summer leadership training program
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CACM REGISTRATION FORM FOR MANAGEMENT PROFESSIONALS
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Registration form for community management professionals to sign up for courses through the California Association of Community Managers.
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MBPO INTERNSHIPFELLOWSHIP APPLICATION FORM
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Application form for students seeking an internship or fellowship opportunity with MBPO
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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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APSA Membership Form
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Membership form for joining the American Political Science Association, collecting personal and professional information from potential members.
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National Recreation And Park Association CPRP And CPRE Grant Application Form
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A grant application form for professional certification in recreation and park management through CPRP and CPRE programs.
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Annual Awards Nomination Form
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Nomination form for the Northern New England Chapter of the American Planning Association annual awards recognizing outstanding contributions in planning.
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GENERAL MEDICALPHYSICAL EXAM FORM
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Medical examination form for veterans participating in the National Veterans Summer Sports Clinic, to be completed by a clinician.
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41st National Conference Registration Form
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Registration form for participants of the 41st National Conference hosted by the National Criminal Justice Training Center.
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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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TRAPS Conference Registration Form
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Registration form for professional conference with multiple track sessions and fee structure for members, non-members, and students.
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2024 RESPONSIVE RESIDENCY APPLICATION FORM
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Application form for artists seeking a residency opportunity connected to New South Wales, with demographic and professional details collection.
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NECA Scholarship Application
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Scholarship opportunity for employees or family members of NECA member companies to support post-secondary education.
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2024 Covenant Midwinter Conference Scholarship Application Form
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Scholarship application for Evangelical Covenant Church clergy to attend the Midwinter Conference with specific eligibility requirements and financial need assessment.
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ITEA Registration Form
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Registration form for the International Test and Evaluation Association (ITEA) event with tutorial and workshop registration options.
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2024 North Texas Soccer Tournament Of Champions Team Medical Release Confirmation Form
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A form confirming that medical release forms for players have been collected and will be available during tournament games.
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UMF Development Fund Loan Application
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Comprehensive loan application for religious institutions seeking funding through the UMF Development Fund, requiring detailed institutional information and financial history.
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Volunteer Application Form
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Comprehensive volunteer application for multiple roles supporting survivors of domestic violence, including detailed position descriptions and background check requirements.
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2025 2027 FAIR Fellowship Application
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An 18-month fellowship promoting diversity and employee justice for new attorneys, providing work experience at Legal Aid at Work and a CELA-affiliated employment law firm.
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2025 Provider Referral Form
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A medical referral form for patients seeking enrollment in weight management or diabetes management programs through the Florida Department of Management Services.
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League Cycling Instructor Candidate Seminar 2025 Information For Seminar Site Facilitators
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A comprehensive guide for organizing and facilitating a League Cycling Instructor (LCI) seminar, detailing roles, responsibilities, and administrative procedures.
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2025 Membership Form
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Membership form for the Columbia Basin Development League with various membership levels and business categories.
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ASQ Certification Examination Fees And Registration Form
PDF template
Registration form for ASQ professional certification exams with pricing details and payment options for various certification types in 2025.
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YMCA CAMP HI ROCK 2025 Leader In Training Early Bird Application Form
PDF template
Application form for teenagers interested in joining the Leader-In-Training program at YMCA Camp Hi-Rock for summer 2025
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2025 ABC Travelling Fellowship Application Form
PDF template
Application for Canadian orthopaedic surgeons to participate in an international medical exchange fellowship program in the United Kingdom, Australia/New Zealand, or South Africa.
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2025 Application Form SPARobert Lemelson Foundation Student Fellowship
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Fellowship application form for graduate students seeking funding for research projects from the Robert Lemelson Foundation.
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WHF Solventum Fellowship Application Form
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A comprehensive application form for research fellowship funding from WHF Solventum, requiring detailed academic and research background information.
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2025 Summer Grant Information Packet
PDF template
A professional development grant program for faculty that supports scholarly and creative inquiry in alignment with the university's teacher-scholar model.
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2025 UC Coro Systemwide Leadership Collaborative Online Nomination Form Preview
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A leadership development program for UC senior staff, faculty, and academic personnel designed to enhance leadership skills and foster cross-organizational collaboration.
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Disability Insurance Claim Packet Instructions
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Comprehensive guide for applying for disability insurance benefits through Standard Insurance Company, detailing claim submission process and requirements.
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Health Services Referral Form
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A comprehensive referral form for various health services targeting children, youth, and pregnant women in Mississippi.
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SoonerCareInsure Oklahoma Referral Form
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A referral form for healthcare providers to refer patients for medical services within the SoonerCare/Insure Oklahoma program.
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Alabama First Class Pre K Program Appendix F DECE Incident Report Form
PDF template
A standardized form for reporting serious accidents, injuries, medical situations, or behavior incidents in the Alabama First Class Pre-K Program.
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2020 Eve Gene Black Summer Medical Career Program FAQs
PDF template
Comprehensive guide for a medical mentor/internship program for students in Los Angeles and adjacent counties
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Everence HSA Contribution Form
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A form for making individual contributions to a Health Savings Account through Everence Federal Credit Union with tax year specification options.
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Benefits Administration Letter 21 303
PDF template
Guidelines for federal agencies seeking reimbursement for emergency paid leave under the American Rescue Plan Act of 2021.
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Apricus Referral Form
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A comprehensive medical referral form for patient discharge planning and facility care management services.
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TBTAK TWAS Postgraduate And Postdoctoral Fellowship Programmes
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A fellowship program supporting international researchers from developing countries to advance scientific cooperation through financial support for doctoral and postdoctoral research in Trkiye.
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Physician Examination Form
PDF template
A comprehensive medical form required for students to provide health information and undergo physical examination prior to campus arrival.
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USA Volleyball Incident Report Form
PDF template
Comprehensive form for documenting injuries or property damage during USA Volleyball events
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Monthly Grant Funding (MGF) Payment Inquiry Form
PDF template
Form for community partner clinics to inquire about missing grant funding payments for enrolled participants.
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PATIENT FEEDBACK FORM
PDF template
A form designed for patients to provide feedback or file complaints with Big Island Healthcare, allowing anonymous submission and formal review process.
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NEW PATIENT INTAKE FORM
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Comprehensive medical intake form for collecting new patient health information, medical history, and family health background.
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Enrollment Form
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A comprehensive form for collecting student and family details, including contact information, family history, and hearing loss information.
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Student Medical Form
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Comprehensive medical form for collecting student health information, medical history, and emergency contact details.
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Performance Review Of Full Time Non Instructional Employees
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Procedure for conducting annual performance reviews of full-time non-instructional employees at the organization.
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APWA Emerging Leaders Academy Agreement Form
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Agreement form for applicants seeking participation in the APWA Emerging Leaders Academy program for Class XVII.
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PRO D WORKSHOP BOOKING FORM
PDF template
A form for registering and documenting details of a professional development workshop or training session.
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Notice Of Serious Incident
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Official documentation of a medical incident involving a resident at a behavioral health facility who experienced seizures and required medical transport.
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Emergency Contact Form
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A comprehensive emergency contact and medical information form for high school band and dance students in Fort Bend Independent School District.
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24 25 Physical Examination Form
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Medical form for student athletes to document physical fitness and health status for school sports participation.
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2024 Nomination Form
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A comprehensive nomination form for an award, requiring detailed nominee information and supporting documentation.
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BOI Policy 70.752 Montana Housing Infrastructure Revolving Loan Program
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Policy detailing loan conditions for residential development infrastructure projects, including loan limits, requirements, and application process.
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PRO D WORKSHOP BOOKING FORM
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A form for educators to submit and book professional development workshops for various educational audience groups.
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Accommodation Request EmployeeS Serious Health Condition Medical Form
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A form for employees to request workplace accommodations due to serious health conditions, requiring medical provider verification and details.
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Neighborhood Participation Meeting Sign In Sheet
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A sign-in sheet for documenting participant attendance at a proposed neighborhood project meeting, with a disclaimer about meeting participation.
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Leadership Approval Form
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A form for gymnastics judges to obtain approval and leadership credits for training camps, presentations, and other leadership activities.
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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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Appendix A Internship Contact Form
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A comprehensive form for documenting student internship details, agency information, and preceptor contact information.
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CLAIM FORM FOR HEALTH DEPENDENT CARE EXPENSES
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A form for employees to request reimbursement for health and dependent care expenses through their Flexible Spending Account (FSA)
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University Of Kentucky Medical Inquiry Form In Response To An Accommodation Request
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Medical form used to assess an employee's disability status and potential accommodations under the Americans with Disabilities Act (ADA)
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PATIENT MEDICAL HISTORY FORM
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Comprehensive medical form capturing patient personal information, current medications, allergies, and past medical history details.
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REGION VI WIOAITA INVOICE
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Invoice form for training providers under the Workforce Innovation and Opportunity Act (WIOA) program for adult or dislocated worker training.
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Region 5 Weekend Educational Application Form
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Online weekend educational training application for union members, offering courses on worker organizing and political action
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Workshop Attendance Form
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A form for students in the PACT program to document their attendance at required workshops and reflect on their learning experience.
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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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Performance Management Policy And Procedures
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A comprehensive policy detailing the yearly performance review process for employees at Columbus State Community College, including goal setting, self-appraisal, and performance rating.
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Laboratory Supply Order Form
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Form for ordering laboratory specimen collection and shipping supplies for various medical testing needs.
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Performance Evaluation Form Executive Director Chief Executive Officer
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A comprehensive performance evaluation template for assessing the performance of an executive director or chief executive officer in a professional association.
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Camp Blue Spruce Medical Form 2016
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A comprehensive medical form for campers to provide health and emergency contact information for Camp Blue Spruce summer camp.
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PIP Checklist
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A comprehensive checklist for healthcare providers to ensure complete documentation and submission of required forms for personal injury protection insurance claims.
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Rotation Assessment Form
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A medical assessment form for evaluating thoracic spine mobility and potential biomechanical issues.
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Employee Performance Review Form Appendix 324A
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A comprehensive form for evaluating employee performance, goals, and professional development
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Annual Report Of Faculty Member At Francis Marion University
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A comprehensive reporting form for faculty members to document their teaching, scholarly activities, and professional services for the academic year.
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AAOS CME SKILLS COURSE REGISTRATION FORM
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Registration form for AAOS Fundamentals of Knee & Shoulder Arthroscopy course for orthopaedic residents in September 2024.
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Ohio Administrative Code Rule 3344 94 03 Policy
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Administrative policy outlining safety and communication protocols for university programs involving minors, including emergency procedures and medical considerations.
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33541 30 08.1 Faculty Evaluation Procedure
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A comprehensive procedure for evaluating faculty performance across multiple dimensions, emphasizing diverse assessment methods and professional development.
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3364 35 16 Compliance Rules Education And Training
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University policy outlining compliance education and training procedures for athletics department personnel and student-athletes.
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Volunteer Program Policy
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Policy outlining the management, recruitment, and role of volunteers within the San Diego Community College District Police Department.
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JROTC Unit Marksmanship Inspection Form
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Official form for documenting and verifying JROTC unit marksmanship training and range safety compliance.
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Standardized Application For Pathology Fellowships
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Comprehensive application form for physicians seeking pathology fellowship training at the University of Texas Southwestern Medical Center.
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Application For Employment
PDF template
A sample job application form with an educational module focused on teaching students how to complete employment applications properly.
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Adult Volunteer Appointment Process
PDF template
Instructions and steps for becoming a 4-H adult volunteer, outlining the application and training process.
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COMM 391 01E Fall 2023 (2008) AdvertisingPR Internship
PDF template
A university internship course providing supervised field experience in advertising and public relations for students to gain professional skills and industry knowledge.
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Incident Report Form
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A comprehensive form for documenting workplace or program-related incidents, including details about the incident, individuals involved, and follow-up actions.
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MEDICAL HISTORY FORM
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Comprehensive medical form collecting patient personal health information, medical history, family history, and COVID-19 screening details.
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United NationsJapan Long Term Fellowship Programme Nomination Form
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Nomination form for post-graduate study fellowship program on nano-satellite technologies sponsored by United Nations and Japan.
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Natural Language Acquisition Assessment
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A form for evaluating and tracking language acquisition stages and utterance context for individuals.
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REENTRY (REPS) SERVICE REQUEST FORM
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A form used by healthcare providers to request medical services for patients in the California Department of Corrections and Rehabilitation system.
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SBIF APPLICATION FORM
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Application form for businesses and property owners seeking funding through the Small Business Improvement Fund (SBIF) program.
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PAXLOVID ORDER FORM FOR OUTPATIENT ORDER SET PER FDA EUA
PDF template
Medical order form for prescribing Paxlovid, an emergency use authorization (EUA) medication for treating mild-to-moderate COVID-19 in eligible patients.
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HIPAA 404P Authorization To Release Or Obtain Health Information
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A form for authorizing the release or obtaining of protected health information under HIPAA guidelines.
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Procedure 410 19 Employee Volunteer And Education Leave
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A policy providing full-time employees with 8 hours of annual leave for volunteer and educational activities in the community.
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KirschsteinNRSA Individual Fellowship Application Checklist
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Comprehensive application form for National Research Service Award (NRSA) individual fellowship from the Public Health Service (PHS)
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How To Receive Your Credit And Evaluate This Program
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Detailed instructions for obtaining continuing medical education credits online through a specific course evaluation process.
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Consulting PhysicianS Compliance Form
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Medical form for documenting terminal illness assessment, patient competency, and informed decision-making for end-of-life care.
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DOH 422 066 PsychiatricPsychological ConsultantS Compliance Form
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A medical form for documenting psychiatric evaluation and patient mental health status compliance assessment.
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Consolidated Application Attachment Market Assessment Form
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A comprehensive document for assessing market conditions, housing demographics, and competitive housing landscape for development proposals.
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OFTC Performance Evaluation Procedure
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Procedure for conducting performance evaluations for full-time and part-time employees at Oconee Fall Line Technical College, including goals, frequency, and purpose of evaluations.
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Medical Service Request Form
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A form for healthcare providers to request medical services for South Country Health Alliance members with detailed service and patient information.
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45 Hour Managing Broker Pre License Courses
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Comprehensive pre-license training course covering essential topics for managing brokers in real estate, including licensing, operations, ethics, and management.
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New Faculty Orientation Checklist Form 4.5
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A comprehensive checklist for new faculty onboarding in a nursing educational setting, covering administrative, technological, and clinical orientation tasks.
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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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Amendment To Implementation Letter
PDF template
Official amendment to a development credit agreement between the Republic of Honduras and the International Development Association for the PROFUTURO project.
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SI 2047 Your Disability Benefit Claim
PDF template
Comprehensive guide and forms for applying for disability insurance benefits, including instructions for claim submission and potential benefit reductions.
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Out Of Network Reimbursement Form
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A form for employees to submit out-of-network healthcare service reimbursement claims with detailed patient and service information.
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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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How To Generate Your TA Authorization Form For GoArmyEd
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Step-by-step instructions for military personnel to generate and submit their Tuition Assistance (TA) Authorization form through the GoArmyEd online system.
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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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Suburban Law Enforcement Academy Medical Examination Package
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Medical examination and approval form for police recruit candidates to assess fitness for law enforcement training program
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Patient Intake Form
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Comprehensive form for collecting patient personal, medical, insurance, and contact information for healthcare providers.
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M TIBA OUTPATIENT CLAIM AND PRE AUTHORIZATION FORM
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A comprehensive healthcare claim form for submitting outpatient medical treatment details and seeking pre-authorization for medical services.
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Middlesex School TB Risk Assessment Form
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A medical form to assess tuberculosis risk for students by evaluating travel history, exposure, and potential testing requirements.
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Weekly Disability Claim Form
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A comprehensive form for reporting disability status and medical information for the Greater St. Louis Construction Laborers' Welfare Fund.
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NCTC Event Application
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Application form for scheduling and managing events at the U.S. Fish and Wildlife Service National Conservation Training Center.
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ILR Emergency Medical Form
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A comprehensive form for participants to acknowledge risks, provide emergency medical information, and grant permissions for Institute for Learning in Retirement activities.
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Disability Claim Application Forms
PDF template
Comprehensive documentation requirements for submitting a disability insurance claim with multiple form and document submission instructions.
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Required NYS School Health Examination Form
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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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Loan Agreement
PDF template
Loan agreement between the Democratic Socialist Republic of Sri Lanka and the Asian Development Bank for a secondary education sector improvement program.
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Form To Be Filled By Appointee On Stipendiary Assignments Of DJST
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Application form for candidates seeking stipendiary assignments at Seth G.S. Medical College & K.E.M. Hospital Diamond Jubilee Society Trust
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Chronic Illness Benefit Application Form 2013
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Medical application form for registering chronic illness benefits with Discovery Health Medical Scheme for the year 2013
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UMKC School Of Dentistry Patient Referrals
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A comprehensive form for referring patients to various dental specialty clinics at the UMKC School of Dentistry.
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560 Expenses
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Policy governing employee expense reimbursement, travel costs, and advancement procedures for the Kenilworth School District.
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Aflac Continuing Disability Claim Form
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A form for submitting continuing disability claims with Aflac insurance, providing instructions for online form completion and submission.
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Seasonal Survey On Influenza Vaccination Programs For Healthcare Personnel
PDF template
A survey collecting information about influenza vaccination programs and practices for healthcare personnel across different employment groups.
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Employee Evaluation Plan Policy And Procedures
PDF template
A comprehensive policy outlining the process and purpose of annual employee performance evaluations at Davis Technical College.
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5 GM.Performance.Eval.Pro T0 20.1.5
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A proposal to help a Board of Directors conduct a Performance Evaluation of its General Manager, outlining a structured evaluation process.
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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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Development Agreement
PDF template
A template agreement between Groveland Community Services District and a developer for municipal services and infrastructure for a residential project.
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Call For Presenters Submission Form
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A submission form for speakers to present in a weekly business webinar series hosted by the Washington Center for Women in Business.
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Employee Performance Appraisals
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A policy outlining the process for conducting employee performance evaluations, including objectives, scope, and procedural guidelines for performance assessments.
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Administrative Internship Application Form
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A comprehensive application form for individuals seeking an administrative internship in an educational setting.
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FMLA Leave Request Form
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A form for employees to request leave under the Family and Medical Leave Act for various personal and family medical reasons.
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Data Processing Agreement
PDF template
Legal agreement outlining data processing terms between Jasper AI and its customers for handling personal data.
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Chair Assessment And Delivery Environmental Questionnaire
PDF template
A comprehensive form for evaluating chair specifications, sizing, and delivery requirements for personalized seating solutions.
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DOH 669 403 Pharmacology Continuing Education Report Form
PDF template
A form for nurses to report and verify completion of required continuing education hours in pharmacology.
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Gibraltar Residency Application
PDF template
A comprehensive overview of letters of intent for residency applications, explaining their purpose, benefits, and strategic writing approach.
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Massage School ProgramApprenticeship Standards Checklist
PDF template
A comprehensive checklist for massage therapy education programs detailing curriculum, academic, faculty, and student clinic standards.
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Pharmacy Technician Education And Training Program Approval Form
PDF template
Official form for submitting a pharmacy technician education and training program for approval by the Washington State Pharmacy Quality Assurance Commission.
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Student Health Information Form
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Comprehensive health information form for collecting student medical and contact details at a university
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MCLE Activity Evaluation Form
PDF template
Evaluation form for a continuing legal education activity reviewing the Supreme Court's 2020-2021 term
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Valley ChildrenS Healthcare Outpatient Referral Form
PDF template
A comprehensive medical referral form for patients being referred to Valley Children's Healthcare for specialized medical services.
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Medical Referral Form
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A form for reporting an individual's medical conditions that may impact their ability to safely operate a motor vehicle.
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MSDH Motivated To Live A Better Life Referral Form
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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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7560.1 REV 1 PHA Responsibilities
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Instructions for Public Housing Authorities (PHAs) on preparing and submitting fund requisition forms for development and modernization projects.
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Dealership Accounting Training Manual Chapter 5 Used Vehicle Sales
PDF template
A comprehensive chapter on accounting practices for used vehicle sales in dealerships, covering documentation, sales entries, and related financial processes.
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Athletic Injury Report (AIR) Form Information And Procedures
PDF template
Comprehensive guidelines for documenting and reporting athletic injuries in high school and middle school athletic programs.
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Medical History Form
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Comprehensive medical form for students to provide health history and undergo medical screening for enrollment.
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Fellowship Nomination Form
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A nomination form for achieving Fellowship status with the Chartered Institute of Bankers of Nigeria, outlining criteria, benefits, and expectations for professional recognition.
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SSU Admission And Discharge Form
PDF template
Medical intake and release document for detainees in immigration health services facilities, tracking health status and disposition.
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Pyxis Access Request Form
PDF template
Form for healthcare professionals to request access to Pyxis medication management system in specific work areas.
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2019 Jijak Youth Camp Medical Release Form
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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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WakeMed Urgent Care Patient Intake Form
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Medical form for collecting patient health information, medical history, and current health status at urgent care facility.
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Hiring A Person With A Non Compete Agreement
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Comprehensive guide for legal professionals on navigating hiring of employees with existing non-compete agreements.
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Refund Process Policy
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A policy outlining procedures for processing refunds, credit balances, and overpayments for UCR Health patients and third-party payors.
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Asha For Education Fellowship Application Form
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Application form for fellowship by an agricultural professional focused on organic farming and community development
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WakeMed Urgent Care Patient Intake Form
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Comprehensive medical form for collecting patient medical history, past surgical history, family history, and social history at an urgent care facility.
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DOT Physical Examination Form
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Medical examination form for commercial vehicle drivers to assess physical fitness for driving.
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Advancing Access Patient Information Form
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Comprehensive form for collecting patient personal information, contact preferences, and insurance details for medical services.
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Asha For Education Fellowship Application Form
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An application form for a fellowship focusing on micro credit and empowering economically disadvantaged women in Karnataka, India.
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Subscriber Claim Form
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A comprehensive insurance claim form for submitting medical service reimbursements to Blue Cross Blue Shield of Massachusetts.
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Benefits Administration Letter 99 101
PDF template
Official guidance from the Office of Personnel Management addressing common documentation problems in Federal Employees Retirement System (FERS) applications and retirement claims.
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Medical History Form
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A comprehensive form for collecting patient medical history, current health conditions, medications, and allergies.
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GASLINI INTERNATIONAL PEDIATRIC FELLOWSHIP PROGRAM APPLICATION FORM
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Application form for medical professionals seeking a fellowship at IRCCS Istituto Giannina Gaslini's pediatric program.
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SPECIAL MEETING HOD COMMITTEE VOLUNTEER FORM
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A form for volunteers to indicate interest in serving on various committees for a Special Meeting of the House of Delegates.
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Digital Video Production And Webpage Design Services Contract
PDF template
Contract between El Paso County and MindWarp Entertainment for creating educational training videos and an interactive webpage about domestic violence awareness.
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Certificate Of License Termination
PDF template
Official form for businesses in Virginia to terminate or change their contractor license status with the Department of Professional and Occupational Regulation.
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Preparticipation Physical Evaluation Physical Examination Form
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Medical evaluation form used to assess an athlete's physical fitness and eligibility to participate in sports activities.
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Preparticipation Physical Evaluation Physical Examination Form
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A comprehensive medical evaluation form for athletes to assess physical fitness and clearance for sports participation.
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Request For Proposal For An ISUOG Learning Management System (LMS)
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A request for proposals to develop a comprehensive Learning Management System for the International Society of Ultrasound in Obstetrics and Gynecology (ISUOG)
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THE AAFFABER YOUNG CONDUCTORS FELLOWSHIP APPLICATION FORM 2024
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Application form for the AAF Young Conductors Fellowship program for emerging conductors born in 1994 or later.
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Amino Acid Laboratory Sample Submission Form
PDF template
A comprehensive form for submitting animal medical samples to the Amino Acid Laboratory at UC Davis for testing.
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Submission Form
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A form for authors submitting manuscripts to Acta Anaesthesiologica Scandinavica, including conflict of interest disclosure requirements.
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Working At Heights
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A registration and attendance tracking form for workers participating in a Working at Heights training or certification program.
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UNPLANNED ADMISSIONAAU BOOKING FORM
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A form for booking unplanned hospital admission to the Acute Admissions Unit with comprehensive patient and clinical details.
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AAUS Medical Evaluation Of Fitness For Scuba Diving Report
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A comprehensive medical evaluation form to assess an individual's fitness for scientific scuba diving, including required medical tests and physician's assessment.
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Alberta Accident Benefits Initial Claims Process
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A comprehensive guide for filing insurance claims and accessing medical benefits after an automobile accident in Alberta, Canada.
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TCSPP Advanced Applied Project Manual
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A capstone project manual for master's students demonstrating mastery of clinical and academic material at The Chicago School of Professional Psychology.
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Application Form For Board Certification As A Specialist Child Language
PDF template
Application form for professionals seeking board certification in child language specialization from the American Board of Child Language and Language Disorders.
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Elizabeth Abi Mershed Fellowship For Follow Up Of Recommendations Of Cases
PDF template
A fellowship established to honor Elizabeth Abi-Mershed's lifelong commitment to human rights and her contributions to the Inter-American System.
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ABPN Continuing Certification (CC) Audit Guidelines
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Guidelines for the American Board of Psychiatry and Neurology's annual certification audit process for diplomates in the Continuing Certification Program.
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Directions For Completing An ABPN Feedback Module
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Instructions for psychiatry and neurology professionals to complete a three-step feedback module for professional performance improvement.
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Directions For Completing An ABPN Feedback Module
PDF template
Instructions for psychiatry and neurology professionals to complete a three-step feedback and improvement process for maintaining certification.
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Directions For Completing An ABPN Feedback Module
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Instructions for psychiatry and neurology professionals to complete a peer or patient feedback module for continuous certification.
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AAPS VOLUNTEER FORM
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A volunteer form for physicians to indicate interest in committee participation and specialty opportunities within the AAPS organization.
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Evaluation Form For Continuing Professional Education Credit
PDF template
Evaluation form for participants of the 2022 National Council of State Housing Agencies Annual Conference to assess conference quality and track professional education credits.
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ACA SS PD Committee Guidelines
PDF template
Guidelines for managing professional development funds and activities for academic faculty, detailing eligible expenses and funding allocation.
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Training Authorization Letter
PDF template
Authorization document for students to participate in firefighting and rescue training courses, including medical clearance and parental consent.
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Histology Submission Form
PDF template
A detailed form for submitting tissue samples to the UConn Comparative Veterinary Medicine Diagnostic Laboratory for histological processing and analysis.
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Patient Intake Form
PDF template
Comprehensive form for collecting patient personal, medical, insurance, and contact information for healthcare services.
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Group Insurance Accelerated Benefit Option Claim Form
PDF template
A form for employees or members to claim an accelerated benefit option for terminal illness life insurance claims.
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Research Proposal Form (For Projects Using CentRIC Datasets)
PDF template
A proposal form for researchers seeking to use datasets from the Centre for Psychosocial Research in Cancer (CentRIC+)
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Accessible Parking Form
PDF template
Application form for individuals with disabilities seeking an accessible parking permit at Eastern Kentucky University
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Group Accident Insurance Claim Form
PDF template
A comprehensive claim form for reporting and documenting accident-related insurance claims with detailed instructions and submission guidelines.
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Accidental Injury Claim Form
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Insurance claim form for documenting details of an accidental injury and related medical information for potential insurance coverage.
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Credit Disability Claim Form
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Instructions for submitting a disability insurance claim for loan protection coverage through American National Insurance Company.
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OHS WI06a 1 AccidentIncidentNear Miss Reporting And Investigation Program
PDF template
A comprehensive policy document detailing procedures for reporting, investigating, and preventing workplace accidents and incidents.
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Wenatchee School District Accident Prevention Program
PDF template
A comprehensive safety guide for Wenatchee School District employees to prevent workplace accidents and improve occupational safety awareness.
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Club Sports Accident Report Form
PDF template
A comprehensive form for documenting sports-related accidents and injuries for recreational sports participants
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IADT Accident Report Form
PDF template
Comprehensive form for documenting workplace accidents, injuries, and subsequent medical treatment with GDPR compliance notice.
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AccidentIncident Reporting Form
PDF template
Comprehensive guidelines for reporting accidents, incidents, and hazards on university premises, detailing reporting processes and medical response protocols.
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Accident Wellness Benefit Claim Form
PDF template
Insurance claim form for submitting wellness screening benefits and personal health information to Guardian Life Insurance.
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Anesthesiology Critical Care Medicine (ACCM) Fellowship Application
PDF template
Application for prospective approval of a two-year Anesthesiology-Emergency Medicine critical care medicine fellowship by the American Board of Anesthesiology.
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Accommodation Request Assessment Form
PDF template
A medical form used to assess an employee's request for workplace accommodation due to disability or pregnancy-related needs.
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Accommodation Inquiry Form
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A form to collect details about research study requirements and preferences for MRI scanning services.
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Terms Of Reference (ToR) Internship Program
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Internship program offered by ASEAN Centre for Energy for outstanding students to gain international work experience in the energy sector.
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MEDICAL RELEASE FORM
PDF template
A form granting permission for medical treatment of a student during official academy participation with emergency contact and medical information.
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Sample Post Workshop Evaluation Form
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A comprehensive evaluation form designed to assess workshop effectiveness and participant learning in a political or organizational context.
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Student Inquiry Form
PDF template
A form for students seeking internships, clinical rotations, and other experiential learning opportunities with the Allegheny County Health Department.
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Ocean County Achievement Center Inquiry Form
PDF template
Registration form for educational programs at Ocean County Achievement Center, covering participant details, education, and employment information.
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ACH Pre Authorization Form
PDF template
A form authorizing automatic payment deductions for medical consultations and services from a bank account.
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CLAIM FORM
PDF template
A comprehensive insurance claim form for collecting detailed policyholder and incident information for processing an insurance claim.
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Expression Of Interest Aboriginal Community Liaison Officer (ACLO) Positions
PDF template
An expression of interest for short-term temporary Aboriginal Community Liaison Officer positions within the NSW Department of Education's Student Support & Specialist Programs area.
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Patient Medical History Form
PDF template
Comprehensive medical history form for collecting patient health information, symptoms, and medical conditions.
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Medical Information
PDF template
A comprehensive medical form collecting personal health details for emergency preparedness at an event or track setting.
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INTERVIEW FORM DESIGNEE
PDF template
A structured interview form for evaluating potential commercial real estate professionals for SIOR membership eligibility.
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Continuing Education Activity Attendance Form
PDF template
A form used to track and document participation in continuing education sessions with details of individual sessions and total time spent.
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Patient Intake Form Holistic Health Assessment
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Confidential questionnaire for determining patient treatment plan and collecting comprehensive medical and personal information.
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Patient Intake Form
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Comprehensive form for collecting patient personal, contact, medical, and insurance information for chiropractic services.
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New Patient Intake Form
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Comprehensive medical intake form for new patients at Joyanne Kohler Acupuncture, collecting personal and health information.
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Acute Inpatient Hospital Assessment Form
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Form for requesting authorization for hospital admissions and stay extensions for Blue Cross and Blue Care Network commercial plans
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Americans With Disabilities Act Accommodation Request Assessment Form
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A form for employees to request workplace accommodations under the Americans with Disabilities Act, requiring medical provider documentation of work restrictions or limitations.
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Medical Inquiry Form In Response To An Accommodation Request
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A medical form used to evaluate an employee's disability and potential workplace accommodations under the Americans with Disabilities Act (ADA).
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DOH 3608 Uninsured Care Programs Medical Eligibility Form
PDF template
A medical form used to determine patient eligibility for HIV-related care programs in New York State
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ADA Job Accommodation Request And Medical Inquiry Form
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A confidential form to help determine reasonable workplace accommodations for employees with disabilities under ADA guidelines.
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University Of Dayton School Of Engineering Safety Manual
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A comprehensive safety reference guide providing standards, policies, and protocols for faculty and staff in engineering laboratories and facilities.
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Diagnostic Imaging Referral Form
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Comprehensive medical imaging request form for various ultrasound, x-ray, and pain therapy procedures with detailed anatomical options.
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Pre Authorization Form Instructions
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Detailed instructions for completing a medical pre-authorization request form, including required documentation and submission process.
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Medical Form Instructions For TeamSnap
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Step-by-step guide for team managers to upload player medical forms to TeamSnap profiles
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Required NYS School Health Examination Form
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A comprehensive health examination form for students in New York State, documenting medical history and current health status
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Additional Shifts Approval Form
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Form for documenting and approving additional paid shifts for medical residents and fellows beyond their normal program requirements.
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ADD Written Case History Submission Form
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A formal document for trainees in the Certificate of Advanced Training in Addiction Psychiatry to submit a written case history for review.
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2009 ADEA Award And Fellowship Application Form For Allied Dental And Dental Educators And Dental Sc
PDF template
Comprehensive application form for various dental education awards and fellowships offered by ADEA and corporate sponsors in the dental field.
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Private Hospitals Discharge Form (ADF96)
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A comprehensive form for collecting detailed patient discharge data from private hospitals for statistical reporting purposes.
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Vermont Advance Directive For Health Care
PDF template
A legal document allowing individuals to specify their health care preferences and designate a health care decision-maker if they become unable to make decisions for themselves.
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AdjustmentVoid Request Form
PDF template
A form used by healthcare providers to request adjustments or void payments for medical services.
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CERTIFIED STAFF HANDBOOK
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A comprehensive guide outlining district policies, procedures, employment benefits, and professional standards for certified staff members.
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South Dakota Mentoring Program Administrators Approval Form
PDF template
A form for approving and pairing mentors and new teachers in the South Dakota Department of Education Statewide Mentoring Program.
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Daemen College Employee Evaluation Instruction
PDF template
A comprehensive performance evaluation form for administrative personnel at Daemen College, detailing assessment criteria and development goals.
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Administrative Evaluation Form (Part Time, LTS And Tenured Faculty)
PDF template
Administrative evaluation form for assessing faculty performance in professional responsibilities at Peralta Community College District.
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Administrative Evaluation Form (For Part Time, LTS And Tenured Counseling Faculty)
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A form for evaluating part-time, long-term substitute, and tenured counseling faculty on their professional responsibilities and performance.
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Administrative Procedures 29 Interns And Shadows
PDF template
Policy describing the involvement of student interns and shadows with the Illinois Department of Children and Family Services, outlining their roles, purposes, and guidelines.
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Administrator Agreement Form Teacher Induction Program
PDF template
A form for administrators to verify and support new teachers entering the Teacher Induction Program at California State University Fullerton.
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Administrative Tuition Reimbursement Form
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Form for David Douglas School District employees to request tuition reimbursement for job-related courses and professional development.
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Admission Agreement And Health Assessment
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Comprehensive form for child enrollment, medical history, emergency contacts, and health assessment for childcare or educational settings.
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Adobe Digital Learning Services (ADLS) Terms And Conditions Prior To January 9, 2023
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Legal document outlining terms and conditions for Adobe Digital Learning Services for purchases made before January 9, 2023.
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Adobe Generative AI Additional Terms
PDF template
Supplemental legal terms governing the use of Adobe's generative AI features, including guidelines for content input and output.
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Adolescent Vaccination Consent Form (TdapTd, HPV, Meningococcal ACWY)
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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Hospice Volunteer Application Form
PDF template
A comprehensive application form for individuals interested in becoming hospice volunteers, collecting personal, contact, and background information.
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MINOR PARTICIPANT EMERGENCY CONTACT AND MEDICAL RELEASE FORM
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A comprehensive form for collecting emergency contact, medical information, and release authorization for a minor participant.
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FMLA Adult Child Disability Medical Inquiry Form
PDF template
A medical form used by the New Mexico Taxation & Revenue Department to determine disability status for FMLA leave to care for an adult child.
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Girl Scouts Of Greater Los Angeles Adult Emergency Information And Authorization For Treatment
PDF template
Emergency contact and medical authorization form for Girl Scouts of Greater Los Angeles adult participants
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Adult Registration Form
PDF template
A comprehensive form for collecting patient personal and demographic information for healthcare services.
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Adult HIV Confidential Case Report Form
PDF template
Confidential medical reporting form for adult HIV patients in Rhode Island, used for surveillance and epidemiological tracking.
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New Patient Intake Form
PDF template
Comprehensive intake form for new patients to collect personal and medical contact details at a healthcare practice.
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Adult Legal Form
PDF template
A legal form for adult participants in CISV international programs covering medical guardianship, release, and program consent.
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Emergency Medical Form ADULT
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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Adult Specialist Request
PDF template
Medical referral form for requesting an adult specialist appointment with patient and insurance details.
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Adult Registration Form
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Comprehensive form for collecting patient personal and insurance information for healthcare purposes.
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Community Practice Referral Form Adult Services
PDF template
A referral form for occupational therapy and physical therapy services for adult patients with various health conditions and treatment needs.
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Volunteer Application Form
PDF template
Comprehensive form for individuals seeking to volunteer at Cape Fear Valley Health System medical facilities.
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ONE YEAR ADVANCED ENDOSCOPY FELLOWSHIP APPLICATION
PDF template
Comprehensive application form for medical professionals seeking a one-year advanced endoscopy fellowship at the University of Missouri's Division of Gastroenterology & Hepatology.
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Provider Appeal Request
PDF template
A form for healthcare providers to submit appeals for denied claims or authorizations with Advanced Health.
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Provider Appeal Request
PDF template
A form for healthcare providers to request an appeal of a denied claim or authorization with Advanced Health.
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Advanced Illness Benefit Application Form
PDF template
Application form for palliative care through the Advanced Illness Benefit for advanced cancer/oncology care by Anglovaal Group Medical Scheme.
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Advance Directive Information Document
PDF template
A comprehensive guide explaining advance directives, their purpose, importance, and how to designate a healthcare agent.
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Service Request Form
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Medical form for requesting sleep-related diagnostic services and documenting patient sleep disorder symptoms.
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Lost Pines Master Naturalists Advanced Training Approval Form
PDF template
A form for Master Naturalist members to request approval for advanced training opportunities that count toward certification or recertification.
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Professional Activity Advance Travel Request
PDF template
A form for requesting and obtaining approval for professional development activities and associated travel expenses.
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Medical Information And Physician Release
PDF template
A medical form for documenting participant health status and physician clearance for exercise participation at Oregon State University's Adaptive Exercise Clinic.
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AEDBleed Kit Inspection Form
PDF template
A comprehensive inspection form for checking the operational readiness and condition of an AED and associated emergency medical supplies.
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Automated External Defibrillator (AED) Post Incident Report Form
PDF template
A comprehensive form for documenting events involving the use or attempted use of an Automated External Defibrillator at Middle Georgia State University.
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AED Incident Report Form
PDF template
A comprehensive form for documenting and reporting incidents involving the use or attempted use of an Automated External Defibrillator (AED)
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Child Find Referral Form
PDF template
Comprehensive referral form for collecting infant/toddler medical and demographic information for early intervention services.
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REFERRAL FORM
PDF template
Medical referral form for eye-related consultations and treatments in Edmonton, Alberta.
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PATIENT INTAKE FORM
PDF template
A comprehensive form for collecting client and pet information for veterinary emergency and specialty care services.
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Prescription Drug Claim Form
PDF template
A comprehensive form for submitting prescription drug claims to Aetna Pharmacy Management for reimbursement or processing.
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Affiliated Organization Agreement Form
PDF template
A document that outlines the terms and details of a student internship placement at a specific worksite or facility.
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CAA Affiliated Society Membership Form
PDF template
Membership form for affiliated societies to join the College Art Association with tiered annual fees based on organization size.
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Active Duty Tour (ADT) Order Request For Military Medical Rotations
PDF template
Official form for military personnel to request and document active duty tour assignments for medical rotations
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Accidental Injury Claim Form
PDF template
Insurance claim form for documenting details of an accidental injury for potential insurance benefits and reimbursement.
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Continuing Disability Claim Form
PDF template
A claim form for filing a continuing disability insurance claim with Aflac, requiring detailed patient and policyholder information.
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Initial Disability Claim Form
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Insurance claim form for reporting disability due to sickness or injury, used by Aflac for processing disability claims.
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M0272B Flexible Spending Account Claim Form
PDF template
Form for requesting reimbursement from a Flexible Spending Account for medical and dependent care expenses.
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Initial Disability Claim Form
PDF template
Comprehensive form for filing a disability insurance claim covering various types of disability including accidents, sickness, pregnancy, and cancer.
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Sickness Claim Form
PDF template
A comprehensive form for filing insurance claims related to sickness, disability, hospitalization, and other health events with Aflac.
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ACTIVITIES FOR LIFE REGISTRATION FORM
PDF template
Registration form for CPO certification and recertification courses at Frostburg State University
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2018 AFPAG Conference CPA Caregiver Scholarships Memorandum
PDF template
Guidelines for selecting foster parents to receive scholarships for the 45th Annual Adoptive and Foster Parent Conference in Jekyll Island, GA.
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Continuing Education Units (CEUs) Attendance Form For CEU Credit
PDF template
A form for tracking continuing education units for professionals attending the EHDI Conference for LSLS certification credits.
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INTERN UNIVERSITY AGREEMENT
PDF template
A formal agreement outlining responsibilities and expectations for student interns, university supervisors, and internship agencies.
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Performance Review For University Staff
PDF template
A comprehensive policy outlining the performance review process for university employees, focusing on evaluation, goal-setting, and professional development.
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Agent Authorization Form
PDF template
A form allowing landowners to authorize an agent to submit development applications on their behalf.
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Services Agreement
PDF template
Agreement for individuals to perform data collection tasks for Datoid's AI research and development, involving text, speech, and media labeling and processing.
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Educational Training Supplements Order Form
PDF template
Order form for obtaining educational and training supplements for agronomic-based study materials for high school and middle school students.
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Medical Reimbursement Form
PDF template
Form for members to request reimbursement for medical services covered under their health plan
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High Adventure Activity Medical Form
PDF template
A medical form for certifying individual fitness for high-risk adventure activities for youth organizations.
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New Patient Intake Form
PDF template
Comprehensive medical intake form for new patients seeking plastic, reconstructive, or pediatric head and neck surgical services.
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Instructions For Completion Of Application For Specified Service Authority Allied Health Professiona
PDF template
Detailed guidelines for completing an application for medical staff service authority for allied health professionals at Eaton Rapids Medical Center.
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Surgical Booking Request Office Reference Guide
PDF template
A guide for completing the Provincial Surgical Booking Request form to facilitate consistent surgical scheduling and resource allocation.
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Arizona Interscholastic Association Annual Preparticipation Physical Evaluation
PDF template
A comprehensive medical screening form for student-athletes to assess their health and fitness for sports participation.
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HYPERSENSITIVITY PNEUMONITIS (HP) PANEL
PDF template
Medical diagnostic form for testing hypersensitivity pneumonitis and avian panel allergens from the Medical College of Wisconsin.
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PATIENT MEDICAL HISTORY FORM
PDF template
Comprehensive medical history form for collecting patient's personal and family health information, past medical conditions, and surgical history.
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New York State Nonpublic School Reimbursement Request Form For Academic Intervention Services (AIS)
PDF template
A form for nonpublic schools in New York State to request reimbursement for academic intervention services and professional development materials.
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Patient Intake Form
PDF template
A comprehensive form for new patients to provide medical history and contact information for a naturopathic wellness center.
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Summit Scholarship Application
PDF template
A scholarship program by the Appellate Judges Education Institute to support judges and attorneys with limited financial resources to attend educational programs.
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Resident Assessment
PDF template
Comprehensive intake form for documenting a resident's medical history, health status, functional capabilities, and personal information for care facilities.
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Preparticipation Physical Evaluation (Interim Guidance) Physical Examination Form
PDF template
A comprehensive medical examination form for athletes to assess physical fitness and health status prior to participation in sports activities.
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Allegations Contained In The StateS Complaint Against Dr. Sun
PDF template
Legal document detailing allegations of inappropriate pain medication prescriptions by Dr. Sun for multiple patients with questionable medical necessity.
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Alfred State Workshop AllergyMedical Form
PDF template
A comprehensive medical form for documenting a camper's allergies, medical conditions, and emergency contact information.
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Springfield Platteview Community Schools Health Examination Form
PDF template
A comprehensive health and immunization form for students in kindergarten through 12th grade in Springfield Platteview Community Schools.
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Faculty Professional Development Proposal Form
PDF template
A form for faculty to outline professional development mentorship goals, activities, and expected outcomes
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Distributor Agreement
PDF template
Document outlining requirements and terms for becoming an Allied Electronics distributor for NeXGen and AEGIS Forecourt Controller products.
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Allied, Therapeutic And Psychology Extender Benefit Application Form For 2024
PDF template
Application form for healthcare benefit coverage under the Retail Medical Scheme's Essential Plus Option for allied, therapeutic, and psychology services.
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CANCELLATION REQUEST FORM
PDF template
A form used to request cancellation of medical laboratory tests with detailed documentation requirements.
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Blue Cross Medical Travel Benefit Claim
PDF template
A claim form for medical travel expenses for members of the Arrow Lakes Teachers' Association submitted to Pacific Blue Cross.
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Ferris State University Michigan College Of Optometry Alternate Site Application Survey Form
PDF template
A survey form for assessing and approving alternate clinical sites for optometry extern students during their 4th year.
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Transfer Or Discharge Form
PDF template
A form used to document and record the transfer or discharge of a resident from a healthcare facility, including essential transfer details and accompanying documentation.
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Alumni Feedback Form
PDF template
A comprehensive form collecting post-graduation information and feedback from university alumni about their career and educational experience.
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Alumni Feedback Form
PDF template
A comprehensive feedback form for alumni of Genba Sopanrao Moze College of Engineering to provide insights about their educational experience and professional development.
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Bethel Alumni Association Faculty Grant Information
PDF template
Guidelines for Bethel University faculty members applying for alumni association research and professional development grants for the 2023-2024 academic year.
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AAO HNSF 2022 Annual Meeting OTO Experience Call For Science Submission Guidelines
PDF template
Guidelines for submitting scientific presentations to the AAO-HNSF Annual Meeting, including eligibility requirements and speaker responsibilities.
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Nomination For An AMA Award
PDF template
Official form for nominating medical professionals for various American Medical Association awards and recognitions.
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Amahoro Coalition Offline Fellowship Application Form
PDF template
Application form for a 12-month fellowship program targeting entrepreneurs, social change leaders, and forcibly displaced persons.
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MultiCare Auburn Medical Center PGY1 Pharmacy Residency Application Information
PDF template
Application instructions and requirements for PGY1 pharmacy residency at MultiCare Auburn Medical Center
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Medical Examination Report For Bus Transit System Driver
PDF template
Comprehensive medical examination form for bus transit system drivers to assess health conditions and fitness for duty.
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Achievement In Medical Education Program (AMEP) Advanced Level Progress Checklist
PDF template
A comprehensive checklist for tracking professional development and educational progress in medical education for advanced-level participants.
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AMERICAN CLUB PRE EMPLOYMENT MEDICAL EXAMINATION FORM2019
PDF template
Comprehensive medical examination form for seafarer pre-employment screening with multiple medical tests and assessments.
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Dental Claim Form
PDF template
A comprehensive form for submitting dental insurance claims, requiring patient and employee information, treatment details, and authorization signatures.
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AMG At Home Admission Check
PDF template
Comprehensive admission checklist and information for patients interested in AMG Senior Medical Group's at-home medical services.
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AMG Requisition Form
PDF template
A form used by surgeons to request amniotic membrane grafts (AMG) from Ramayamma International Eye Bank.
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AMI Insurance Application
PDF template
A comprehensive insurance application form for personal health coverage with options for individual or family plans.
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Student Health Examination Form
PDF template
Medical examination form for students, documenting health history, physical examination, and immunization status.
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MAR Research Project Award
PDF template
A research funding opportunity for MAR members to pursue studies advancing clinical, professional, or disciplinary knowledge with grants up to $2,000.
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Analysis Of Student Evaluations Of Student Teacher
PDF template
Comprehensive assignment for student teachers to collect, analyze, and reflect on student evaluations of their teaching performance.
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Animal Incident Report Form
PDF template
A detailed form for reporting animal-related incidents involving bites, scratches, or other exposures to an animal.
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Pathways Fellowship Application Handbook Instructions
PDF template
A fellowship program enabling St. John's College students to take prerequisite courses for graduate study or career preparation, offering up to $2,500 in grants.
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Annexation And Extraterritorial Jurisdiction Related Inquiry
PDF template
A form for requesting information about potential property annexation and land use in Fort Worth, Texas.
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Fellowship Application Form
PDF template
A comprehensive application form for fellowship candidates at the NATO Maritime Security Centre of Excellence, collecting personal, educational, and professional details.
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Draft Guidance Fire Statement
PDF template
Guidance document for completing fire statements when applying for planning permission, focusing on fire safety matters relevant to land use planning.
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ACADEMIC ANNUAL REPORT FORM
PDF template
A comprehensive form for documenting annual safety committee activities, inspections, training, and incident reports for an academic department.
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Administrative Annual Report Form
PDF template
A comprehensive form for documenting annual safety committee activities, inspections, training, and incident reports.
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Annual Health Evaluation Form
PDF template
A comprehensive health evaluation form for tracking medical history, lifestyle factors, and current health status.
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Faculty Leave Request Form
PDF template
A form for faculty members to request various types of annual and professional leave with different options for scheduling and balance management.
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Annual Reporting Instructions
PDF template
Instructions for completing three essential documents during a curacy program, including reporting forms, skills checklist, and development plan.
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Performance Evaluation Guidelines
PDF template
A comprehensive guide for conducting effective employee performance reviews, emphasizing continuous feedback and documentation.
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Graduate Self Assessment Form
PDF template
A comprehensive self-assessment tool for graduate students to reflect on their professional and research skills, and discuss progress with their advisor.
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RFQRFP For Museum Development Consultant
PDF template
Request for qualifications and proposals for a museum development consultant project in a preliminary stage of planning.
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Member Claim Form
PDF template
Insurance claim form for submitting medical expenses and service details to Anthem Blue Cross health insurance.
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Medical Insurance Claim Form
PDF template
A standard medical insurance claim form for submitting patient information and medical service details to an insurance provider.
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Medical Claim Form
PDF template
A comprehensive medical claim form for submitting healthcare service details and patient information to Anthem Blue Cross insurance.
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Medical Claim Form
PDF template
A comprehensive form for submitting medical insurance claims, collecting patient, subscriber, and medical service information.
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Medical Claim Form
PDF template
A comprehensive medical claim form for submitting healthcare service reimbursement claims to Anthem Blue Cross and Blue Shield insurance.
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Medical Claim Form
PDF template
A standard medical insurance form for submitting healthcare service claims and patient information to an insurance provider.
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Graduate Student Evaluation Procedure
PDF template
Detailed procedure for annual evaluation of graduate students in the University of Florida's Anthropology Department, including self-reporting and faculty assessment.
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Aikido Graduation Application Form
PDF template
Application form for Aikido practitioners seeking to advance their rank and document their training experience.
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AO Alliance (AOA) ORP Fellowship Application Form
PDF template
Application form for medical professionals seeking a fellowship with the AO Alliance in orthopedic and trauma surgery
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AO Alliance (AOA) Surgeon Fellowship Application Form
PDF template
Application form for surgeons seeking a fellowship with the AO Alliance, requiring detailed professional and personal information.
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Association Of Office Professionals Merit Nomination Form
PDF template
A form to recognize outstanding performance and service by employees within the Oregon State University community.
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NOMINATION FORM FOR USM AOP EDUCATIONAL OFFICE PROFESSIONAL OF THE YEAR
PDF template
Official nomination form for selecting the University of Southern Maine (USM) Association of Office Professionals (AOP) Educational Office Professional of the Year.
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2020 AOSIS Climate Change Fellowship Application Form
PDF template
Application form for a fellowship program focused on climate change, targeting government representatives from AOSIS member countries.
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AOS Student Judge Evaluation Form
PDF template
Form for evaluating student judges' knowledge and performance in an orchid society judging context.
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AOS Student Judge Evaluation Form
PDF template
Evaluation form for assessing student judges' performance and knowledge level in an organizational context.
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AP 114.00 Performance Appraisals
PDF template
A comprehensive procedure for evaluating full-time classified employees annually, focusing on job performance assessment and professional development.
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APA Bi Annual Report To Administrative Area Supervisor
PDF template
A bi-annual reporting document for administrators to document accomplishments, challenges, projects, and professional development
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Make A Difference Volunteer Form
PDF template
A volunteer form for American Payroll Association members to select committees and task forces for professional involvement and contribution.
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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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APK Intern Disciplinary Action Form
PDF template
A form used to document and track disciplinary actions for interns in an academic or professional setting.
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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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Approved Training Organization (ATO) Intellectual Property Agreement
PDF template
A legal agreement defining intellectual property usage rights for an Approved Training Organization by the Association of Proposal Management Professionals.
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Community Partner Research Ethics Training And Certification Description
PDF template
A comprehensive guide for community partner research ethics training, covering training content, eligibility, confidentiality, and certification process.
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Tuberculosis Case Management Manual
PDF template
A comprehensive manual providing guidelines, resources, and forms for tuberculosis case management in Missouri.
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Appendix 22 Member CEC Course Evaluation Form
PDF template
Form for members to submit details and evaluation of a continuing education course for credit assessment.
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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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NAPNAP Faculty Declaration Form
PDF template
A form for presenters to declare potential financial conflicts of interest and off-label drug or medical device discussions.
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RAMAPO COLLEGE OF NEW JERSEY COMMON APPLICATION FORM
PDF template
Application form for faculty members seeking internal funding for professional development, sabbatical, or scholarship support at Ramapo College.
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ANNUAL FACULTY EVALUATION FORM
PDF template
A comprehensive evaluation form for assessing faculty members' performance across multiple professional dimensions.
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Appendix T San Diego Police Department Crime Laboratory Feedback Form
PDF template
A detailed evaluation form for forensic evidence collection and assessment during a medical forensic examination.
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APPFA Application Form
PDF template
An application form for accreditation of advanced practice provider fellowship programs by the American Nurses Credentialing Center (ANCC).
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Advanced Practice Provider Fellowship Accreditation Application Form
PDF template
Application form for advanced practice provider fellowship programs seeking initial or renewed accreditation through the American Nurses Credentialing Center.
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CINTAS Fellowship Application Form 2021 2022
PDF template
A comprehensive application form for artists seeking a fellowship, requiring personal, professional, and artistic details.
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Application For Admission
PDF template
Admission application for Executive MBA, Executive Diploma, and Executive CAS programs at the Institute of International Management and Technology (IIMT).
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COACHING BOYS INTO MEN APPLICATIONSCHOLARSHIP FORM
PDF template
Application form for coaches and administrators to attend a one-day training program focused on supporting male youth through sports mentorship.
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Charitable Trust Of The Auckland Faculty Royal New Zealand College Of General Practitioners Applicat
PDF template
Comprehensive assessment form for evaluating research grant applications from general practitioners in New Zealand.
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Artist In Residency Application Form
PDF template
Application form for artists seeking residency opportunity with Project Ability, detailing personal and professional information.
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Application For Continuing Education Approval For Course Sponsors
PDF template
An application form for continuing education course sponsors seeking approval from the New Jersey State Board of Physical Therapy Examiners.
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FHNO Institutional Fellowship Application Form
PDF template
Application form for fellowship in Head and Neck Oncology/Reconstructive Surgery with comprehensive applicant details collection.
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Internship Application Form
PDF template
Application form for students pursuing administrative internships in educational settings across different school levels.
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Squamish Nation Training Trades Centre (TTC) Intake Package
PDF template
Comprehensive guide outlining application requirements and steps for potential trainees at Squamish Nation Training & Trades Centre.
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Chulabhorn Research Institute Fellowship Application Form
PDF template
A comprehensive application form for fellowship candidates at Chulabhorn Research Institute in Thailand, collecting personal, educational, and professional details.
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Fellowship Application Form
PDF template
Application form for becoming a fellow of the Royal Asiatic Society with various fellowship types and contact information collection.
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CLE Skills Credit Application Form
PDF template
A form for law students to apply for skills credit by attending professional Continuing Legal Education (CLE) sessions.
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Training Application
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Comprehensive application form for prospective residents requiring personal information, meditation experience, and reference details.
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Comprehensive guide for NYC employees seeking medical reinstatement, detailing required documentation and submission procedures.
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A comprehensive form for documenting student incidents, including details of the event, student's account, and additional comments from faculty or preceptors.
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Functional Medicine Clinic Appointment Time Agreement
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Agreement outlining fees and policies for patient appointments, including no-show and late cancellation charges.
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Apprentice Performance Evaluation Form
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Comprehensive evaluation form for assessing apprentice performance across multiple professional competency factors.
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ABC SoCal Apprentice Training Contribution Form
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Form for reporting and contributing apprentice training hours and fees for various trades in Southern California.
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A form for approving candidate participation in the Sunshine State Library Leadership Institute for the 2022-2023 year.
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OCCUPATIONAL MEDICAL SURVEILLANCE PROGRAM PHYSICAL EXAMINATION FORM
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A comprehensive medical examination form for documenting employee health status and physical condition for the United States Department of Agriculture.
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Remdesivir Prescribing DeclarationStreamlined IPU Application Form
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A form for healthcare professionals to request and prescribe Remdesivir for COVID-19 patients meeting specific criteria.
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Isle Of Man Government Accident Report Form
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Official government form for documenting ship-related accidents, casualties, and incidents with detailed personnel and occurrence information.
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Article 14B Adjunct Faculty Evaluations
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Comprehensive guidelines for evaluating adjunct faculty members at Sonoma County Junior College District, detailing evaluation procedures and requirements.
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Article 8 Performance Review
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Comprehensive policy detailing the process and goals of faculty performance reviews in an educational institution.
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Internship Application Form
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Comprehensive application form for potential interns, including personal information, educational background, work experience, and ministry-related questions.
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Alexandria Soccer Association Medical Release Form
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A medical authorization form allowing team officials to obtain medical attention for a child during soccer activities.
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Ayako School Of Ballet Registration Form
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Comprehensive registration form for students interested in joining Ayako School of Ballet, covering personal details, dance experience, and class selection.
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Central Registry Referral Form
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ASCE NOMINATION FORM
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Nomination form for recommending an individual to Fellow Grade within the American Society of Civil Engineers (ASCE)
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ICARUS MEDICAL, LLC ORDER FORM
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Order form for custom knee braces with patient and measurement information.
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Referral Form
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Medical referral form for new patient intake and treatment evaluation at Ascend Health Center, focusing on mental health services.
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Fellowship Application Form
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Application for Fellowship membership in the Australian Society of Clinical and Experimental Pharmacologists and Toxicologists (ASCEPT)
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ASCEPT Fellowship Application Form
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Application form and guidelines for obtaining Fellowship status within the Australian Society of Experimental Pharmacology and Toxicology (ASCEPT).
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ASE Organizational Membership Application
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Organizational membership application for multiple members from the same institution to join or renew ASE membership with various professional categories and pricing tiers.
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ASE Membership Application Form
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Organizational membership application form for joining or renewing membership in the American Society of Echocardiography with various membership categories and pricing.
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ISAAC Conference 2016 CEU Information
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Instructions and FAQ for obtaining continuing education units (CEUs) from the ISAAC 2016 conference for AAC and AT professionals.
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2024 Resource Limited Country Membership Form
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Membership application form for the American Society of Human Genetics with categories for various academic and professional levels in genetics.
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Ashland Professional Development Evaluation Form
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A comprehensive evaluation form for assessing the quality and impact of professional development courses and instructional sessions.
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SCI Job Posting Submission Form
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A form for submitting job postings to the American Spinal Injury Association's job board with associated posting fees and submission instructions.
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ASIIS Enrollment Application
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Application for organizations to enroll in the Arizona State Immunization Information System (ASIIS) for healthcare providers and facilities.
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Internship Application
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A comprehensive application form for students seeking an internship in American Sign Language interpreting services
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MEDICALVISION CLAIM FORM
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A comprehensive claim form for submitting medical and vision insurance claims, requiring detailed employee and patient information.
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UNIVERSAL APPLICATION FOR LICENSE RENEWAL
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Official state form for professionals to renew their professional licenses in New Hampshire
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Asthma Assessment Form For School
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Comprehensive form to collect detailed medical information about a student's asthma symptoms, triggers, and management for Seattle Public Schools.
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Astym Therapy Service Agreement
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Service agreement for healthcare professionals seeking Astym therapy certification and ongoing professional support from Performance Dynamics, Inc.
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Ancillary Group SponsorSignatory Agreement
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A legal agreement between a sponsor and a signatory for participating in an apprenticeship training program in New York State.
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ATHENA Award Nomination Instructions
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Comprehensive instructions and form for nominating women leaders for the ATHENA Award in Henderson County, recognizing excellence in professional and community achievement.
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Athena Spectrum Licence Options Additional Services
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Comprehensive software suite for independent training providers designed to streamline learner journey processes and management.
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Athlete Emergency Contact Form
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A form for collecting student athlete emergency contact details and medical conditions for use by school athletic department personnel.
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Special Olympics Medical Form
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Comprehensive medical form for Special Olympics athletes documenting health history, conditions, and participation details.
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Special Olympics Medical Form
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Medical examination form for determining an athlete's fitness to participate in Special Olympics sports programs, requiring medical professional evaluation.
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Athletic Emergency Contact Form
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A comprehensive form collecting medical, contact, and emergency information for student athletes.
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Athletic Travel Form
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A comprehensive form for student-athletes detailing emergency contact information, medical details, and consent for medical treatment during athletic participation.
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Adobe Training Provider Program Agreement
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Legal agreement defining terms and conditions for membership in Adobe's Training Provider Program, including benefits and eligibility requirements.
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GMN AT Proposal Form March 2021
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A form for proposing and obtaining approval for Advanced Training activities within the Texas Master Naturalist Program's Guadalupe Chapter.
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MedicalForensic Examination Form
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Waiver Service Request Form (DP 1022)
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A form for requesting changes or new services in a waiver program, to be completed when team concurrence is not achieved.
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School Training Attendance Record
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Document for tracking school attendance, childcare, housing, and transportation expenses for workforce training participants.
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YOUTH TRAINING PROVIDER PROCUREMENT FORM
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A form for documenting and selecting training providers for youth workforce development programs in Western Oklahoma.
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Request For Approval For Attendance At Events
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A comprehensive form for employees seeking approval to attend professional events, detailing event specifics, costs, and potential conflicts of interest.
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Certificate Of Attendance
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Continuing Legal Education webinar focused on addressing the opioid crisis through civil legal intervention
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Bishop Canevin Attendance Notice
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Official school document for recording student absences, tardiness, early dismissals, and medical appointments.
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Pre Clerkship Attendance Policy
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Policy governing attendance requirements for medical students during pre-clerkship phases, emphasizing professional development and academic participation.
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Instructions For TrainersLeaders Completing The Attendance Forms
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Detailed guide for completing an attendance tracking form for a training program, specifying how to record participant demographics and participation details.
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A comprehensive medical contact and health authorization form for minors participating in a program, collecting emergency contacts, health information, and parental consent for medical treatment.
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Sponsor Evaluation
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Evaluation form for professional engineering and surveying continuing education courses to assess quality and compliance.
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Attending PhysicianS Compliance Form
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Medical form documenting physician compliance and patient consent for end-of-life medication request in the District of Columbia.
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Long Term Disability Claim Form
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A comprehensive medical form for documenting a patient's disability claim, including medical history, diagnosis, treatment, and current condition.
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APPLICATION FOR LICENSING AND ENROLLMENT IN AN ATV INSTRUCTOR PREPARATION COURSE
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Application form for individuals seeking to become licensed ATV instructors, requiring personal and employment information.
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Consent To Use Sound And Image Recordings That May Contain Identifying Information For Education
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A consent form allowing physicians to use patient images and sound recordings for educational purposes with patient's understanding of potential identification.
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IHS Diabetes Care And Outcomes Audit, 2024
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A comprehensive audit form for tracking diabetes patient health metrics, screenings, and examinations
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Patient Intake Form
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Comprehensive patient intake form for collecting personal, contact, and medical insurance information at Auburn University Clinical Health Services clinics.
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Universal Service Request Form
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Form for comprehensive employee medical examinations, drug testing, and workplace health screening documentation.
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Authorization And Driving History Form
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A form documenting employee driving authorization, vehicle operation details, and liability requirements for state vehicle use.
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Williamson County Schools Procedure Authorization Form
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HIV Related Information Release Authorization Form
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Legal form authorizing release of medical and HIV-related information under New York State confidentiality laws
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Authorship Agreement Form
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A form documenting individual contributions and authorship criteria for academic or medical research publications.
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Autism Emergency Contact Form
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Autism Emergency Contact Form
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A comprehensive form collecting critical personal and medical information for individuals with autism in case of emergency or potential wandering incidents.
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Autism Profile And Emergency Contact Form
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A comprehensive form for documenting critical medical, contact, and behavioral information for individuals with autism
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New PIP Patient Form
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Detailed form for documenting vehicle accident details and patient information for insurance or medical purposes.
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COMDTINST M16790.1G
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Guide describing facilities, support programs, services, and supplies available for Coast Guard Auxiliary members.
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Avera EConsult Assessment Form
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A comprehensive medical assessment form for telemedicine patient consultations, capturing patient information and physical examination details.
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Hanzel Award For Administrative Activities Nomination Form
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A form used to collect nomination details for the Hanzel Award recognizing administrative professionals.
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Florida Extension Business Professionals Connect, Grow, Shine Awards Nomination Form
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Nomination form for recognizing outstanding Florida Extension Business Professionals staff in county extension offices for their exceptional contributions.
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Animal Workers Medical Surveillance Consent For Medical ScreeningEvaluation
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A consent form for medical screening and evaluation of individuals working with animals at the University of Idaho.
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Medical Expense Claim Form
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A form for employees to claim medical expenses through a Flexible Spending Account with detailed submission instructions.
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Alfond Youth Community Center New England Sports Camps Medical History Form 2023
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Comprehensive medical history and emergency contact form for children attending various sports camps in Maine.
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Training Session Feedback Form
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A comprehensive form for evaluating animal training session effectiveness, assessing trainer preparedness, cue delivery, bridging techniques, and reinforcement strategies.
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Patient Authorization Form
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A form authorizing AstraZeneca to use and share patient health information for support services and coordination of care.
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Member Request For Medical Reimbursement Form
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A form used by UnitedHealthcare Community Plan members to request reimbursement for medical services, co-payments, coinsurance, and deductibles.
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Volunteer Orientation And Training Manual
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Comprehensive guide for volunteers working in Louisiana Department of Public Safety and Corrections facilities, covering orientation, rules, and safety protocols.
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MERIT ACTIVITY PRE APPROVAL FORM
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A form for faculty members to request pre-approval for professional development activities for merit consideration.
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My Choice Wisconsin BadgerCare Plus Authorization Form
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A comprehensive form for requesting healthcare service authorizations under the BadgerCare Plus program in Wisconsin.
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Balfour Fellowship Application Guide
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Guide for fraternity and sorority members applying for graduate or professional degree fellowships for the 2020-2021 academic year.
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Laurel High School Marching Band Medical Form
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Medical form for Laurel High School Marching Band students to provide health and emergency contact information for band activities.
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Medical History Form
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A comprehensive medical history form for collecting student health information, emergency contacts, and family medical history.
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Bangs Ambulance Events Request Form
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Form for requesting ambulance and medical support services for events with specific scheduling details.
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Chronic Appliance Benefit Application Form
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Medical application form for patients seeking insurance coverage for chronic medical appliances and equipment through Bankmed.
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Banner Graduation Lab
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A training document for learning how to process student graduation applications in the Banner system for university administrators.
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Medical History Form
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Comprehensive medical history form for patients seeking weight loss treatment, collecting personal, medical, and insurance information.
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Health Is Wealth Patient Intake Form
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Comprehensive medical intake form collecting patient personal, employment, emergency contact, and insurance information.
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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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Health Care Personnel (HCP) Baseline Individual TB Risk Assessment
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A screening form to assess tuberculosis risk factors for healthcare personnel through a series of yes/no questions about travel, immunosuppression, and TB exposure.
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BASHH Education Fellowship 2023
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A funded educational fellowship for medical and non-medical professionals interested in conducting a research project on sexual health clinic workforce in the UK.
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Form B.1 IL 569 00002
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Form for law enforcement agencies to claim reimbursement for basic training of law enforcement, corrections, and court security personnel.
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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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BC3NP Enrollment Form
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Healthcare enrollment form for collecting patient contact, demographic, and service needs information.
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Sport Injury Accident Report Form
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A comprehensive form for documenting sports-related injuries or accidents during an event, capturing details about the injured person and medical response.
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Patient Insurance Information Form
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Comprehensive form for collecting patient medical insurance and health coverage details for claims processing.
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Claim Form To Pay InsuredSubscriber
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A comprehensive insurance claim form for documenting medical treatment, injury, or preventive care for reimbursement purposes.
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Claim Form To Pay InsuredSubscriber
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A comprehensive form for submitting medical insurance claims, capturing patient details, treatment information, and other coverage details.
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Claim Form To Pay InsuredSubscriber
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A comprehensive insurance claim form for submitting medical treatment claims with detailed patient and treatment information.
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Educators Health Alliance Medical And Dental Enrollment Form
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A medical and dental insurance enrollment form for Educators Health Alliance, allowing new applications and changes to existing coverage.
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Member Reimbursement
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A form for members to request reimbursement for healthcare expenses paid out-of-pocket directly to providers.
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SNFAcute IPR Assessment Form
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Prior authorization form for skilled nursing facility and inpatient rehabilitation services for Blue Cross Blue Shield of Michigan and Blue Care Network providers.
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Member Reimbursement
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A form for Blue Cross Blue Shield members to request reimbursement for healthcare expenses paid out of pocket.
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Medical Expense Claim
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A claim form for submitting medical expenses to Blue Cross and Blue Shield of Alabama for reimbursement.
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Member Reimbursement
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Form for members to request reimbursement for healthcare expenses paid out-of-pocket.
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Member Claim Form
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A form for filing healthcare claims with Blue Cross Blue Shield of North Carolina, detailing patient and insurance information for reimbursement of medical services.
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Western Carolina University Base Camp Cullowhee Health And Medical Form
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A health screening form for participants in outdoor activities, collecting medical history and emergency contact information.
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My Benefit Plan Summary
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Comprehensive health benefits summary for full-time employees of Brant Community Healthcare System through Green Shield Canada.
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ADPH F BCL 136 Alabama Department Of Public Health (ADPH) Bureau Of Clinical Laboratories (BCL) Requ
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A comprehensive laboratory testing request form used by healthcare providers to submit patient specimens for clinical testing in Alabama.
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Member Billing Form
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A form for submitting medical bills from non-participating healthcare providers for reimbursement or claim processing.
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Member Reimbursement Form
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A form for healthcare members to request reimbursement for out-of-pocket medical expenses they have paid directly.
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MEDICAL INFORMATION FORM
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A comprehensive medical form for participants of outdoor adventure trips, collecting health, emergency, and medical history information.
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CCAA Audit Form
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A form for anesthesia assistants to document and submit continuing professional development (CPD) credits for maintaining CCAA designation.
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BCS Fellow (FBCS) Application Guidance For OMs
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Comprehensive guidance for professionals applying to become a BCS Fellow, detailing application requirements and criteria.
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MEETING ATTENDANCE ALDPWC Form 2 Rev 112022
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BDIAP Glasgow 2020 Educational Fellowship Application Form B
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Application form for medical or scientific professionals seeking an educational fellowship with the British Division of the IAP in Glasgow
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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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DLTSS Payment For Recruitment, Retention, And Training Programs (RRTP) FAQ
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Frequently asked questions about recruitment, retention, and training program payments for case management agencies in New Hampshire.
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MEDICAL HISTORY FORM
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Comprehensive form for collecting patient personal information, medical history, insurance details, and current health status.
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Loan Agreement (Powergrid System Development Project)
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Loan agreement between the International Bank for Reconstruction and Development and Power Grid Corporation of India Limited for a system development project.
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Beginning Teacher Support Seminar 1 Engaging ALL Students Feedback Form
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Evaluation form for beginning teachers to provide feedback on a professional development seminar focusing on student engagement practices.
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Beginning Teacher Support Seminar 3 Reflective Process Seminar 3 Feedback Form
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A feedback form for evaluating a professional development seminar for beginning teachers focused on reflective practices.
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Beltane Public Engagement Fellowships Application Form
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Application form for researchers seeking public engagement fellowship opportunities with the Beltane Network in Edinburgh.
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M NCPPC BENEFITS ENROLLMENTCHANGE FORM
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Form for employees to enroll or change benefits, covering medical, dental, and prescription plans for new hires or those experiencing qualifying life events.
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Teaching Application Form
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A comprehensive guide for completing a teaching job application form with detailed instructions and requirements for applicants.
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Inn Membership Survey
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A comprehensive survey evaluating membership experience, leadership, meetings, and mentoring within a professional legal organization.
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BOISE FIRE DEPARTMENT MEDICAL RELEASE FORM
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Medical form for evaluating and releasing firefighters to full duty after injury or medical assessment.
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Health Savings Account Transfer Request Form
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A form for transferring health savings account assets from a previous trustee/custodian to Benefitfocus Account Services HSA.
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Discharge Form
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A form used to document and track patient discharge details for behavioral health clinical services.
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Patient Medical History Form
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Comprehensive medical history form collecting patient's personal health information, medical history, symptoms, and current health status.
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Rezoning And Provisional Use Permit Application Requirements
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Comprehensive guide detailing required documentation and process for rezoning, conditional rezoning, and provisional use permit applications in Henrico County.
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BHSORUK Research Fellowship Application Form 2022
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A comprehensive application form for research fellowship candidates in orthopaedic research, detailing project proposal and candidate qualifications.
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FederalDOT Testing Form
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Comprehensive medical screening and drug testing form for transportation workers requiring federal agency compliance.
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Section BF Bid Form Frenchtown Charter Township Multi Facility Site Development
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Bid proposal document for construction of two municipal facilities in Frenchtown Charter Township, Michigan.
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Biomedical Informatics, Genomics And Translational Cancer Research Training Program (BIG TCR) Postdo
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Application form for postdoctoral fellows in biomedical informatics, genomics, and cancer research training program
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Bill To Form
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A form for billing and contact information for development services projects in the City of Bellevue.
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APPLICATIONS FOR NORTHERN AFRICA POSTDOCTORAL WRITING FELLOWSHIPS
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Funding opportunity for early career scholars to support writing research on Northern Africa in humanities and social sciences.
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Histology Service Request Form
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A form for requesting histology services including tissue processing, embedding, staining, and immunohistochemistry for human or animal biospecimens.
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Oncology Prescription Referral Form
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A comprehensive form for submitting oncology patient prescription details, insurance information, and clinical data for medication authorization.
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Patient Intake Form
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Comprehensive medical form for collecting patient personal, contact, medical, and insurance information with consent authorization.
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Harvard University Biosafety Manual
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Comprehensive guide for laboratory safety protocols, biosafety levels, and procedures for handling biological materials at Harvard University.
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Providing Effective Compliance Education
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A presentation on strategies for effective compliance education in healthcare organizations, focusing on OIG guidance and educational techniques.
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Student Internship Handbook
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A comprehensive handbook providing guidelines, procedures, and forms for student internships in the Business & Information Systems Department.
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Texas Board Of Professional Geoscientists Complaint Form
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An official complaint form for filing grievances with the Texas Board of Professional Geoscientists.
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Credit Card Pre Authorization Form
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A form authorizing The Viva Center to charge credit card for services with pre-approved billing parameters.
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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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Official Travel Request Form
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Comprehensive travel request form for participants, volunteers, and staff to provide travel details and personal information for a trip.
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Professional Development Feedback Form
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A form designed to capture key learnings, implementation plans, and expected outcomes from a professional development session.
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Blood Body Fluid Exposure Report
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A form documenting blood or body fluid exposure incidents for students, tracking medical testing and follow-up procedures.
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Blood Drive
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Blood donation drive organized by American Red Cross at Mt. San Antonio College to collect blood donations.
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TEST REQUEST
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A comprehensive medical test request form for collecting patient information and specifying various laboratory tests to be performed.
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Health Insurance Claim Form
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Comprehensive form for collecting patient medical insurance information, health coverage details, and claim submission details.
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Blue Cross Blue Shield Insurance Claim Form
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A comprehensive medical insurance claim form for collecting patient and insurance information for medical service reimbursement.
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Member Claim Form
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A comprehensive medical claim form for submitting healthcare service expenses to Anthem Blue Cross insurance.
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Enrollment And Change Form
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Healthcare insurance enrollment and change form for selecting medical and dental coverage options through Blue Cross Blue Shield
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Santa Monica College Confidential Medical History
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A comprehensive medical history form for students to document personal health information and medical background.
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Board Training Registration Form
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A registration form for individuals interested in participating in board training sessions.
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BondMylar Applicant Contact
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Form for capturing contact information of the primary applicant and an alternate representative for a subdivision project's bonding and document review process.
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Termination Of Membership Form
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A form for members to officially resign from the Bonitas Medical Fund and terminate their medical scheme membership.
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Booking Form Dento Legal Essentials The Four Cs
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Registration form for a professional dental legal course covering consent, confidentiality, communication, and complaints handling.
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Simulation Lab Booking Request Form
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A form for booking clinical simulation learning spaces at the Centre for Interprofessional Clinical Simulation Learning.
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Booking Form IndividualFamily
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Registration form for booking outdoor survival courses with detailed booking conditions and personal information collection.
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F0008 BOOKING FORM
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A comprehensive form for registering participants for a training course, including individual and employer details, payment information, and terms and conditions.
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BDA Branch Section Event Registration Form
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Registration form for a BDA (British Dental Association) branch section event on Saturday 2 March 2024
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Book Order Form
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Order form for a commemorative book about the Michigan Society of Thoracic and Cardiovascular Surgeons' history.
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BostonSight (HIPAA) MEDICAL RECORDS RELEASE FORM
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A form that allows patients to grant permission for BostonSight to share their medical information with specified individuals or organizations.
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Suspect Foodborne Or Unknown Etiology Botulism Case Interview Form
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A detailed medical form for collecting comprehensive information about a potential botulism case, including patient demographics, clinical information, and medical history.
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Suspect Foodborne Or Unknown Etiology Botulism Case Interview Form
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A detailed medical form for collecting comprehensive information about a potential botulism case, including patient demographics, clinical information, and medical history.
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License Authorization Form
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A form for medical facilities to authorize product ordering and certify licensing for prescription drugs, medical devices, and controlled substances.
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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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ORIOLES LEASE AGREEMENT
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A lease agreement between the Maryland Stadium Authority and the Baltimore Orioles for Camden Yards, including potential ground lease and development options.
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AMWA Branch Annual Report Form
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Annual reporting form for branches of the American Medical Women's Association to document branch activities and leadership
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BRASSEl Pilar Program Medical Form
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Confidential medical history form for participants in an archaeological research program at El Pilar, collecting personal health information and emergency contact details.
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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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Patient Intake Form
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Comprehensive form for collecting patient and family medical contact information for pediatric medical practice.
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Brightline Employee Special Offers
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Transportation pass details for employees with special pricing between Miami, Fort Lauderdale, and West Palm Beach stations.
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Broughton Graduate Fellowship
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A monetary award to honor advanced scholarly research by graduate students at Russell Sage College in various academic schools.
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BRYC Elite Academy Medical Release Form
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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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Berkeley Lab Performance Review Process 2021
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LOEWENBERG SCHOOL OF NURSING HEALTH EXAMINATION FORM (FORM 003)
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Building Permit Application Form
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BuildOn Medical Form
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BUS100 Work Readiness
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A course focused on job market preparation, career goal setting, and workplace skills development for students.
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BUS TRIP OVERNIGHT MEDICAL RELEASE FORM
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Medical and contact information form for student campus visit, including health insurance and emergency contact details.
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Play At Own Risk Waiver And Participant Consent To Treat Form
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Legal waiver and medical consent form for participants in a regional basketball championship tournament
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Employment Application
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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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Loan Number 3414 CR Basic Education Rehabilitation Project
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Cadet Promotion Request Form
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Region 5 Weekend Educational
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DBPR 0070 Uniform Complaint Form Instructions
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Non Disclosure Agreement
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PatientS Information Form
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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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Camp LMU Registration, Informed Consent, Student Medical Release Form
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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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Campus Ministry Fellowship Application 2024 2026
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Application instructions and form for campus ministry fellowship program with the Catholic Diocese of Richmond for 2024-2026 academic years.
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Cancellation Form
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Cancer Claim Form
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Patient Intake Form
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Alternative Teacher Certification Program Candidate Handbook
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CANINE SUBMISSION FORM
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CAOS Fellowship Application Form
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Standardized Application For Pathology Fellowships
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MEDICAL HISTORY FORM
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Release Of Information Authorization Form
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Standardized Application For Pathology Fellowships
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Standardized Application For Pathology Fellowships
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Official application form for pathology fellowship candidates, covering personal information, education, and fellowship specialization preferences.
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Standardized Application For Pathology Fellowships
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Capsule Research Proposal Form
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Caregiver Consent Act Affidavit
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CAREGIVER CONTACT FORM
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Caregiver Medical History Form
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CaregiverS Authorization Affidavit
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Pre Authorisation Form Care
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Care Management Referral Form
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Mail Service Order Form
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Prescription Reimbursement Claim Form
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Prescription Reimbursement Claim Form
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Caring Dads Facilitator Training Accreditation Agreement
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CASE RESEARCH And DEVELOPMENT GRANT APPLICATION FORM
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Consent Form For Case Reports
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Research Equipment Sales Tax Exemption Form
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CASL Medical Release Form
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Medical History Form
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Mary Louise Mussell Student Travel Fellowship Application Form
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Counseling Program Student Evaluation Form
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Casualty Assessment Form
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Catastrophic Sick Leave Request Form
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Catholic Archdiocese Of Sydney Safeguarding Training Attendance Form
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Form for registering attendance at Safeguarding Training Sessions offered by the Catholic Archdiocese of Sydney
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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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Patient Medical Information Form
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Comprehensive medical intake and tracking form for patient demographics, facility details, and medical specimen information.
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MONTREAT COLLEGE ATHLETIC DEPARTMENT SPORT PREPARTICIPATION EXAMINATION FORM
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Program Health And Waiver Form
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Community Benefit Application Form
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College Course In Service Credit Application (Form CC 1)
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MophradatCCA Glasgow Residency Application Form
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Application form for a 3-month artist residency program in Glasgow from July to September 2018.
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Report Newsletters Submission Form
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Form for professionals to submit attestation of reading compliance newsletters for Continuing Education Units (CEUs)
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CCCC Medical Sonography Program Volunteer Informed Consent
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Consent form for volunteer scan models participating in medical sonography student training at Central Carolina Community College.
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Emergency InformationUpdate Form
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New Patient Intake Patient Medical History
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Center For Curatorial Leadership Fellowship Application Form 2012
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Application form for museum curators seeking leadership development through a comprehensive fellowship program in New York City.
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Certified Clinical Medical Assistant (CCMA) Online Hybrid Program Overview
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Pediatric Care Management Referral Form
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Cultural Competency Professional Development (CCPD) Credit By Attendance Form
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CCRE TIER 1 CREDIT APPLICATION FORM
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Cottonwood Crossing Summer Institute Health Information Form
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Course Proposal Form
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CDC 50.42A Adult HIV Confidential Case Report
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Comprehensive medical reporting form for documenting HIV cases for patients over 13 years of age, used by health departments and CDC for surveillance purposes.
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Authorization For Release Of Information
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CDL Program Guidelines
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A state program providing tax credits to employers for supporting Commercial Driver's License training for employees in Ohio.
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Commonwealth Of Dominica Physical Examination Report
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Pre Employment Medical Form
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Center For Drug Policy And Enforcement Graduate Fellowship Application
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Application for graduate students to become fellows at the Center for Drug Policy and Enforcement at the University of Baltimore.
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COVID 19 VACCINE CONSENT FORM
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CDPHP Co Pay Reimbursement Form
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Form for employees to submit medical co-pay expenses for reimbursement through Hudson Valley Community College's healthcare program.
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Certificate In Dance Teaching Application Form For Entry In Hong Kong 2025
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Application form for a part-time, distance-learning Certificate in Dance Teaching program starting in January 2025 in Hong Kong.
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Celiac Disease Diagnostic Testing Requisition Form
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Medical form for ordering celiac disease diagnostic tests, including patient and prescriber information and insurance details.
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Continuing Education Credits (CEC) Submission Form
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Form for landscape irrigation contractors to submit continuing education credits in New Jersey
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PATIENT REGISTRATION MEDICAL HISTORY FORM
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Comprehensive medical registration form for patient intake, collecting personal, contact, and insurance information for medical services.
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IIBEC 2020 Virtual Region II Meeting Electronic Attendance Form
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An electronic form for tracking attendance and continuing education credits for the IIBEC 2020 Virtual Region II Meeting.
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IIBEC 2020 Virtual Region V Meeting Electronic Attendance Form
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Electronic form for tracking attendance and continuing education credits for IIBEC Region V Virtual Meeting in 2020
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IIBEC 2021 Virtual Region V Meeting Electronic Attendance Form
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Attendance and continuing education credits form for IIBEC Region V virtual conference sessions
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Application Form For Certified Elected Municipal Official (CEMO) Program
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Application form for elected municipal officials seeking professional development certification through training credits.
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VCU RCDI G CENC External Concussion Diagnostic Interview
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CEN Portfolio Seminar Attendance And Summary
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Tracking document for students to record attendance and reflections for three required seminars during their graduation year.
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Center For Law And Social Science Fellowship Application Form
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Payment Plan Registration
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X RAY Requisition Form
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Medical imaging requisition form for hip and knee x-ray examinations with multiple location options
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Patient Referral Form
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MEDICAL RELEASE FORM
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Certificate Of Attendance Form
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Form used to confirm a child's status in full-time education or training for pension administration purposes.
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Certification Application Form
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Application for fitness and aerial performance arts certification courses offered by Aerial Arts America
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Certification Application Form
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Application form for obtaining professional certification in a sports-related field with multiple certification type options.
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Emergency Exam Cancellation Form
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Form for clinical research professionals to request fee waiver for exam cancellations due to emergencies or extenuating circumstances.
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Certification Volunteer Form
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Form describing volunteer opportunities for ASIS certification program panel participation and requirements for professionals with ASIS certifications.
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Certification Of Need And Waiver Of Liability (Prescription Delivery)
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A form for patients without transportation to receive prescription medication delivery, including liability release and risk assumption.
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In ServiceStaff Meeting Submission Form
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A form for documenting continuing education credits from in-service and staff meetings in healthcare settings.
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Boot Camp Guidelines For The MIOSHA Training Institute (MTI)
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Procedures and guidelines for conducting boot camp training sessions for the Michigan Occupational Safety and Health Administration Training Institute.
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Continuing Education Units (CEUS) Attendance Form
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Document for tracking professional continuing education unit attendance and certification details for Western Chapter International Society of Arboriculture (WCISA)
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Continuing Education Units (CEUs) CEU Declaration Form
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SPECIALIST CLIMBER Continuing Education Units Attendance Form
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Form for tracking and submitting continuing education units for ISA Specialist Climber certification.
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Continuing Education Units Attendance Form For Pre Approved Events
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Form for tracking and documenting continuing education units for International Society of Arboriculture certification professionals.
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MEDICAL FORM
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Confidential medical history form for collecting patient personal and health information for medical examination purposes.
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ASHA Continuing Education Units (CEUs) Instructions
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Guidelines for earning and registering Continuing Education Units through the United States Society for Augmentative and Alternative Communication conference
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Counselor Summer Institute Attendance Form
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A form for tracking session attendance and continuing education units (CEUs) during a counselor professional development event.
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Consent Form Checklist For Reliance On External IRBs
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Guidance for UCLA investigators creating site-specific consent forms when relying on external Institutional Review Board (IRB) approval.
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Certified Florist Registration Form
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Community Fire Rescue Academy Application
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Application form for individuals interested in attending the Fairfax County Fire and Rescue Department's Community Fire & Rescue Academy
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Foster Parent Training Credit Approval Form
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A form for foster parents to request training credit for professional development courses completed through the Illinois Department of Children and Family Services.
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OCCUPATIONAL MEDICAL HISTORY AND EXAMINATION FORM
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A comprehensive medical examination form for U.S. Coast Guard employees covering personal and occupational health information and potential workplace exposures.
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Usher Corps Training And Policies Manual
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Comprehensive manual outlining volunteer usher requirements, duties, and expectations for the Charleston Gaillard Center.
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Chain Saw Evaluation Form
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A comprehensive evaluation form for assessing chainsaw operator skills and safety practices in forestry operations.
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Chain Saw Evaluation Form
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A comprehensive form for evaluating chainsaw operator safety, skills, and equipment readiness for forest service workers.
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MEDICAL INFORMATION AND RELEASE FORM
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A comprehensive medical form for participants in Hartwick College Challenge Programs, collecting health information and liability acknowledgment.
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CHAMP Assessment Medical History Form
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Comprehensive medical history form for fitness assessment program, collecting health and exercise background information from participants.
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Change Of Address Form
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A form for updating contact and mailing information for licensed professionals through the Department of Health's Office of Professional Licensure and Health Planning.
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Change Of Address Form
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A form for updating contact information for licensed professionals with the Department of Health in the U.S. Virgin Islands.
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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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Chapter Guest Attendance Form
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A form for tracking chapter event details, guest attendance, and event type for the Ontario Association of Certified Engineering Technicians and Technologists.
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2020 WIOA Budget FORMs
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Instructions for completing workforce budget forms for the Chicago Cook Workforce Partnership, detailing budget requirements and training cost calculations.
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Operating Expense Grant Program Guidelines
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Guidelines for providing operating expense grants to Community Housing Development Organizations (CHDOs) for affordable housing development in West Virginia.
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Bridwell Library Fellowship Application Checklist
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A comprehensive application packet for fellowship opportunities at Bridwell Library, including details about application requirements and submission process.
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NEW PATIENT INTAKE FORM
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Comprehensive form for collecting new patient personal, contact, and medical information for a medical practice.
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Chief Judge Apprentice Record And Evaluation Form
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A form for tracking and evaluating the training and certification process for swimming officials becoming Chief Judges.
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Health Care Provider Exam Form
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A comprehensive medical examination form for tracking patient vaccinations, health status, and provider details.
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Child Care General Health Examination Form
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A health examination form for children entering child care programs, documenting their general health status and medical information.
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Child Care General Health Examination Form
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A medical form documenting a child's health status and conditions for child care program enrollment.
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Child Care General Health Examination Form
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A medical form documenting a child's health status and conditions for child care enrollment.
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Child Care Grant Application Form
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Grant application for AAPT national meeting attendees seeking financial assistance for child care expenses, with grants up to $400 available.
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Child Comprehensive Medical Release Permission Form
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Medical release and permission form for children participating in parish or diocesan activities, capturing health information, emergency contacts, and medical history.
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Application For Child Life Internship
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Application guidelines and requirements for internship positions at Children's Hospitals and Clinics of Minnesota's Child Life Department.
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Child Patient Intake Form
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Comprehensive intake form for children with cancer, collecting patient and family information for Rock Cancer Care services.
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Child Registration Form
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A comprehensive form for registering a child, collecting personal and insurance information for medical or childcare purposes.
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MEDICAL HISTORY CHILD
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Comprehensive medical history questionnaire for collecting pediatric health information and previous medical conditions.
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Calvary Baptist Church ChildrenS Ministry Participant Permission Medical Release
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A comprehensive permission and medical release form for children participating in Calvary Baptist Church ministry activities during 2024.
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Health Information Form
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Confidential health information form for participants in an international research program between Alabama A&M University and Nanjing Forestry University.
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Chiropractor, Chiropractic Radiological Technician, And Chiropractic Technician Continuing Education
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A form for obtaining approval of continuing education courses for chiropractors, chiropractic radiological technicians, and chiropractic technicians in Wisconsin.
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STUDENT HEALTH FORM
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Comprehensive health form for students to provide medical information and health status to an educational institution
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Department Of RadiologyImaging Services Pre Scheduling Evaluation Form
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Medical form used by physicians to request and evaluate imaging services, including patient details and medical history for CT or MRI scans.
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CLIENT REQUISITION FORM
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A comprehensive medical test requisition form for various health diagnostics including inflammation, lipids, metabolic, and other specialized tests.
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John Dolphin Fellowship Application Form
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Fellowship program supporting PhD researchers in separation science to attend international conferences, funded by the John Dolphin Trust.
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Chronic Illness Benefit Application Form
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An application form for patients seeking chronic illness benefits through the Glencore Medical Scheme, detailing submission requirements and contact information.
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Chronic Medical Condition Treatment Compliance Form
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Form documenting a patient's ongoing medical treatment and compliance with care standards for at least 6 months
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CI3T Feedback Form
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A brief feedback form used in training series to gather input from teachers and staff about intervention plans and gather insights for potential improvements.
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DirectorS Report For Construction Industries Division
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Memorandum detailing updates and initiatives from the New Mexico Regulation and Licensing Department's Construction Industries Division.
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Cigna Claim Form (Rev. 72015)
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A comprehensive form for submitting healthcare service reimbursement claims with patient, provider, and payment information.
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Medical Claim Form
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Form for submitting medical claims for fellows, trainees, and patients seeking international health insurance reimbursement.
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Business And Investment Facilitation Stepping Stones To Digital Government
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A UNCTAD note exploring how business and investment facilitation can serve as stepping stones to developing digital government capabilities in developing countries.
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CINTAS Fellowship Application Form 2022
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Application form for artists seeking a fellowship from the CINTAS Foundation, with sections for personal information, education, and professional achievements.
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CIRCA Faculty Research Fellowship (CFRF) Call For Proposals
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A fellowship program for full-time, tenured and tenure-track faculty members in Arts disciplines to support research and creative projects at UMBC.
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TEST REQUISITION FORM
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A laboratory test request form for clinical immunodiagnostic testing with patient and specimen information collection fields.
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Application Form Travel Fellowship
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Application form for academic travel fellowship to support research related to Spanish art and culture.
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Agency Online Training Civil Rights
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Training documentation form for recording civil rights training details for North Carolina Department of Agriculture and Consumer Services staff.
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2021 CIVME Research Grant Program Grant Application Instructions
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Instructions and guidelines for applying to the Council on International Veterinary Medical Education research grant program.
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Criminal Justice Institute Academy Programs
PDF template
Detailed overview of admission requirements and tuition costs for Basic Law Enforcement and Correctional Officer Academies at Valencia College's Criminal Justice Institute.
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AIA Miami CKLDP Agreement Form
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Participation agreement for the AIA Miami Leadership Development Program detailing attendance requirements and participant commitments.
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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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MEDICAL EXPENSE CLAIM
PDF template
Form for filing medical expense claims with Blue Cross and Blue Shield of Alabama when a healthcare provider does not file a claim directly.
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CIEE Claim Form
PDF template
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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Student Insurance Claim Form
PDF template
Insurance claim form for students to report medical examinations, illnesses, prescriptions, or injuries for insurance coverage.
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Claim Form Finder And User Guide
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Comprehensive guide to help healthcare providers select the appropriate claim form for various submission scenarios and corrections.
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Claim Form Finder
PDF template
Comprehensive guide for healthcare providers detailing claim modification forms and processes for Neighborhood Health Plan of Rhode Island.
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Details Of Hospital Claim Form Part B
PDF template
A comprehensive medical claim form for documenting patient hospital admission, treatment, and insurance claim details.
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Member Reimbursement Form For Medical Claims
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A form for patients to submit medical claims for reimbursement, detailing patient, subscriber, and provider information.
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Claims Reimbursement Form
PDF template
A comprehensive form for submitting medical claims for reimbursement, used by patients or healthcare providers to request payment for medical services.
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Course Evaluation Form
PDF template
A comprehensive survey to evaluate training effectiveness, instructor performance, and potential learning outcomes.
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Student Class Evaluation
PDF template
An evaluation form for students to provide feedback on educational programs and instructors in emergency medical services.
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Conference Attendance Report Form
PDF template
Form for classified employees to document conference attendance, learnings, and key insights from professional development events.
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Workforce Development Training Class Proposal Form
PDF template
A form for proposing and detailing a new workforce development or training class, including curriculum and logistical details.
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Class Waiver Form
PDF template
A form to request waiving a certification class requirement in the MSBO Voluntary Certification Program based on existing credentials or experience.
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Maurice A. Clay Leadership Development Grant Application
PDF template
A grant application form for leadership development programs focused on enhancing campus community engagement and leadership skills.
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PacificSource Enrollment Application
PDF template
A comprehensive group health insurance enrollment form for employees and their dependents to select medical and dental coverage.
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NEW PATIENT INTAKE FORM
PDF template
Comprehensive medical intake form for new patients seeking sports medicine and orthopedic consultation with Dr. Daniel A. Clearfield.
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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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CLE Attendance Form
PDF template
Continuing Legal Education attendance form for a seminar on 2024 legislative updates related to tobacco and excise tax in Indiana.
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Arkansas Continuing Legal Education Board Forms And Instructions
PDF template
Guidelines for approving and reporting continuing legal education activities conducted outside Arkansas for attorneys
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Clerical Evaluation Form
PDF template
Comprehensive performance evaluation form for clerical staff with rating scales covering job responsibilities, professional conduct, and workplace performance.
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2024 Scholarship Application
PDF template
Scholarship opportunity for Nebraska municipal clerks and deputy clerks to attend professional training institute/academy.
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FCBA Seminars Order Form
PDF template
Order form for purchasing seminar video downloads and handouts for FCBA events with pricing tiers for different membership categories.
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CLE Seminar Proposal Form
PDF template
A form for legal professionals to propose and submit a seminar for the State Bar Association's Continuing Legal Education program.
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Flatwork Finisher Client Affidavit Form Instructions
PDF template
Instructions for self-employed individuals seeking ACI Concrete Flatwork Finisher certification through client affidavits or performance examination.
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Cancer Services Client Intake Form
PDF template
Confidential intake form for cancer patients seeking free services in Erie, Huron, and Ottawa counties in Ohio.
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Cancer Services Client Intake Form
PDF template
Comprehensive intake form for cancer patients seeking free support services, collecting personal, medical, and financial information.
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Client Order Form
PDF template
A form for ordering training materials, manuals, and safety resources for emergency services professionals.
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CLIMBucknell MEDICAL FORM
PDF template
Medical history and emergency contact form for participants in a university climbing/ropes course activity
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CLINICAL BOOKING FORM
PDF template
A form for scheduling telehealth consultations and televisitation events for healthcare professionals.
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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 Incident Report Form 4.3
PDF template
A form documenting details of a clinical incident, including injury, location, witnesses, and actions taken.
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Nephrology Laboratory Test Requisition
PDF template
A clinical form for requesting laboratory tests related to complement system and nephrology research at Cincinnati Children's Hospital.
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HARKNESS CENTER FOR DANCE INJURIES PATIENT MEDICAL HISTORY FORM
PDF template
Comprehensive medical history form specifically designed for documenting dance-related injuries across multiple body regions.
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2024 2025 Nomination Of Classified Professional
PDF template
Nomination form for classified professionals to participate in a leadership development program within the Chabot - Las Positas Community College District.
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The Brody Family Medical Trust Fund Fellowship In Incurable Diseases
PDF template
A fellowship program supporting young scientists conducting research on incurable diseases, administered by The Philadelphia Foundation and The College of Physicians of Philadelphia.
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The Brody Family Medical Trust Fund Fellowship In Incurable Diseases
PDF template
A fellowship opportunity for medical researchers focusing on research in incurable diseases, administered by The Philadelphia Foundation and The College of Physicians of Philadelphia.
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Clock Hour Approval Application Form
PDF template
A form for educators to request and receive approval for professional development clock hours as required by Minnesota Administrative Rules.
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Clock Hour Proposal
PDF template
A form for educators to propose and document professional development training hours for credit and certification purposes.
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Clubs Emergency Contact Information
PDF template
School emergency contact and medical information form for recording student and parent contact details and health information.
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Medical History Form
PDF template
Comprehensive medical history form collecting patient's personal health details, family medical history, and lifestyle information.
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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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Contract Education Program Registration Agreement
PDF template
Registration form for continuing education courses with payment and policy details for non-credit and CEU contract courses.
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Exported Ultrasound Course Application And Purchase Form
PDF template
Application form for medical professionals seeking to participate in exported ultrasound training courses approved by the National Ultrasound Faculty (NUF)
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REQUEST FOR CMECEU REIMBURSEMENT
PDF template
Form for healthcare professionals to request reimbursement for continuing medical education courses and fees during the 2014 calendar year.
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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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Supervisor Evaluation Form
PDF template
A comprehensive form for evaluating clinical supervisors across various professional dimensions including rapport, enthusiasm, and communication.
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Centers For Medicare And Medicaid Services EDI Registration Form
PDF template
A registration form for healthcare providers to establish electronic data interchange (EDI) capabilities with the Centers for Medicare and Medicaid Services.
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Centers For Medicare And Medicaid Services EDI Registration Form
PDF template
Form for healthcare providers to register for Electronic Data Interchange (EDI) transactions with Centers for Medicare and Medicaid Services.
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Form CMS 116 (0324)
PDF template
Clinical Laboratory Improvement Amendments (CLIA) certification application for health laboratories seeking federal certification.
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HEALTH INSURANCE CLAIM FORM
PDF template
Standard medical insurance form for submitting healthcare claims and patient information for reimbursement purposes.
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Health Insurance Claim Form
PDF template
Official form for submitting medical insurance claims and capturing patient and insured party information.
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CMSP 215 Supplemental Application
PDF template
Application form for individuals seeking medical services coverage through the County Medical Services Program with rights and responsibilities outlined.
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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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Infant Medical History Form
PDF template
Comprehensive medical history form for pediatric patients covering medical tests, therapies, medications, developmental milestones, and birth history.
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CNHS Insurance Requirements Proof Of Health Insurance Form
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Form for documenting student health insurance coverage for clinical and practicum rotations in the College of Nursing & Health Sciences.
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Langston University Coaches Evaluation Form
PDF template
A comprehensive evaluation form for assessing university coaches' professional performance, conduct, and development.
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COACHING APPLICATION FORM
PDF template
Comprehensive form for individuals seeking to become sports coaches, capturing personal details, sports experience, and background information.
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Coaching Tool Kit Feedback Form
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A feedback form for evaluating a coaching experience and gathering insights on coach performance and client satisfaction.
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COAS Research And Development Grant Application Form
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Application form for research and development grants at the College of Arts and Sciences, detailing funding requirements and submission guidelines.
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Graduate Student Fellowship Expense Request Form
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A form for requesting adjustment to a student's cost of attendance based on additional research or professional development expenses
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Academic Conference Travel Approval Form
PDF template
Form for obtaining institutional approval and funding for academic conference travel with detailed expense tracking.
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Undergraduate Internship Handbook
PDF template
A comprehensive guide for students outlining internship policies, procedures, and requirements for academic credit through the Soules College of Business.
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Code Of Ethics Training Requirements (New Members)
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Guidelines for mandatory ethics training for new members of the National Association of REALTORS, requiring a minimum 2.5-hour orientation program.
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Commercial Outdoor Fee Based Activity (COFA) Application For Permit
PDF template
Application for commercial professionals to use dedicated city properties and parks for fitness and training services
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Referral Form
PDF template
A form for healthcare providers to request patient referrals and provide medical background information.
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Election To Fellowship Application Form
PDF template
Application form for professionals seeking fellowship status with the Chartered Insurance Institute (CII)
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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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COLOGUARD ORDER REQUISITION FORM
PDF template
Medical order form for Cologuard, a stool-based DNA test used for colorectal cancer screening
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COLOGUARD ORDER REQUISITION FORM
PDF template
Medical order form for Cologuard, a stool-based DNA test for colorectal cancer screening
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Insurance Claim Processing Instructions
PDF template
Instructions for submitting an insurance claim, including required documentation and processing details for Colonial Life & Accident Insurance Company.
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COLS Travel Policy For Undergraduate Students
PDF template
Policy detailing travel funding for undergraduate students presenting at professional meetings and conferences at the University of Wisconsin Oshkosh.
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New Patient Intake Form
PDF template
Comprehensive medical intake form for new patients to collect personal, contact, and health information for medical providers.
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AFI PRE AUTHORIZATION FORM FOR HOSPITALIZATION FROM PANEL NON PANEL HOSPITALS
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A form for obtaining pre-authorization for hospitalization from panel and non-panel hospitals for insurance coverage.
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NEW PATIENT REGISTRATION FORM
PDF template
Comprehensive form for new patient medical registration, including personal information, medical history, insurance details, and a physician-patient arbitration agreement.
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Model TEAMS PD District Tracking Form
PDF template
A tracking form for teachers to document and obtain approval for professional development sessions under the TEAMS contract in Alabama.
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COMM 394 01E Fall 2023 FDMCOMM Studies Internship
PDF template
A supervised internship course providing students with professional field experience in communication and film production companies, enabling hands-on learning and professional skill development.
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Building Permit Application (Other Than One Or Two Family Dwelling)
PDF template
Official form for obtaining a building permit for construction or renovation in the City of Woburn, required before beginning work.
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CommercialIndustrial Development Permit
PDF template
A municipal permit application for commercial or industrial development projects in Pendleton, Oregon, used to submit site and construction details for review.
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New York State Bar Association 2019 2020 Committee Volunteer Form
PDF template
A form for lawyers and legal professionals to apply for committee participation in the New York State Bar Association
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Common Child And Adolescent Psychiatry Application
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An application form and procedure guide for medical professionals seeking child and adolescent psychiatry residency programs.
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ResidencyFellowship Non ERAS Common Application Form
PDF template
Comprehensive application form for medical residency and fellowship candidates seeking placement at the University of Connecticut School of Medicine.
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Standardized Application For Pathology Fellowships
PDF template
A comprehensive application form for medical professionals seeking pathology fellowship training in various subspecialties.
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Communicable Disease Report For Healthcare Providers
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A comprehensive medical reporting form for healthcare providers to document communicable disease cases in Arizona.
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Marquette University ComMUnity Physical Therapy Clinic Referral Form
PDF template
A referral form for patients seeking physical therapy services at Marquette University's Community Physical Therapy Clinic.
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Community Meeting Checklist Form
PDF template
A comprehensive checklist for documenting essential discussion points and requirements for community meetings about development projects.
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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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School District Of Philadelphia Community Training Reimbursement Form
PDF template
Form for employees to request reimbursement for educational training expenses and transportation costs within the School District of Philadelphia.
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Competency Assessment Form For Advanced Standing
PDF template
A form for evaluating social work applicants' professional competencies based on the Council of Social Work Education standards
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Competency Assessment Form For Advanced Standing
PDF template
A form used to evaluate a social work student's professional competencies for advanced standing in a graduate program.
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Health Care Provider Complaint Form
PDF template
Official form for filing a complaint against a healthcare provider in Florida with detailed information requirements for investigation.
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Complaint Report Form
PDF template
Form for reporting patient complaints and potential protected health information disclosure at UW-Milwaukee
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The Wellness Plan ComplaintResolution Form
PDF template
A form for documenting patient complaints, concerns, and their resolution within a medical center's wellness plan.
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Complaint Resolution Form
PDF template
A formal document for lodging complaints against members of the Opticians of Manitoba professional organization.
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STEPSFORMS TO SEE DR. SENIOR
PDF template
Detailed guidelines for students seeking to schedule and attend a psychiatric appointment with Dr. Senior at Landmark College.
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Emergency Contact Form
PDF template
A form for students to provide emergency contact details and medical authorization for University of Detroit Mercy.
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Comprehensive Pain Assessment Form
PDF template
A detailed form for evaluating and documenting a patient's pain characteristics, intensity, and management goals.
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Authorization For Examination Or Treatment
PDF template
A medical authorization form for workplace-related medical examinations, testing, and treatment with comprehensive patient and service details.
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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 Waiver Form
PDF template
A waiver form requiring student athletes to acknowledge and report concussion symptoms to medical staff.
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Concussion Waiver Form
PDF template
A waiver form for student athletes acknowledging their responsibility to report concussion symptoms and potential injuries.
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Concussion Waiver Form
PDF template
A waiver form requiring student athletes to acknowledge their responsibility in reporting concussion symptoms and understanding concussion risks.
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Montana Newborn Screening Program Condition Nomination Form
PDF template
A form used by healthcare professionals to nominate new medical conditions for inclusion in Montana's newborn screening panel.
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Conference Attendance Certification Form
PDF template
A form for Huntington Union Free School District employees to document conference attendance for reimbursement purposes.
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Attendance Verification For Continuing Education Credit
PDF template
A form for individuals to document conference attendance and request Continuing Education Units from The Arc of Illinois.
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R.A.D. International Training Certification Conference Instructor Proposal Form
PDF template
A form for instructors to submit course proposals for the R.A.D. International Training & Certification Conference.
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ConferencePersonalSickVacation Leave Request Form
PDF template
A form for staff members to request various types of leave, including conference, personal, sick, and vacation time, with documentation requirements.
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Confidential Employee Evaluation Process
PDF template
A comprehensive document outlining the performance evaluation procedures and process for employees at Victor Valley Community College District.
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Confidential Medical History Form
PDF template
Comprehensive medical symptoms and conditions checklist for patient intake, covering multiple body systems and health concerns.
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Conflict Resolution Resources Program
PDF template
A structured, private, and informal conflict resolution resource for UC Merced staff to navigate workplace conflicts at the lowest level possible.
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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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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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Child Consent Form
PDF template
A comprehensive health screening form for children to assess medical history and vaccination readiness.
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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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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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Consent For Publication Form
PDF template
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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Minor Athlete General Consent Form
PDF template
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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Consent To Treat Form
PDF template
Parental consent form for chiropractic evaluation and treatment of a child, with specific limitations on diagnostic scope.
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Consent For Treatment
PDF template
Comprehensive patient consent document covering treatment, benefits assignment, privacy practices, and telemedicine consent for Kentucky Cardiology medical services.
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Authorization For Medical Treatment Of Child
PDF template
A form allowing school representatives to consent to medical treatment for a student when parents cannot be reached during an emergency.
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Providence Mountain Emergency Services Consent To Treat Form
PDF template
Medical release and emergency treatment authorization form for participants in Providence Mountain program from December to May.
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Consent To Treat Release Form
PDF template
A form authorizing Woodward School to secure medical treatment for a student in emergency situations when parents cannot be immediately contacted.
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USA Hockey National Championships Consent To TreatMedical History Form
PDF template
A comprehensive medical history and consent to treat form for USA Hockey participants, covering emergency contact, medical history, and insurance information.
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CONSENT TO TREAT MINOR CHILDREN
PDF template
A legal form allowing parents or guardians to provide medical treatment consent for a minor child when the parent is not immediately available.
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USA Hockey National Championships Consent To TreatMedical History Form
PDF template
Medical consent and history form for USA Hockey participants, allowing medical treatment and collecting health information for emergency purposes.
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Medical Release Form (For Students Under The Age Of 18)
PDF template
A consent form allowing medical treatment for students under 18 when parents/guardians cannot be immediately contacted.
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Consent, Waiver, Release And Indemnity Agreement
PDF template
Legal document outlining participant consent, risk assumption, and liability waiver for international medical exchange programs.
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Construction Excise Tax Exemption Form
PDF template
A form for developers or property owners to claim exemptions from construction excise tax in the Newberg School District for specific types of improvements.
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Terms Of Reference Consultancy For One Day Basics Training In Digital Marketing And Social Media Man
PDF template
Terms of reference for a one-day training on digital marketing and social media management for the CROSQ's Marketing Information Knowledge Management and Education Committee.
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Terms Of Reference Digital Marketing And Social Media Management Training
PDF template
Terms of reference for a one-day training on digital marketing and social media management for the CROSQ's Marketing Information Knowledge Management and Education Committee.
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Pathology Consult Request Form
PDF template
A form for requesting pathology consultation and case review between medical institutions.
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Consulting Agreement
PDF template
A formal agreement outlining consulting services, compensation, and terms between the University of Missouri and a consultant.
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Consulting Request Form
PDF template
A form for employees to request permission and document details of external consulting activities
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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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Federal RetireeS Master Contact List
PDF template
Comprehensive contact list for federal retirees to manage benefits, services, and important resources.
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Juvenile Probation Officer Continuing Education Submission Form
PDF template
Form for Juvenile Probation Officers to document and submit continuing education hours for certification renewal.
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Content Evaluation Form
PDF template
A comprehensive form for evaluating postdoctoral teaching content and course materials in an academic setting.
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Continued Competency Activity And Assessment Form
PDF template
A form for physical therapists and physical therapist assistants to document continuing education and active practice hours for license renewal.
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NATE Continuing Education Hours Attendance Form
PDF template
Form for documenting and tracking continuing education hours for NATE-certified technicians to maintain professional certification.
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NATE Continuing Education Hours Attendance Form
PDF template
A form for HVAC technicians to document and submit continuing education hours for NATE certification renewal.
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CSASK Continuing Education Hours (CEH) Requirement And CEH Verification Of Participation Form
PDF template
Guidelines for continuing education hours required for CSASK audiology and speech-language pathology practitioners to maintain their professional license.
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Consulting Services Agreement
PDF template
Agreement between Saskatchewan Information and Privacy Commissioner and Bravo Tango Advertising Firm for website design and platform development.
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Corporation And Foundation Contact Approval Form
PDF template
A form for obtaining approval to contact corporations or foundations for potential funding or partnership opportunities.
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Contract For Professional Services
PDF template
A contract between Lower Gwynedd Township and a developer for professional review services related to a property development proposal
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Contract Request Form (CRF)
PDF template
Form for healthcare providers to request a contract and credentialing with Molina Healthcare
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McLaren Flint Foundation Contribution Form
PDF template
Fundraising form for making charitable donations to McLaren Flint Foundation with multiple designated giving options.
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Annual Controlled Substance Inventory Form
PDF template
A form for tracking and documenting annual physical inventory of controlled substances as required by state and federal regulations.
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Student Pre Evaluation Form Purpose, Instructions, And Examples
PDF template
A self-assessment tool for students to evaluate their core professional competencies before and after internship or co-op experiences.
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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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Corrected (Replacement)Voided Claim Request Form
PDF template
A form used to correct or void previously processed healthcare claims with specific submission requirements.
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PROJECTACTIVITY PROPOSAL FORM
PDF template
A form for faculty to request funding for professional development and scholarly activities with a maximum request of $3,000.
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Counseling Student Annual Self Evaluation Form
PDF template
A comprehensive self-evaluation form for counseling graduate students to reflect on their academic progress, professional development, and future goals.
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RPCI.GEN.LAB.PATH.Frm.0023.00 Delivery Form
PDF template
A form for tracking and delivering medical laboratory samples between locations.
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APPLICATION FOR APPROVALRENEWAL OF REAL ESTATE EDUCATION COURSE
PDF template
A form used by educational providers to apply for or renew real estate education courses with the South Dakota Real Estate Commission.
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Course Approval Form And Reimbursement Request Form
PDF template
A form for employees to request approval and potential reimbursement for educational courses or training.
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REQUEST FOR PERMISSION TO TAKE COLLEGEUNIVERSITY COURSE(S) FOR SALARY STEP ADVANCEMENT CERTIFICATE
PDF template
A form for certificated personnel to request pre-approval of graduate coursework for salary step advancement in the Fallbrook Union Elementary School District.
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COURSE DELIVERY FEEDBACK FORM
PDF template
Evaluation form for assessing course delivery, instructor performance, and training experience for RTITB certification.
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Fire Service Training Course Delivery Form
PDF template
A form for submitting fire service training course details and exam scheduling to the Division of Fire Safety in New Jersey.
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Course Evaluation
PDF template
A comprehensive evaluation form for assessing course quality, instructor performance, and training effectiveness at Bucks County Community College.
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Course Evaluation Form
PDF template
Feedback form for court reporters to evaluate continuing education training sessions and presenters.
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Lay Servant Ministries Course Feedback Form
PDF template
Evaluation form for assessing learning experience and course effectiveness in Lay Servant Ministries training
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Call For Course Proposals
PDF template
Invitation for new noncredit course proposals for Continuing Education & Training department at MCTC with specific semester submission deadlines.
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RPSTC Course Registration Form
PDF template
Registration form for students enrolling in public safety training courses at American River College's Regional Public Safety Training Center.
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Illinois Department Of Revenue Class And Home Study Exam Registration Form
PDF template
Registration form for tax education classes and home study exams offered by the Illinois Department of Revenue
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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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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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COVID 19 DISABILITY FORM
PDF template
A comprehensive medical information form designed to help healthcare providers understand and support patients with disabilities during COVID-19 related medical treatment.
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Medical Information Request Form For COVID 19 Temporary Reasonable Accommodation For Faculty, Admini
PDF template
Form for Fordham University employees to request workplace accommodations related to COVID-19 high-risk medical conditions
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COVID 19 OTC Test Reimbursement Form
PDF template
Form for submitting reimbursement claims for personally purchased FDA-approved COVID-19 over-the-counter tests.
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COVID 19 PERSONAL HEALTH RISK ASSESSMENT FORM
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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COVID 19 SPECIMEN SUBMISSION FORM
PDF template
Form for submitting COVID-19 test specimens to the Massachusetts State Public Health Laboratory for PCR testing.
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COVID 19 TESTING PATIENT INTAKE FORM
PDF template
Demographic and medical intake form for COVID-19 testing in compliance with CARES Act reporting requirements.
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COVID 19 Order Form
PDF template
Medical form for collecting patient information and COVID-19 specimen details for testing purposes.
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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
PDF template
A legal consent form for receiving the COVID-19 vaccine, detailing risks, acknowledgements, and patient agreements.
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NEW PATIENT INTAKE FORM
PDF template
Comprehensive medical intake form for new patients at a women's wellness practice, collecting personal and medical information.
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Medical Form For Volunteers
PDF template
A comprehensive medical screening form for volunteers to assess health status and eligibility for participation in Camp Promise/Jett Foundation programs.
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Medical Form For Campers
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A comprehensive medical form for documenting a camper's health status, medical history, and physical examination details for participation in Camp Promise/Jett Foundation programs.
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CPD Audit Form Guidelines
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Guidelines for completing a Continuing Professional Development audit for professionals, detailing documentation requirements and exemption options.
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Psychology Doctoral Internship Program 2018 2019
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Detailed handbook for a psychology doctoral internship program at the Federal Correctional Institution in Tallahassee, Florida, providing comprehensive training for psychology doctoral students.
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PSYCHOLOGY DOCTORAL INTERNSHIP PROGRAM
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Doctoral psychology internship program at the Federal Correctional Institution in Tallahassee, Florida for training psychology professionals in a correctional setting.
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KSU Campus Employee Registration Form
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Registration form for KSU campus employees to request permission to attend a professional education course with supervisory approval.
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CpE 195 Internship Student Evaluation Form
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A comprehensive form for employers to assess and provide feedback on computer engineering internship students' performance and potential.
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CAREER PATH INTERNSHIP (CPI) AGREEMENT FORM
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A comprehensive form for students to document and formalize their professional internship experience at Idaho State University.
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Center For Public Safety Innovation Graduate Fellowship Application
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Application details for graduate students seeking a fellowship at the Center for Public Safety Innovation at the University of Baltimore.
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California Physical Therapist Employment Toolkit
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A comprehensive resource for physical therapists exploring career paths, including starting a practice, becoming an independent contractor, or finding new employment.
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CPT Application Form
PDF template
Form for international students at St. Thomas University to apply for Curricular Practical Training (CPT) work authorization.
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Center For Pediatric Therapies Volunteer Application Form
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A comprehensive application form for potential volunteers at the Center for Pediatric Therapies, including medical and contact information.
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Publications Order Form
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Order form for obtaining free safety and health materials for construction workers from CPWR, including Hazard Alert Cards and special publications.
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APPLICATION CITY OF MENTOR COMMUNITY REINVESTMENT AREA TAX EXEMPTION PROGRAM
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Application for tax exemption for new structures or remodeling projects in the City of Mentor's Community Reinvestment Area program.
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CRAFFTN Interview Form
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A confidential medical screening form for assessing substance use and potential risks among adolescents or young adults.
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Physical Examination Form
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Comprehensive medical examination form for assessing physical fitness, likely for occupational certification purposes.
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FINRA Foundations Of CRD Registration Form
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Registration form for FINRA training session on CRD/IARD foundations for compliance and registration staff
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Patient Medical Intake Form
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Medical intake and financial responsibility form for orthopedic patient evaluation, specifically for injury-related medical treatment.
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Credit Card Pre Authorization Form
PDF template
A form authorizing Creekside Counseling + Wellness to charge client's credit card for services, copayments, and fees.
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Credit Card Pre Authorization Form
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Form authorizing Valleycare Gastroenterology Medical Group to charge credit card for patient balances and medical services
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Clinical Research Education Training Program (CRETP) Application Student Evaluation Form
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A form used to evaluate student characteristics and potential for participation in a clinical research training program.
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Clinical Research Fellowship Application Form 2023
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A comprehensive application form for researchers seeking a clinical research fellowship focused on lung cancer research.
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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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PhysicianS Mammography Evaluation Form
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Detailed assessment form for evaluating mammography image quality and technical standards.
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DMMA Critical Incident Form
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A comprehensive form for documenting and reporting critical incidents involving healthcare members or patients.
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Fellowship Awards Programme Call For Applications For Funding In 2025 Application Guidelines And Con
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Guidelines for researchers seeking fellowship funding from the OECD Co-operative Research Programme for scientific research in food, agriculture, forests, and fisheries.
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Course Delivery Form
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A form for submitting fire service training course details and exam scheduling to the New Jersey Department of Community Affairs, Division of Fire Safety.
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Informed Consent Self Assessment Form
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An electronically fillable PDF version of the Informed Consent Self-Assessment tool to help study teams evaluate their informed consent process.
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CLINICAL GENETICS PROGRAM REFERRAL FORM (GENERALPRENATAL)
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A medical referral form for genetic consultation and testing services, used by healthcare providers to submit patient referrals for genetic assessment.
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CSA Workshops Booking Form
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Booking form for CSA workshops covering deliverability, legal topics, and comprehensive training with pricing details and data privacy options.
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Hepatitis C Virus (HCV) Treatment Procedure
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Montana Department of Corrections clinical procedure for monitoring and treating Hepatitis C Virus among offenders in secure care facilities.
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CSFA Reimbursement Form SAFER Award
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Reimbursement form for volunteer firefighters seeking physical examination and personal protective equipment (PPE) funding.
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The Pathway To SLP Licensure, Certification And Credentialing In California
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A comprehensive guide outlining the steps for obtaining licensure, certification, and credentialing for speech-language pathologists in California
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Committee For Specialist International Medical Graduate Education (CSIMGE) Area Of Need Ongoing Asse
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Comprehensive evaluation form for assessing international medical graduates' clinical performance, professional skills, and competencies in a medical setting.
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Employer Support Declaration Form
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A form documenting employer support for an international medical graduate's pathway to fellowship with the Royal Australian and New Zealand College of Psychiatrists (RANZCP)
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Intern Evaluation Form
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A comprehensive form for assessing an intern's performance across multiple professional competencies and behaviors.
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Volunteer Application Form
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Application form for prospective volunteers interested in providing crisis support for sexual assault survivors at SACHA in Hamilton.
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Required Consent For Release Of Information
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A consent form for releasing a child's medical, mental health, and treatment information for intensive mental health services coordination in New York City.
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Colorado State University Pueblo Event ParticipationMedical Form
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Comprehensive medical form for capturing participant health information, emergency contacts, and medical history for Colorado State University Pueblo events.
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Circulating Tumor Cell Core Laboratory Requisition Form
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A requisition form for submitting samples to the Circulating Tumor Cell Core Laboratory for enumeration and profile analysis.
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CTE Hospital Occupations Internship Class Application Form
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Application for high school students to participate in a medical internship program at UCI Medical Center, involving job shadowing and clinical skills training.
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CT, MRI And MRA Order Pre Authorization Form
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A comprehensive form for ordering CT, MRI, and MRA medical imaging exams with detailed patient and clinical information requirements.
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CPT Codes List
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Comprehensive list of Current Procedural Terminology (CPT) codes for various CT and diagnostic imaging procedures.
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Contract For Customized Training
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A contract between the Washington State Board for Community & Technical Colleges, a business, and a training institution for employee training services.
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CTR Informational Interview Form
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A structured template for students to conduct professional interviews about career and graduate school opportunities.
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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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Cub Scout Activity Waiver Form
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A waiver form for youth and adult participation in Cub Scout activities, addressing medical and safety requirements.
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Attending Physician Statement
PDF template
Medical documentation form used to assess patient's medical condition and ability to work for disability evaluation purposes.
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SHORT TERM DISABILITY CLAIM FORM
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Form for employees to file a claim for short-term disability benefits, including personal and employment details.
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REFERRAL FORM B Specialist
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A medical referral form used by Citrus Valley Physicians Group to request specialist services and track patient referrals.
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Prescription Reimbursement Claim Form
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A form for submitting prescription medication reimbursement claims, including patient and pharmacy information, insurance details, and claim reasons.
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Child Welfare Caseworker Competency Based Screening Curriculum
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A comprehensive training curriculum for screening and selecting child welfare caseworkers, designed for supervisors and administrators.
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How To Register For Workforce Development Courses
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Registration form for non-credit courses offered by Nassau Community College's Center for Workforce Development.
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Patient Registration Form
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A comprehensive medical intake form for collecting patient personal and insurance details for healthcare services.
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Application For Appointment In Cytopathology Fellowship Program
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Application form for medical professionals seeking a fellowship in cytopathology at the University of Massachusetts Medical School/UMass Memorial Health Care.
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Pathology Requisition Cytology
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Medical form for collecting patient cytology test information, clinical history, and diagnostic details for gynecological testing.
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Coastal Zone Management Permit Process
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A comprehensive guide to the coastal zone management permit application process in the Virgin Islands, detailing minor and major permit procedures.
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TRAINING GUIDE ASBESTOS
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A training guide focused on educating workers about the dangers of asbestos exposure and necessary safety precautions.
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OSHA Resource Center Loan Program
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A program that provides safety training videos in English and Spanish for qualified borrowers from the OSHA Resource Center.
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Consent For The Medical Treatment Of A Minor
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A consent form authorizing medical treatment for a minor student at Sam Houston State University Health Center with payment responsibility details.
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Request For Records Disposition Authority
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Official document detailing records disposition for Commissioned Corps Officers in the U.S. Department of Health and Human Services.
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Summer 2022 Diversity Action Committee (DAC) Fellowship
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Fellowship opportunity for curriculum diversification and diversity research at Siena College for summer 2022.
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Medical Form Requirements
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Comprehensive guide for medical form requirements for Boy Scouts of America camps and activities in Colorado.
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New Family Welcome Packet
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Comprehensive welcome packet introducing new families to the 4-H youth development program and its core principles.
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Disciplinary Actions Form
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Monthly report documenting disciplinary actions against licensed professionals in Tennessee by regulatory boards.
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MEDICAL INQUIRY FORM IN RESPONSE TO AN ACCOMMODATION REQUEST
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A medical form used to assess an employee's disability status and potential need for workplace accommodations under the Americans with Disabilities Act (ADA).
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PARKING ACCOMMODATION STATEMENT OF MEDICAL NECESSITY
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Medical certification form for employees requesting parking accommodations due to disability or medical limitations
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New Provider Data Form
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Comprehensive registration form for medical providers to submit personal and professional information for onboarding with CHS Medical Group.
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New Provider Data Form
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Comprehensive form for medical providers to submit personal and professional information for registration with CHS Medical Group.
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VISIT BALTIMORE TOURSIM ECONOMICS DATA ANALYTICS FELLOWSHIP PROGRAM Application Form
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Application form for a data analytics fellowship program targeting diverse college graduates in Baltimore, focusing on employment and educational background.
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DocuSign Analyzer Datasheet
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An AI-driven tool that helps organizations analyze, negotiate, and review incoming agreements more efficiently by extracting key terms and generating risk scorecards.
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SSM Health Davis Duehr Dean Eye Care Referral Form
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Medical referral form for patients needing eye care services at SSM Davis Duehr Dean Eye Care clinic, used to transmit patient and clinical information.
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Health Competencies Checklist (Rev. 1.19.17) DMAS P244a
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A checklist designed to ensure consistent expertise among Direct Support Professionals and Supervisors supporting individuals with Developmental Disabilities in Virginia's service system.
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Interpreter Evaluation Form
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A comprehensive form to evaluate the performance and skills of medical interpreters across multiple dimensions of communication and professionalism.
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Dynamic Budget Projections Version 2022 Purchase Form
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A purchase form for acquiring Dynamic Budget Projections training materials with multiple payment options.
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Emergency Consent Form
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A medical consent form that allows parents or guardians to provide advance authorization for emergency medical treatment of a child.
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Emergency Medical Release
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A comprehensive medical release form for participants, collecting emergency contact, health, and treatment authorization information for minors.
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Adult Patient Intake Form
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A comprehensive form for collecting patient medical history, personal information, and health details for treatment planning.
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DCTD Tumor Repository International Shipping Form
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A form for shipping tumor repository samples internationally, used by researchers to request and document biological material shipments.
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Uniform Consultation Referral Form
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A comprehensive form for healthcare providers to refer patients to consultants, detailing patient, provider, and referral information.
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DD Form 2807 2 Medical Prescreen Of Medical History Report
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A form used by military recruiters to pre-screen medical history of potential military service applicants for the United States Armed Forces or Coast Guard.
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DD FORM 2876 3, TRICARE PRIME ENROLLMENT, DISENROLLMENT, AND PRIMARY CARE MANAGER (PCM) CHANGE FORM
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Official Department of Defense form for enrolling, disenrolling, or changing primary care managers in the TRICARE Prime healthcare program.
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DD FORM 2876 TRICARE PRIME ENROLLMENT, DISENROLLMENT, AND PRIMARY CARE MANAGER (PCM) CHANGE FORM
PDF template
A Department of Defense form for enrolling, disenrolling, or changing primary care managers in the TRICARE Prime healthcare program.
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DEA Order Form 222
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Official form for ordering Schedule I and II controlled substances from authorized suppliers, requiring detailed tracking and record-keeping.
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DECA ICDC 2023 Registration Guide
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Official registration and permission form for DECA conference attendance, including medical authorization and conduct agreement.
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Diver Medical Questionnaire Additional Declarations COVID 19
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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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Decode Duchenne Test Requisition Form
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A comprehensive genetic testing requisition form for patients with suspected or confirmed Duchenne or Becker muscular dystrophy
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Declaration Of Primary State Of Residence Form Under The Nurse Licensure Compact
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Form for nurses to declare their primary state of residence and practice under the Nurse Licensure Compact
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License Agreement For Diabetes Empowerment Education Program
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A licensing agreement between the University of Illinois and a licensee for the use and distribution of the Diabetes Empowerment Education Program
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BIRTH TO TWENTY DELIVERY FORM
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Comprehensive medical form documenting pregnancy and childbirth details for medical research and tracking.
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UCF Graduate Fellowship Application Delores A. Auzenne Fellowship
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Fellowship application for minority graduate students at the University of Central Florida offering $5,000 annual support for full-time students.
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Dental Claim Form
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A standardized form for submitting dental insurance claims, tracking patient treatment, and requesting predetermination or preauthorization.
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Patient Intake Form
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Comprehensive patient registration form collecting personal, contact, and insurance information for medical practice.
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Demographics And Insurance Form Surgery Registration
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Comprehensive patient intake form for surgical procedures, collecting patient demographics, insurance, and medical contact information.
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DENTAL CONE BEAM CT REFERRAL FORM
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A medical referral form for dental cone beam CT imaging studies with patient and physician information collection.
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Proof Of School Dental Examination Form
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Official form documenting student dental health examination for Illinois school children in specific grade levels as required by state law.
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WCTC Dental Hygiene Clinic MEDICAL HISTORY FORM
PDF template
Comprehensive medical history form for patients at a dental hygiene clinic, collecting personal information and medical conditions.
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Dental Hygiene Consent Form
PDF template
A comprehensive consent form outlining patient expectations, treatment policies, and administrative guidelines for dental services.
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PATIENT MEDICAL HISTORY FORM
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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
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A mandatory dental health screening form for children entering public school in Kentucky, documenting dental health status and examination details.
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Patient Referral Form
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A comprehensive medical and dental referral form for patient intake and specialist consultation at Boston Children's Hospital dental services.
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Medical History Form
PDF template
Comprehensive medical history form collecting personal health information, medical background, and current health status.
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Delaware Association Of Professional Engineers Continuing Professional Competency Assessment Form
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A form for documenting continuing professional competency activities for licensed professional engineers in Delaware.
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Dependent And Elder Care Professional Travel Grant Program Reimbursement Form
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A form for faculty to request reimbursement for dependent care expenses incurred during professional travel.
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Department Of Human Communication Studies Internship Policies And Procedures
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Comprehensive guidelines for students seeking internships in the Department of Human Communication Studies, outlining application requirements and procedures.
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Training And Experience Evaluation Form
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A comprehensive application form for the position of Deputy Fire Chief in the Spokane Fire Department, designed to evaluate candidate qualifications.
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Dermatology Medical History
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Comprehensive medical history form for dermatology patients to document health conditions, medications, and allergies.
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DERMATOLOGY MEDICAL HISTORY FORM
PDF template
Comprehensive medical history form for dermatology patients to document existing health conditions, medications, and potential skin-related medical concerns.
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Dermatopathology Requisition Form
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Medical form for submitting wet or fresh tissue specimens for dermatopathology analysis and diagnostic testing.
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CommercialMulti ResidentialIndustrial Detailed Guide To Building Permit Applications
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A comprehensive guide for submitting building permit applications for commercial, multi-family, and industrial projects in the City of Nanaimo.
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Application For Direct Equity Investment (DFC 001B)
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An official form for submitting an application for direct equity investment through the United States International Development Finance Corporation.
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Shipping Assessment Form
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A comprehensive form for assessing and documenting shipments of various materials to and from Weill Cornell Medicine, requiring detailed information about shipping contents and requirements.
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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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REFERRAL FOR CONSULT OR PROCEDURE
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Medical referral form for patients seeking consultation or procedures at Stanford Health Care's Digestive Health and Liver Clinic
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Patient Medical History Form
PDF template
Comprehensive medical history form for collecting patient personal information, contact details, and health status.
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Type 2 Diabetes Risk Assessment Form
PDF template
A screening tool to evaluate an individual's risk factors for developing type 2 diabetes through a points-based assessment.
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Request For Diagnostic Imaging
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Medical form for requesting and scheduling diagnostic imaging procedures such as X-Ray, Ultrasound, CT, and Nuclear Medicine.
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NWU2014 04 01 Participant Contact Form Data Dictionary
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A data dictionary for documenting participant contact form variables and metadata for a research study.
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MDA2016 08 02 Study Specimen Shipping Form Blood Data Dictionary
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A data dictionary detailing the variables and specifications for a blood specimen shipping form used in a medical study.
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MDA2014 04 01 Specimen Shipping Form Tissue Data Dictionary
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A comprehensive data dictionary for tracking and recording specimen shipping information for tissue samples across multiple medical institutions.
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Student Record Card 6
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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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Stanford Health Care Referral For Consult Or Procedure
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A medical referral document for patients seeking consultation or procedures at Stanford Digestive Health and Liver Clinic.
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DIGITAL DATA AFFIDAVIT FORM
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A form for submitting digital plans and documents to the Town of East Hartford Planning and Zoning Commission with professional certification.
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DIGITAL SLIDE ORDER REQUEST FORM
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A form for requesting digital slide scanning services at UCLA with options for magnification, scanner type, and image delivery method.
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Travel ApprovalReimbursement Request
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A comprehensive form for employees to request and document travel expenses and reimbursement at McLennan Community College.
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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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Directed Inquiry (KINE 798) Proposal Form
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A comprehensive guide for graduate students in Kinesiology to propose and complete a directed inquiry research experience.
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Athlete Registration Form, Athlete Release Form Athlete Medical Forms
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Detailed guide for completing and submitting athlete registration and medical documentation for participation.
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Molina Healthcare Of California Direct Referral To Specialist
PDF template
A referral form for Molina Healthcare members to receive specialized medical services within their network of contracted specialists.
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VCHCP PCP DIRECT REFERRAL FORM
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A medical referral form for primary care physicians to refer patients to contracted specialists within the Ventura County Health Care Plan network.
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DIS 101C V7 EMPLOYEE STATEMENT DISABILITY CLAIM FORM
PDF template
A comprehensive form for employees to file a disability claim for short-term or long-term disability benefits.
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SUPPLEMENTAL DISABILITY CLAIM FORM
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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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Disability Claim Form
PDF template
A comprehensive form for submitting a disability insurance claim, detailing the policyholder's medical condition and disability status.
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Delta Pilots Mutual Aid Disability Claim Form
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Disability claim form for Delta pilots to request benefits and authorize medical information release and payment processing.
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Short Term Disability Claim Form
PDF template
A comprehensive form for employees to file a claim for short-term disability benefits, requiring input from the employee, employer, and attending physician.
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Disability Claim Form Instructions
PDF template
Comprehensive instructions for filing a disability insurance claim with sections for physician, claimant, and employer statements.
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Disability Claim Form
PDF template
A comprehensive form for filing a disability claim with medical and employment details for Teamsters Joint Council No. 83 members.
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Disability Claim Form
PDF template
A comprehensive form for filing a disability claim through the Teamsters Joint Council No. 83 of Virginia Health & Welfare and Pension Funds.
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Continuing Disability Claim Form
PDF template
A comprehensive form for filing a disability insurance claim covering various types of disability and patient information
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N 648 Medical Certification For Disability Exceptions
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Guidelines for medical professionals assessing disability exceptions for refugees seeking U.S. citizenship, focusing on comprehensive and culturally sensitive evaluation methods.
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Short Term Disability Reporting Form
PDF template
A reporting form for employees to document short-term disability leave and absence from work due to illness or non-work related injury.
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Supplementary Disability Claim Form
PDF template
A form used to submit disability claims, requiring details from both the claimant and attending physician about an employee's inability to work.
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SI 11268 Your Disability Benefit Claim
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Application packet for submitting a long-term disability benefits claim, including instructions for completing required forms.
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Adapted Physical Education Program Medical Form
PDF template
Medical form documenting student's disability, exercise limitations, and physical capabilities for adapted physical education program participation.
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How To File A Claim For Weekly Disability Benefits
PDF template
Comprehensive guide for filing a disability benefits claim, including required documentation and medical certification requirements.
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Discharge Form
PDF template
A form used to document patient discharge from a healthcare facility with multiple completion options.
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Discharge And Follow Up Recommendations
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Guidelines for healthcare personnel on discharge and follow-up care for patients who have experienced assault, including medical and mental health considerations.
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DISCHARGE PLANNING INPATIENT STANDARDS
PDF template
A comprehensive protocol detailing the procedures and responsibilities for patient discharge from an inpatient healthcare facility.
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Pediatric Discharge Summary Template
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A comprehensive template and instructions for creating a pediatric patient discharge summary with detailed guidelines for documentation.
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Disciple Bible Study Student Feedback Form
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A comprehensive feedback form for evaluating a Bible study course, covering facilities, instructor performance, and course content.
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License Disciplinary Action Form
PDF template
Official form for reporting license disciplinary actions for psychology professionals in California
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Discussion Period Request Form
PDF template
Form for healthcare providers to request a review of a claim determination and provide additional supporting documentation within a 30-day period.
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International Medical History Form
PDF template
Comprehensive medical form for collecting personal health information, emergency contacts, and medical history for international travel purposes.
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Alumni Award Nomination Form
PDF template
Nomination form for recognizing outstanding alumni achievements and contributions to their profession or community.
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District Contact FormApplication Supplement
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A required form for candidates in the TCSJ IMPACT Intern Credential Program to provide personal, emergency, and employment information.
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MLML AAUS Diving Medical Form
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Medical examination form for assessing fitness of scientific divers, detailing potential disqualifying medical conditions for diving certification.
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DIVING MEDICAL HISTORY FORM
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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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UM Diver Proof Of Insurance Form
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Form requiring proof of medical insurance coverage for potential scuba diving accidents and hyperbaric oxygen therapy
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UM Diver Proof Of Insurance Form
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A form requiring divers to prove they have medical insurance coverage for potential scuba diving accidents involving hyperbaric oxygen therapy.
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Graduate Diversity Fellowship Application Form
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An application form for graduate students seeking a diversity fellowship at SUNY State College of Optometry.
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DIZZINESS BALANCE MEDICAL HISTORY QUESTIONNAIRE
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Comprehensive medical questionnaire for patients experiencing dizziness, balance issues, and related symptoms
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NC Medicaid Hospice Prior Approval Authorization Form
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A form for healthcare providers to request prior authorization for Medicaid hospice benefits for patients entering a new benefit period.
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CCNCCA Enrollment Form
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Enrollment form for healthcare program participation, allowing individuals to enroll multiple people and select primary care providers.
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ANFP Order Form
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Order form for purchasing textbooks, merchandise, and professional materials from the Association of Nutrition & Foodservice Professionals (ANFP)
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DNS Relief Fellowship Request For Project Funding
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A funding request form for a non-profit organization focused on providing humanitarian aid in developing countries.
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FELLOWSHIP APPLICATION FORM
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Application form for a doctoral fellowship program in nano-satellite technologies offered jointly by the United Nations and Japan
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Annual Doctoral Student Mentor Feedback Form
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A comprehensive evaluation form for tracking doctoral student progress in research, teaching, and professional development.
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Referral
PDF template
A comprehensive medical referral document for tracking patient information and transfer of care between healthcare providers.
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DoctorS Signature Form
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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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Document Waiver Form
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A form for applicants to request waiver of required submittal documents when applying for building permits online.
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Authorization For The Release Of Health Information And Confidential HIV Related Information DOH 255
PDF template
A form for releasing general health and HIV-related information to single or multiple healthcare providers with specific guidelines for usage.
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Authorization For Use Or Disclosure Of Protected Health Information (PHI)
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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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Donald F. McHenry Fellowship Application Form
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A fellowship application for graduate students at Illinois State University, providing financial support and recognition of leadership potential.
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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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Do Not File Insurance Waiver Form
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A document allowing patients to request that Oklahoma State University Medicine not file an insurance claim for a specific date of service.
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EducationalAcademic Travel Pre Authorization Form For Out Of Province Travel
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OSHA Recordkeeping Part 1 And 2
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A comprehensive guide for employers on OSHA recordkeeping requirements, documentation, and training responsibilities.
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TESTING REQUISITION FORM
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Specialized medical form for flow cytometry testing of blood and bone marrow specimens for various hematological conditions.
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Clergy Mentor Annual Report Form
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Annual evaluation form for clergy mentors to assess a candidate's liturgical skills, ministry goals, and performance in the diaconate program.
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MUSC Department Of Public Health Sciences Faculty Mentoring Plan
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A comprehensive document outlining mentoring processes and guidelines for faculty development at the Department of Public Health Sciences (DPHS)
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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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Chapter 133. General Medical Provisions Subchapter B. Health Care Provider Billing Procedures
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Regulatory document specifying required electronic and paper billing formats for healthcare providers in workers' compensation and insurance contexts.
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LSUHSC NO Defensive Driver Course
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A mandatory online training course for state employees who drive during work duties, covering safe driving techniques and qualification requirements.
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DRG OPD Regional Fellowship Application Form
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Application form for a regional fellowship program with specific eligibility requirements and confidential application process.
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Medical Certification Form New Driver Applicant
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Medical certification document required for new taxi and livery vehicle drivers in New York City to verify physical fitness for driving.
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Driver Simulation Review Report
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A comprehensive review of driver simulation technologies, focusing on training options for rural drivers operating 15-passenger vans and cutaways.
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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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DropCancellation Form
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Official form for students to drop or cancel a professional development course at Clarkson College with detailed refund guidelines.
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Medical Drop Off Consent Form
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A consent form for veterinary medical services and pet drop-off, including pet health status and treatment authorization.
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Drug Testing Consent Form
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A comprehensive consent form for drug testing administered by the Manila Health Department Public Health Laboratory for various purposes.
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MINI CENTER INSTRUCTOR EVALUATION FORM
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Evaluation form for assessing performance and skills of mini center instructors working with visually impaired participants.
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Mini Center Instructor Evaluation Form Instructions
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Instructions for evaluating contractual teacher performance at Mini Centers, focusing on identifying strengths and training needs.
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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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Diabetes Self Management Education SupportTraining (DSMEST)
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A comprehensive form for documenting diabetes patient education services, self-management training, and medical nutrition therapy.
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Professional Development 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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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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DyAnsys Brief Proposal Form
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Dynamic Budget Projections Version 2023 Purchase Form
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Dynamic Budget Projections Version 2024 Purchase Form
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Barcelona Portal Industry Booking Form
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EARLY TENUREPROMOTION REQUEST FORM FOR PROBATIONARY FACULTY
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A form for probationary faculty seeking early tenure and promotion before their sixth probationary year.
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Patient Medical History
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Comprehensive medical history form for capturing patient personal information, health status, medical history, and patient rights.
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INITIAL DISABILITY CLAIM FORM
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A comprehensive form for filing disability insurance claims covering various types of disability scenarios with patient and policyholder information.
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Sponsorship Exhibition Booking Form
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Booking form for sponsorship and exhibition opportunities at the European Breast Cancer Conference (EBCC)
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EBook Refund Request Form
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A form for requesting refunds for eBook purchases from the National Apartment Association Education Institute within five business days of purchase.
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Registration Form (Invoice Processing)
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Registration form for a professional development course on collaborative decision-making principles offered by Point-Productions, LLC
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ECCB12 Fellowship Application Form
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Application form for fellowship at ECCB'12 conference for researchers in bioinformatics
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Emergency Medicine Critical Care 2025 Fellowship Application Form
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Application form for fellowship candidates in Emergency Medicine Critical Care at Brigham and Women's Hospital and Harvard University.
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ECTARC Professional Development Booking Form ETS2v1
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A form for organizations to request and book professional development training sessions with ECTARC.
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ECU School Of Dental Medicine Referral Form
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Douglas County Business And Industry Internship Program Employer Handbook, TeacherCounselor Handbook
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Educ D Curriculum Instructn (EDD)
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Course catalog for directed teaching and seminar courses in secondary and elementary education certification programs.
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EDI Application Form
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Application form for healthcare providers to submit electronic Medicare claims and receive electronic remittances through the Electronic Data Interchange (EDI) system.
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DDE Enrollment Form
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Form for healthcare providers to enroll in Direct Data Entry system and request access credentials for Medicare claims processing.
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Montana Conduent EDI Provider Enrollment Form
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A form for healthcare providers to enroll in electronic data exchange and authorize billing agent/clearinghouse transactions in Montana.
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ISPA Global Fellowship Program Guidelines
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A one-year fellowship program providing emerging and mid-career performing arts professionals with access to an international professional network and ISPA Congress participation.
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Interim Evaluation Form
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An evaluation form for assessing a student's internship performance in Applied Child Psychology at McGill University.
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MEDIATION, COACHING WEBINAR REQUEST FORM
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A confidential form for requesting mediation, coaching, or webinar services related to workplace conflict management and professional development.
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Educational Advancement Packet
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Comprehensive instructions for documenting educational advancement and professional development activities for educational staff in Arizona.
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Education And Professional Development Leave Application Form
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A form for Valencia College staff to request educational and professional development leave, including acknowledgement of policy terms and reporting requirements.
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IFCN Education Fellowship Application Form
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Application form for clinical neurophysiology training fellowship supporting medical professionals from countries with limited training opportunities.
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EducationTraining Submission Form
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Form for submitting educational credits and training points for medicolegal death investigators.
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Employee Request For Accommodation
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A form for employees to request workplace accommodations related to disabilities or medical conditions.
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EFDA Program Application Packet
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Application instructions and checklist for the Expanded Function Dental Assistant (EFDA) program at Owens Community College for 2025-2026 academic year.
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Medical Reserve Corps Volunteer Application
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Application form for volunteers interested in joining the Medical Reserve Corps for public health emergency support
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Effective Exit Interview Skills For HR Business Partner
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A comprehensive training program designed to transform exit interviews from a non-value-added activity to a strategic tool for improving employee retention and organizational understanding.
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Traveler Health And Medical Information
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A comprehensive guide for group leaders to collect and manage travelers' medical information and health considerations during travel programs.
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Emergency Family Medical Leave Request Form
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Detailed guidance for employees on completing timesheets and tracking Emergency Family and Medical Leave (EFML) usage and compensation.
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Executive Fire Officer Program Operational Policies And Procedures
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Document outlining policies, procedures, and guidelines for the Executive Fire Officer Program administered by the U.S. Fire Administration.
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Extended Health Care Claim Form
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A comprehensive form for submitting medical and health care expense claims to an insurance provider, requiring detailed personal and coverage information.
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PeriodontalImplant Referral Form
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Medical referral form for periodontal and dental implant services with patient and examination details.
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STUDENT MEDICAL HISTORY
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Comprehensive medical history form for students, covering various health aspects and potential medical conditions.
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EKS 2024 Knee Arthroplasty Travelling Fellowship Application Form
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Application form for medical professionals seeking a traveling fellowship in knee arthroplasty with the European Knee Society.
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ELearning Analysis Form
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A guide for Santa Clara County employees on developing, purchasing, and creating eLearning content with the Learning & Employee Development department.
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Electronic Conference Monday Attendance Form
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Official attendance tracking form for conference participants to report course credits and attendance for the IIBEC International Convention and Trade Show
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Electronic Conference Sunday Attendance Form
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Official attendance and continuing education tracking form for conference participants, supporting AIA and IIBEC member documentation requirements.
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STATE OF IDAHO ELEVATOR ACCIDENT REPORT
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Official form for reporting elevator accidents and incidents in the state of Idaho, to be completed by elevator owners or their representatives.
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B2B E List System Guidelines And Open House Luncheon Information
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Guidelines for professional communication and usage of email lists for real estate brokers within the Aspen Board of Realtors.
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FAQ Summer Endorsement For English Language Bilingual Education
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Informational document about the application and enrollment process for a summer endorsement program in English Language and Bilingual Education.
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ELPS 688 FIELDWORK ASSESSMENT FORM
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A comprehensive evaluation form for assessing student performance and professional dispositions during educational leadership fieldwork.
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Eye Movement Desensitization And Reprocessing (EMDR) Agency Agreement
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Application for organizations to participate in EMDR training program with specific time commitment and practitioner requirements.
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EMERGENCY CARE AND CONTACT FORM
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A school form for collecting student medical information, emergency contacts, and parental authorization for medical care.
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Emergency Contact Health Form
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Health and emergency contact form for participants in Lake County Forest Preserve programs, including medical information and treatment authorization.
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Emergency Contact Form
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A form for collecting personal health details and emergency contact information for club or organizational trips.
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Emergency Contact Parental Consent Form
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A comprehensive form for collecting emergency contact, medical, and consent information for children in care.
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Emergency Contact Form
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A form for collecting emergency contact and medical information for volunteers participating in disaster response activities.
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Emergency Contact Form
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A comprehensive form for collecting student emergency contact details, medical information, and guardian contact information for school records.
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Student Emergency And Release Form
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Confidential form for collecting student medical information, emergency contacts, and special needs details for Howell Mountain Elementary School District.
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Emergency Contact Vendor Form
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Form for collecting emergency contact details and medical information for vendors and booth operators.
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Emergency Contact Information Form
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A document for collecting employee emergency contact details and medical information for use in urgent situations.
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Health Office Emergency Contact Form
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A comprehensive form collecting student contact, medical, and insurance information for school emergency purposes.
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MBPO Emergency Contact Form For Interns And Fellows
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A form for collecting emergency contact details and medical information for interns and fellows at Manhattan Borough President's Office.
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Hickory Hill Member Family Emergency Contact Form
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A form for collecting emergency contact information and medical authorization for family members at a club or organization.
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EMERGENCY CONTACT FORM
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A form for collecting personal, emergency contact, and medical information for students in case of emergency situations.
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Emergency Contact Form
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A comprehensive form for recording family contacts, medical care providers, and insurance details for emergency reference.
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Emergency Information
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A comprehensive emergency contact and medical information form for students participating in university activities.
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Emergency Medical Form For Pre Clinical And Clinical Placements
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A form for clinical and pre-clinical teacher candidates to provide emergency medical and contact information for placement purposes.
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PADRE PIO ACADEMY EMERGENCY MEDICAL FORM
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A medical form for collecting student emergency contact and treatment authorization information for Padre Pio Academy.
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Emergency Medical Form
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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
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A comprehensive medical information form for emergency medical treatment and patient details, designed to be posted on a refrigerator for quick access.
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Emergency Medical Form
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Form for updating student emergency contact, insurance, and athletic participation information for school records.
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EmergencyMedical Release Authorization Form
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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
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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
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A form granting permission for emergency medical treatment for a minor at Pats Peak Ski Area, authorizing medical care in case of illness or injury.
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Emergency Medical Release Form
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A comprehensive medical form for collecting health information and emergency contact details for participants in adaptive or therapeutic horseback riding programs.
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Emergency Medical Release Form
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A form authorizing school officials to consent to medical treatment for a minor in case parents/guardians cannot be reached.
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DUTCHESS COMMUNITY COLLEGE EMERGENCY MEDICAL FORM
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A consent form allowing medical treatment for a child during a summer program, with parental emergency contact authorization.
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EmergencyMedical Authorization Waiver Form For Minor Participants
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A form authorizing emergency medical treatment and waiving liability for minor participants in a Ferris State University camp or program.
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Emeriti Reimbursement Benefit Claim Form
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Instructions for submitting healthcare reimbursement claims through Rx debit card, online portal, or paper submission.
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EMERGENCY MEDICAL FORM
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A form for parents to authorize emergency medical treatment for students and provide critical medical contact and health information.
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EMG ORDER FORM
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Medical referral form for ordering electromyography studies to diagnose nerve and muscle conditions.
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Emory R. Rodgers Leadership In Building Safety Fellowship APPLICATION
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An application for a professional fellowship focused on leadership in building safety, sponsored by the International Code Council (ICC).
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Health Insurance Claim Form
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Standard health insurance claim form for submitting patient and insurance information for medical reimbursement and processing.
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EMPLOYEE EMERGENCY CONTACT FORM
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A comprehensive form for collecting employee personal and emergency contact details for human resources purposes.
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Employee Emergency Medical Form
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Confidential form for collecting employee emergency contact details, medical conditions, and treatment consent.
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Employee Evaluation Plan Policy And Procedures
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Comprehensive policy outlining procedures for conducting fair and consistent employee performance evaluations at Davis Technical College.
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EMPLOYEE FEEDBACK FORM
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A comprehensive form for evaluating employee performance, identifying strengths, development needs, and creating an action plan for professional growth.
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Staff Appraisal
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A comprehensive employee performance review document for documenting and evaluating staff performance, goals, and development
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Employee Performance Evaluation Form
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A comprehensive performance evaluation form for assessing employee job performance, development, and potential promotion opportunities.
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Employee Performance Review Checklist
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A comprehensive tool for evaluating employee job performance across multiple dimensions including goals, productivity, communication, and teamwork.
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Employee Positive Company Review Examples
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A comprehensive overview of best practices for conducting employee performance reviews and providing constructive feedback.
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M NCPPC Benefits EnrollmentChange Form
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Form for employees to enroll in or modify benefits, including medical, dental, and prescription plans.
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Employee Self Assessment Form
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A comprehensive self-evaluation form for employees to reflect on their job performance, achievements, and goals.
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Employee Self Assessment Form
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A comprehensive self-assessment form for employees to evaluate their job performance, achievements, and goals for the upcoming year.
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EMPLOYEE EVALUATION PROCESS
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A comprehensive employee performance evaluation document that assesses professional goals, behaviors, and development opportunities.
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New Patient Intake Form
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Comprehensive medical form for collecting new patient health history, chronic conditions, surgical history, medications, and family medical background.
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APPLICATION FOR EMPLOYMENT
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Comprehensive employment application form for job seekers applying to La Rabida Children's Hospital.
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Application For Employment
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Employment application form for Logan County Health Services with instructions for completing the document electronically or manually.
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CENTER FOR EARLY EDUCATION AND CARE STAFF EMERGENCY CONTACT FORM
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A form for collecting emergency contact and medical information for staff members of an early education center.
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Request For Consultation
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A medical consultation request form for electron microscopy services, used to collect patient medical history, diagnostic information, and study details.
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University Of New Mexico EMS Fellowship Application Form
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Application form for a one-year ACGME-accredited Emergency Medical Services (EMS) Fellowship at the University of New Mexico Department of Emergency Medicine.
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EMS Payment Plan Form No Penalty No Interest
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A form for establishing an extended payment arrangement for ambulance billing with the City of Houston
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Unit 33 Job Application Skills
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A comprehensive guide for understanding job application processes, including form completion techniques and cover letter writing strategies.
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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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Application To Work In The Right Of Way
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A municipal permit application for conducting work in public right of way, requiring detailed applicant, owner, and contractor information.
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Endocrinology Submission Form
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Comprehensive form for submitting veterinary endocrine and hormone function test samples with detailed diagnostic testing options.
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REFERRAL FORM
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A medical referral form for endocrinology patients, specifically focused on thyroid-related diagnoses and consultations.
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Clinical Psychology Student Evaluation Form
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A comprehensive evaluation form assessing various professional competencies for clinical psychology students.
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New Patient Intake Form
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Comprehensive medical intake form for new patients at the UCSF Endometriosis Center, focusing on pain assessment and reproductive health.
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Instructions For Multistate Licensure By Endorsement For Nurses Educated In The United States
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Comprehensive guide for nurses seeking multistate licensure in Oklahoma through endorsement for those educated in the United States.
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State Of New Hampshire Complaint Form
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Official form for filing a complaint against a licensed professional with the New Hampshire Office of Professional Licensure and Certification.
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Sussex County Engineering Plan Submission Form
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A comprehensive form for submitting engineering and development plans for review by Sussex County, covering project details, fees, and ownership information.
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Financial Assistance Application
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A comprehensive form for patients to provide financial details and income verification for potential medical financial assistance.
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Home Health Referral Form
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A comprehensive form for referring patients to home health services, capturing patient information, medical orders, and healthcare practitioner details.
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ENJAYMO Patient Solutions Enrollment Form
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Comprehensive patient enrollment form for ENJAYMO patient assistance program, collecting personal and insurance information.
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Enrollment Transfer Request Form
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A form for veterans to transfer their medical enrollment between VA healthcare facilities, capturing personal and contact information.
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Electronic Consent Contact Form
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A consent form allowing patients to receive medical communications via email, SMS, and phone for allergy treatment updates and appointment reminders.
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Patient Intake Form
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Comprehensive form for collecting patient personal, contact, medical, and insurance information for healthcare providers.
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Competition Entry Form
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A form for architects to submit entries to a design competition with personal and submission details.
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Environmental Assessment Form
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A comprehensive form for documenting project details and environmental considerations for development projects in Fresno, California.
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Health History Examination Form South Carolina Envirothon Program
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Comprehensive health and emergency contact form for documenting medical information and insurance details for program participants.
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Eligible Organization Application Form
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Application form for organizations seeking eligibility with the New Jersey Division of Fire Safety for training and certification purposes.
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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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Consulting Physician Compliance Form
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A comprehensive medical form for evaluating patient mental capacity and terminal disease status by consulting and attending physicians.
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Performance Review Form
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A comprehensive performance review document for administrative professional staff, detailing the review process and evaluation criteria.
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OMNI EPerformance Training AP EPerformance Quick Reference Supervisor And Employee Actions
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A step-by-step guide for supervisors and employees using the ePerformance evaluation system for performance reviews.
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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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Kenyon College Employee Performance Program Guide For Supervisors
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A comprehensive guide outlining Kenyon College's performance management process, including quarterly check-ins and triennial performance reviews.
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ERaf Request Form
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A form used by specialists to request an electronic Request for Authorization Form (eRAF) from Primary Care Providers for specialty care.
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NEW UPDATE IMPORTANT PAYROLL INFORMATION FOR ALL FACULTY AND STAFF
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Notification about the new PeopleSoft payroll system requiring all employees to submit time and leave requests electronically, eliminating traditional timecards and leave forms.
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Employee Relations Team Minutes
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Minutes from the Employee Relations Team meeting discussing various employee engagement and support activities.
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ESPEN RESEARCH FELLOWSHIPS 2020 APPLICATION FORM
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Application form for research fellowship funding from ESPEN, with detailed requirements for applicants and project details.
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ESPEN Research Fellowships 2021 Application Form
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Application form for research fellowship program offering financial support to research professionals in a specialized field.
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Faculty Education, Scholarship, Practice, And Service (ESPS) Declaration Form
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A form for medical science faculty to declare their planned educational, scholarly, practice, and service activities for a semester.
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ESRD Incident Or Accident Report Form
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A detailed reporting form for documenting critical incidents or accidents in healthcare facilities, especially for End-Stage Renal Disease (ESRD) centers.
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OSHS ESSC Project Director Training Feedback Form
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A feedback form for participants of an OSHS ESSC Project Director Training session on student mental health support.
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Essential Messages For Planning Your CME Activity
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A comprehensive guide for planning and submitting Continuing Medical Education (CME) activities that meet ACCME accreditation requirements.
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ESTABLISHING A PROJECT FORM
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A form used to establish a new project or fund within the Florida Atlantic University Foundation, detailing project purpose, funding, and authorized signers.
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Internship Evaluation Form
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A comprehensive form for supervisors to evaluate student interns' performance across multiple professional competencies and characteristics.
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MEDICAL HISTORY FORM
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A comprehensive medical history form for patients aged 12 and older, used in combination with a referral form and unique reference number (URN).
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Employment Training Fund (ETF) Employer Referral Agreement
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A form for employers to refer employees for training programs through the Department of Labor and Industrial Relations workforce development initiative.
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Employment Training Fund (ETF) Employer Referral Agreement
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A form for employers to request workforce training funding assistance through the Department of Labor and Industrial Relations' Employment & Training Fund.
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CSC399 Internship Evaluation Form
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A comprehensive evaluation form for tracking student internship progress and learning goals in computer science.
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Employee Self Assessment
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A voluntary form designed to help employees and supervisors prepare for the annual performance review by reflecting on job performance and goals.
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CCATEC Evaluation Training Program
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A feedback survey for participants to assess a training program's effectiveness, learning outcomes, and potential job prospects.
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Faculty Tenure And Promotion Recommendation Form
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A comprehensive evaluation form for assessing a faculty member's eligibility for promotion to Professor, covering teaching, professional activity, and service.
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FAEC Annual Conference Evaluation Form
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Evaluation form for conference sessions covering government accounting and auditing topics
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FAEC Annual Conference Evaluation Form
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Evaluation form for tracking participant feedback on conference sessions at the FAEC Annual Conference
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JONES COUNTY JUNIOR COLLEGE EMPLOYEE PERFORMANCE REVIEW
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A comprehensive guide and form for conducting annual employee performance evaluations at Jones County Junior College, focusing on job competency and development.
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Faculty Performance Review
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A comprehensive review process for evaluating faculty performance focusing on professional development, instruction, and college service without direct merit pay implications.
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Professional Growth System For Administrators
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Comprehensive evaluation framework for school administrators in College Community School District, outlining performance standards, review processes, and professional growth expectations.
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The Medgar Myrlie Evers Research Fellowship
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Fellowship opportunity for graduate students to conduct research on Medgar Evers and the Civil Rights Movement using archival materials in Mississippi.
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Exam Order Form
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A form for ordering certification exams from the American Concrete Institute (ACI), with options for exam type, language, and shipping preferences.
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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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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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Performance Evaluation Exempt Staff
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A comprehensive evaluation form for exempt staff members at Point Loma Nazarene University, assessing multiple professional dimensions and performance criteria.
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Primary Care EXERCISE CLINIC REFERRAL
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A medical referral form for patients seeking exercise physiology services, documenting health conditions and exercise participation eligibility.
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Catholic Identity Commitment Agreement
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Agreement defining the preservation of Catholic identity and ethical guidelines in the transfer of Catholic Medical Center's healthcare facilities to HCA.
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WCSU Professional Development Schools (PDS) ED 320 Elementary Education Student Evaluation Form
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An evaluation form for assessing student teachers' performance in field experiences, measuring competencies across multiple professional teaching standards.
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Consulting Services Agreement
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A legal agreement outlining the terms and conditions for consulting services between the Sites Project Authority and a consultant.
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Undergraduate Exit Questionnaire
PDF template
A comprehensive survey for computer science undergraduate students capturing post-graduation employment, academic, and professional development information.
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G Adventures Confidential Medical Form
PDF template
A confidential medical form for travelers with pre-existing medical conditions to assess fitness for expedition travel.
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Emergency ResponsePublic Safety Worker Incident Report Form
PDF template
A form for emergency response and public safety workers to document workplace exposure incidents and medical referral details.
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Hazardous Exposure To Blood And Other Body Fluids
PDF template
Guidelines for managing accidental contact with human blood or body fluids in workplace and educational settings, including immediate response steps and responsibilities.
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Exposure Incident Investigation Form
PDF template
A detailed form for documenting and investigating workplace exposure incidents, including route of exposure, materials involved, and prevention recommendations.
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Form B Exposure Incident Report Form
PDF template
A form documenting potential medical exposure incidents for students during clinical training or placement.
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Presidential Rank Award (PRA) Express Billing Form
PDF template
Financial document for submitting and obligating payment for Presidential Rank Award nominees to the Office of Personnel Management (OPM)
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Texas City ISD Extended Leave Request Form
PDF template
A form for employees to request extended leave with medical certification, to be submitted to Human Resources.
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External Collaborator Requisition Form
PDF template
A form for documenting and tracking tissue sample shipments to the Human Tissue Resource Center at the University of Chicago.
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Laser Eye Examination Form
PDF template
Medical form for documenting laser user eye examination and medical history related to laser exposure risks.
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CCP Prior Authorization Request Form
PDF template
A form for healthcare providers to submit prior authorization requests for medical services or treatments through Texas Medicaid Health and Human Services.
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LEAP Testing Service Sample Submission Form
PDF template
A form for submitting test samples to LEAP Testing Service for various scientific and medical testing purposes.
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Consent For Sterilization Completion Instructions
PDF template
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
PDF template
A form for obtaining consent from supervised personnel to share limited personal information with NSERC for assessment purposes.
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All Of Us Research Program Sample Consent Form
PDF template
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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F245 145 000 Travel Reimbursement Request
PDF template
A form for workers to request travel expense reimbursement related to workers' compensation medical visits, treatments, or vocational services.
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Puget Sound Benefits Trust Short Term Disability Claim Form
PDF template
A comprehensive form for employees to file a short-term disability claim, requiring details from the employee, employer, and attending physician.
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Medical Dental Vision Prescription Weekly Disability Claim Form
PDF template
Comprehensive claim form for medical, dental, vision, prescription, and weekly disability benefits for NW Plumbers & Pipefitters Health Fund members.
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F 80 Application
PDF template
Application form for fire safety coordinators to verify fire alarm system competency in homeless shelters in New York City.
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Financing Agreement
PDF template
International Development Association grant agreement with the Republic of Haiti for an urban development project.
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Comprehensive Medical Examination Checklist
PDF template
A medical examination checklist for pilots seeking to operate small aircraft under BasicMed regulations in lieu of a third-class FAA medical certificate.
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Faade Improvement Grant Application
PDF template
A grant application form for property owners or tenants seeking funding for exterior building improvements in the Town of Fort Mill, South Carolina.
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SELF FEEDBACK FORM
PDF template
A structured form for facilitators to evaluate their own performance and identify areas of improvement after a facilitation session.
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Facilitator Feedback Form
PDF template
A form for assessing a facilitator's performance during protocol-based group processes.
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General Facility Inspection Check List
PDF template
A comprehensive checklist for conducting safety inspections and evaluating workplace training and emergency preparedness.
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Contract Intelligence
PDF template
An advanced AI system for automated, high-precision extraction of key information from complex contracts using neuroscience-based technology.
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Faculty Grant Application Form
PDF template
Application form for faculty seeking funding for experiential learning projects through the Global Humanities Institute Fellowship program.
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FACULTY DEVELOPMENT GRANT APPLICATION FORM
PDF template
A grant application form designed to support faculty members in acquiring new pedagogical techniques or learning disciplines outside their primary field of expertise.
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Faculty Development Grant Proposal Form
PDF template
A form for faculty members to request funding for professional development, enrichment, or community activities.
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Faculty Development Grant Summary Report Form
PDF template
A form for faculty to report on the outcomes and impact of a professional development grant.
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Employee Evaluation Process
PDF template
A comprehensive evaluation form for assessing faculty performance across multiple dimensions including goals, behavior, and instructional responsibilities.
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Performance Evaluation Packet
PDF template
Annual evaluation process for faculty members covering performance assessment across multiple dimensions including teaching, engagement, and institutional responsibilities.
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33541 30 08.1 Faculty Evaluation Procedure
PDF template
Comprehensive guidelines for evaluating faculty performance across multiple dimensions, emphasizing professional development and diverse assessment methods.
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FACULTY LEAVE AND CLINIC CANCELLATION FORM
PDF template
A form for faculty members to request leave, vacation, or clinic cancellations in the Division of Endocrinology and Metabolism.
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Faculty Leave And Clinic Cancellation Form
PDF template
A form for faculty members to request leave, cancel clinics, and arrange coverage in the Division of Endocrinology and Metabolism.
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UNIVERSITY OF PUGET SOUND FACULTY LEAVE REQUEST FORM
PDF template
A comprehensive form for faculty members to request various types of leave, including medical, family, parental, and extended leaves.
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Faculty Professional Development Proposal Form
PDF template
A form for faculty to outline goals and details of a professional mentorship activity for the current academic term.
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FACULTY PERSONNEL FILE SUBMISSION FORM
PDF template
A form for faculty members to submit documentation related to scholarship, college service, pedagogical participation, and other professional activities.
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TRAINERS CHECKLIST 40 HOUR FAMILY ARBITRATION TRAINING PROGRAM
PDF template
A comprehensive training program outline for family arbitration professionals covering legal concepts, legislation, dispute resolution, and arbitration processes.
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Employee Medical Or Family Leave Of Absence Request Form
PDF template
A form for employees to request medical or family leave, indicating type and reason for absence
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Family And Medical Leave Request Form
PDF template
A comprehensive form for employees to request unpaid family and medical leave under federal FMLA guidelines, detailing leave entitlements and notice requirements.
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Family And Medical Leave (FML) Reference Chart
PDF template
Comprehensive reference guide for family and medical leave policies covering federal and California leave regulations for employees.
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Family Camp Medical Form
PDF template
Medical form for capturing health details and emergency contact information for families attending a camp
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Family Contact Form
PDF template
Form for collecting comprehensive contact and insurance details for a client's family members and guardians.
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Family Emergency Plan
PDF template
A comprehensive document for recording family medical details, emergency contacts, and critical health information for emergency preparedness.
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NECAIBEW Family Medical Care Plan Family Enrollment Form
PDF template
An enrollment form for employees to enroll in the NECA/IBEW Family Medical Care Plan, including personal, spousal, and dependent information.
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Family Medical History Form
PDF template
A comprehensive form for documenting family medical history across multiple health conditions and genetic risks.
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Family Or Medical Leave Request Form
PDF template
A form for employees to request medical or family leave, including documentation of leave type and duration.
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Educational Benefit Tax Exemption Frequently Asked Questions
PDF template
A guide explaining tax implications and procedures for educational assistance benefits through UET (University/Employer Training) program.
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New Medical Form Consent Form FAQ
PDF template
Explanation of changes to Special Olympics Illinois medical documentation requirements including new Medical Form and Consent Form procedures.
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Annual Conference FAQS
PDF template
Frequently asked questions about registration, membership rates, and conference details for the Pennsylvania Library Association annual conference.
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Professional Development Program Research Proposal Form
PDF template
A form for faculty or staff to propose professional development activities, research projects, or presentations at Florida Atlantic University Libraries.
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FAX REFERRAL FORM
PDF template
A medical referral form for patients seeking low vision rehabilitation services in Colorado.
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Urogynecology New Patient Intake Form
PDF template
Comprehensive medical intake form for urogynecology patients to document urinary and bowel symptoms, medical history, and patient goals.
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FBLA Collegiate Membership Form
PDF template
Membership form for Future Business Leaders of America-Collegiate organization, designed for students preparing for business careers.
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INCLUSA CLAIM FORM
PDF template
A claim form for submitting healthcare service claims to Inclusa Family Care through WPS Health Insurance.
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BioDynamic Manual Therapy, LLC Patient Questionnaire
PDF template
Comprehensive medical intake form for collecting patient health history, current symptoms, and personal health details
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Off Campus Conference, Seminar, Or Workshop Application For Funding
PDF template
A form for faculty to request funding for professional development events and conferences outside the campus.
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Feedback Form For Students
PDF template
A survey designed to collect student feedback on various aspects of an educational lesson related to the water/wastewater industry.
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Application For Fellowship
PDF template
Formal application process for achieving Fellowship status in the Australasian College of Paramedicine, recognizing professional achievement and contributions in paramedicine.
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Final Estimates, Level 1 Training Module 2 Documentation
PDF template
Computer-based training module explaining documentation requirements and processes for final estimates in transportation project management.
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Privacy In A New Era Challenges, Opportunities And Partnerships FELLOWSHIP APPLICATION FORM
PDF template
Application form for representatives from new EU Member States to participate in a privacy-focused fellowship program.
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Application Form Fellowship Form (FAPM)
PDF template
Application form for obtaining Fellowship status with the Association for Project Management (APM)
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Berkeley Language Center Professional Development Fellowship Application
PDF template
A fellowship program supporting language lecturers in conducting research projects related to language acquisition and pedagogy at UC Berkeley.
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2020 Summer Research Fellowship Application Form
PDF template
Application form for students seeking a research fellowship in the Department of Chemistry & Biochemistry during summer 2020.
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Fellowship Application Form
PDF template
Application form for the Kevin E Wilk, DPT Fellowship program in Sports Medicine
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Fellowship Application Form
PDF template
A comprehensive application form for students seeking fellowship opportunities at a university, requiring multiple supporting documents.
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Graduate Fellowship Application Form
PDF template
Fellowship opportunity for UC doctoral students conducting research on immigration in California, offering $9000 to four graduate students.
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ECSS Fellowship Application 2024
PDF template
Application form for seeking fellowship with the European College of Sport Science, requiring specific professional and academic qualifications.
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Application For Fellowship
PDF template
An application form for individuals seeking to become a Fellow of the Society of Antiquaries of Scotland, the oldest antiquarian society in Scotland.
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FELLOWSHIP Application Form
PDF template
Fellowship application form for a comparative urban studies program in Berlin, requiring academic and personal details from applicants.
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Example Of Fellowship Application Form
PDF template
A comprehensive application form for fellowship candidates in preventive cardiology or related medical disciplines.
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Fellowship Application Form
PDF template
Comprehensive application form for academic fellowship programs covering personal data, project details, and required submission materials.
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Application Form For Fellowship
PDF template
Comprehensive application form for ophthalmology fellowship programs in Glaucoma, Medical Retina, and Surgical Retina at Suraj Eye Institute.
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Fellowship Application
PDF template
Application form for membership recognition in the Association of Energy Engineers (AEE) fellowship program.
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Application For Fellowship
PDF template
Application form for becoming a Fellow member in arbitration or mediation through examination, reciprocity, or special waiver.
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Fellowship Application Form
PDF template
Application form for professionals seeking fellowship status with the Institute of Chartered Accountants of Ghana
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MSKCCWeill Cornell Procedural Dermatology Fellowship Application
PDF template
Application form for fellowship in Procedural Dermatology at Memorial Sloan-Kettering Cancer Center and Weill Cornell Medical Center.
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MSKCCWeill Cornell Procedural Dermatology Fellowship Application
PDF template
Application form for a procedural dermatology fellowship at Memorial Sloan-Kettering Cancer Center and Weill Cornell Medicine.
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UC Davis Department Of Pediatrics Pediatric Fellowship Information Guide
PDF template
A comprehensive guide for medical professionals interested in pediatric subspecialty fellowships at UC Davis, providing contact information and resources.
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CIRSE Fellowship Information And Application
PDF template
Comprehensive guidelines for physicians and scientists seeking CIRSE Fellowship status in interventional radiology and cardiovascular imaging.
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CIRSE Fellowship Application Form
PDF template
A comprehensive guide and application process for physicians seeking CIRSE Fellowship in interventional radiology and cardiovascular imaging.
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Standardized Application For Pathology Fellowships
PDF template
Comprehensive application form for pathology fellowship candidates covering personal details, education, and fellowship preferences.
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Common Child And Adolescent Psychiatry Application
PDF template
A comprehensive application package for residency positions in child and adolescent psychiatry, detailing submission requirements and personal information collection.
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CMS Film Fellowship Application Form
PDF template
Application form for filmmakers seeking a fellowship from the Centre for Media Studies to produce a documentary or film project.
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Fellowship Programs At Independent Research Institutions
PDF template
A National Endowment for the Humanities program supporting fellowships for advanced humanities research at independent research institutions.
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Distinguished College Fellow Nomination Form
PDF template
A form used to nominate individuals for a distinguished college fellowship, collecting professional and personal details about the nominee.
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Fellows Submission Form
PDF template
Comprehensive nomination form for recognizing outstanding contributions to the assessment industry by IAAO professionals.
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National Dam Safety Program Training RequestApproval Form
PDF template
A form for requesting and approving dam safety training programs offered by the National Dam Safety Program (NDSP)
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National Dam Safety Program Training RequestApproval Form
PDF template
A form for requesting and approving dam safety training courses through the National Dam Safety Program (NDSP)
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Patient Intake Form
PDF template
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
PDF template
A comprehensive form for submitting health insurance benefits claims, including patient and insurance information.
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Nebraska FFA Association Medical Release Form
PDF template
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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ACI Concrete Flatwork Certification Client Affidavit Form Instructions
PDF template
Instructions for self-employed individuals seeking ACI Concrete Flatwork Certification through client affidavits and performance verification.
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FHNO Indus Institutional Fellowship (FIIF) Application Form 2024
PDF template
Application form for medical professionals seeking to apply for the FHNO Indus Institutional Fellowship for the 2024 batch.
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Fora Health Residential Referral Form
PDF template
Comprehensive referral form for admitting patients into Fora Health's residential treatment program with detailed guidelines and requirements.
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Preparticipation Physical Evaluation Medical History Form
PDF template
Comprehensive medical history form for students participating in sports, requiring detailed health information and medical evaluation
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Medical History Form
PDF template
Comprehensive medical history and health screening form for student-athletes to assess fitness for sports participation
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Adult Tuberculosis (TB) Risk Assessment Questionnaire
PDF template
A medical screening form for assessing tuberculosis risk in adults, required by California Education and Health Codes.
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RSI Audit Form For Instructors
PDF template
Certification form documenting an emergency medical technician's successful completion of Rapid Sequence Intubation training and evaluation.
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2024 2025 University Of Chicago Graduate Fellowship
PDF template
Fellowship program for University of Chicago graduate students offering financial support and opportunities for multicultural engagement at International House.
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YMCA Camp Independence 2024 Health History And Examination Form
PDF template
Medical form for collecting camper health information and emergency contact details for YMCA summer camp participation.
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APPLICATION FOR KODOKAN RANK
PDF template
Official application form for obtaining or advancing rank in Kodokan Judo, documenting practitioner's experience and competition history.
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Apprentice Change Of AddressPhoneEmail
PDF template
A form for apprentices to update their personal contact information and address details.
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PROJECTACTIVITY PROPOSAL FORM
PDF template
A form for faculty to request funding for professional development and scholarly activities within the department's priorities and goals.
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CLE Program Evaluation Form
PDF template
A form for participants to provide feedback on a legal education course across multiple evaluation criteria.
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American Chemical Society Division Membership Application
PDF template
Application form for joining a division of the American Chemical Society with various membership categories and payment options.
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Patient Demographics Form
PDF template
Comprehensive medical intake form collecting patient personal, contact, insurance, and consent information for healthcare services.
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Preliminary Administrative Services Credential Program District Approval Form
PDF template
Form for obtaining district approval for administrative credential program fieldwork, requiring one day per week for 12 weeks shadowing a principal at a different school site.
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Enrollment Form
PDF template
Comprehensive form for enrolling a child in childcare, collecting personal information, emergency contacts, and health details.
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InternExtern Application Packet
PDF template
Application for internship and externship opportunities at Elica Health Centers, focusing on medical, dental, and behavioral health fields.
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Humboldt County Referral Initiative Referral Form
PDF template
A comprehensive medical referral form for transferring patient information between healthcare providers with multiple referral type options.
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Leadership Fredericksburg 2023 Program Application
PDF template
A nine-month leadership development program for emerging leaders in the Fredericksburg region focused on community engagement and personal growth.
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Volunteer Orientation
PDF template
A comprehensive orientation document for college students interested in volunteering at a physical therapy clinic to gain healthcare experience and learn about the profession.
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IBEF ScholarshipFellowship Application Checklist
PDF template
Application guidelines and required documents for scholarship and fellowship opportunities at the International Buddhist Education Foundation.
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Intent To Hire Interview Feedback Form
PDF template
Form used by training agents to document interview outcomes and hiring decisions for electrical apprentices in Area II Inside Electrical JATC program.
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APPLICATION FOR POTENTIAL INTERN PLACEMENT
PDF template
A comprehensive application form for students seeking internship opportunities, including placement details and background information.
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Patient Medical History And Symptoms Form
PDF template
A detailed medical intake form capturing patient demographics, ethnicity, race, symptoms, and previous diagnostic studies and treatments.
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Lay Ministry Scholarship Fund Guidelines
PDF template
Guidelines for providing financial assistance to lay ecclesial ministry personnel in the Diocese of New Ulm for theological training and professional development.
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Medical Report Health Statement And Immunizations For 2023 2024
PDF template
Medical form for documenting student health status and required immunizations for St. Paul's School enrollment
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Medical Freeze Request Form
PDF template
A form for requesting a temporary freeze on a membership due to medical reasons with specific conditions and documentation requirements.
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MEDICAL HISTORY FORM
PDF template
Comprehensive medical history form for capturing patient health information, medical conditions, lifestyle factors, and current health concerns.
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Medical Information Form
PDF template
A comprehensive medical form for students to provide health information, medication details, and parental consent for school medical procedures.
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NEW CLIENT INFORMATION PAYMENT AGREEMENT
PDF template
A veterinary hospital intake form for new clients to provide personal and pet information along with payment terms.
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New Patient Intake Form
PDF template
Comprehensive intake form for new patients seeking cosmetic procedures, collecting personal information and medical history.
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FILLABLE FLASH DRIVE ORDER FORM
PDF template
Order form for purchasing Strengthening Families Program (SFP) curriculum materials on flash drive for different age groups.
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FILLABLE ORDER FORM FOR SFP 7 17 CURRICULUM AND MATERIALS
PDF template
Order form for purchasing Strengthening Families Program curriculum materials and resources for the 7-17 age group.
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Osteopathy Patient Intake Form
PDF template
Comprehensive medical intake form for osteopathic patient assessment and medical history documentation.
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Form 2D Monthly Fee Schedule And Billing Form
PDF template
A billing form for professional clients to record employment status and monthly fee payment for a recovery program.
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Patient Information For Appointment Booking
PDF template
A comprehensive patient intake form for medical appointment booking at Peninsula Gastroenterology, collecting personal and medical contact details.
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PATIENT REFERRAL FORM
PDF template
A comprehensive form for referring veterinary patients to specialized veterinary services and departments.
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Patient Registration Form
PDF template
Comprehensive medical intake form for collecting patient personal information, emergency contact details, insurance information, and health history.
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Pharmacy Payment Plan Agreement
PDF template
Payment agreement form for managing pharmacy account balances and establishing payment schedules for outstanding medical charges.
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PATIENT INTAKE FORM
PDF template
Comprehensive medical form for collecting patient health history, contact information, and medical background details.
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Patient Discharge Form
PDF template
A standardized form for documenting patient discharge details, treatment status, and medical recommendations.
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Student Portfolio Review Form
PDF template
Form for evaluating student portfolios and determining internship eligibility with criteria for communication, presentation, professionalism, and craft.
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Practical Application Commitment
PDF template
A form for recording workshop attendance, learning outcomes, and planned implementation of course insights for township professionals.
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Santee Recreation Registration Form
PDF template
Registration form for participants to sign up for recreation activities in the City of Santee, including personal and medical information.
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Apprentice ReleaseTermination Feedback Form
PDF template
Form for employers to provide feedback about an electrical apprentice at the time of job release or termination.
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Subdivision Application Form
PDF template
A comprehensive form for submitting subdivision and property development applications, including various types of layout acceptances and approvals.
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Immunization Consent Form
PDF template
A comprehensive form for collecting patient demographic, insurance, and consent information for immunization services.
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Verification Of Attendance Form For Continuing Professional Education Activities
PDF template
A form for documenting and verifying continuing professional education (CPE) hours and program details.
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ArmyU Onboarding Itinerary
PDF template
Comprehensive onboarding checklist for new civilian employees at Army University, detailing pre-boarding and initial employment steps.
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Certificate In Dance Teaching Application Form For Entry In 2024
PDF template
Application form for prospective students seeking entry into the Certificate in Dance Teaching program starting in January 2024, delivered via distance learning.
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PDI Final Checklist
PDF template
Comprehensive checklist for interns to complete final requirements and documentation prior to program completion.
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FINAL FINANCING FORM
PDF template
Form for documenting final funding sources and amounts for a housing tax credit project by the Illinois Housing Development Authority.
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Healthcare Forms Catalog
PDF template
Comprehensive list of medical forms and clinical documentation used across various healthcare departments and specialties.
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Paths To Health NM Tools For Healthier Living Referral Form
PDF template
A referral form for participants to join Paths to Health NM health programs with provider contact information.
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Application For Final Plat Approval
PDF template
Form for submitting a subdivision final plat for approval by the local Planning and Zoning Commission.
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Request For Proposals For Purchase And Development Of 4 Summer Drive
PDF template
Request for proposals to purchase and develop a property located at 4 Summer Drive in Winchendon, Massachusetts, consisting of two contiguous lots and a warehouse building.
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Educational Delivery System SOP
PDF template
Standard Operating Procedure detailing TNI's comprehensive training system and procedures for developing, reviewing, and delivering training materials.
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INTERNSHIP APPLICATION FORM
PDF template
A form for students to apply for and document internship placement in finance-related roles at Cleveland State University.
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Finance Forum Notes
PDF template
Internal meeting notes covering student employment I-9 process, IT training, year-end fiscal activities, and department invoicing procedures.
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Financial Assistance Application Form
PDF template
A confidential form for patients seeking financial assistance, requiring detailed personal and income information for healthcare services.
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Financial Assistance Evaluation
PDF template
Application form to help patients determine eligibility for free or discounted healthcare services and public assistance programs.
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Summary Of ADB Financial Instruments And Approval Procedures
PDF template
A comprehensive guide to financial instruments and approval procedures for the Asian Development Bank's operations and lending processes.
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Suburban Urologic Associates Financial Policy
PDF template
Detailed financial policy outlining insurance, payment, and billing procedures for a urology medical practice.
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Type 2 Diabetes Risk Assessment Form
PDF template
A comprehensive questionnaire to assess an individual's risk of developing type 2 diabetes within the next 10 years.
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Fire Statement Guidance
PDF template
A document providing guidance on preparing fire statements for planning permission applications, focusing on fire safety matters relevant to land use planning.
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FireVEST Application Checklist
PDF template
Comprehensive checklist and guidelines for applying to the FireVEST Scholarship program for potential firefighter students.
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Facilitator Feedback Form
PDF template
Evaluation form for facilitators who have completed their first Nobody's Perfect parenting series to provide feedback on their training and experience.
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First Time Appointment Billing Form
PDF template
A billing form for documenting client details, service type, and appointment information for a first-time healthcare consultation.
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Standard Immunization Requirements For Admission To U.S. Schools
PDF template
A comprehensive medical form documenting vaccination history and requirements for students entering U.S. schools or programs
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MEDICAL FLEX REIMBURSEMENT FORM
PDF template
A form for employees to request reimbursement for medical and dental expenses through a flexible spending account program.
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Flex Memorandum
PDF template
Guidelines for faculty professional development activities and reporting requirements for the 2024-2025 academic year in the SMCCCD district.
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Flex Memorandum
PDF template
A comprehensive memo outlining flex day requirements and guidelines for faculty in the San Mateo County Community College District for the 2024-2025 academic year.
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FLUOROSCOPY AND INTERVENTIONAL REQUISITION
PDF template
Comprehensive form for requesting medical imaging procedures, capturing patient details, medical history, and clinical information.
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Flu Vaccine Form
PDF template
A comprehensive form for patient consent and medical screening prior to receiving a flu vaccine.
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Informed Consent To Tattoo Procedure
PDF template
A legal form for documenting informed consent and required patron information before receiving a tattoo procedure in Wisconsin.
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TEST REQUISITION FORM
PDF template
Medical test requisition form for transplant patient diagnostic testing with comprehensive patient and billing information collection.
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Hospital Discharge Plan For Tuberculosis Patients
PDF template
Comprehensive discharge planning document for patients being treated for tuberculosis, including medical details and follow-up instructions.
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FMLA Leave Request Form
PDF template
A form for employees to request Family and Medical Leave Act (FMLA) leave, outlining eligibility requirements and leave types.
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Requisition For Laboratory Supplies
PDF template
A form for requesting laboratory media, collection kits, supplies, laboratory forms, and reagents from Sacramento County Public Health Laboratory.
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Employee FMLA Leave Request
PDF template
Form for employees to request job-protected leave under the Family and Medical Leave Act (FMLA) for various family and medical reasons.
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FMLA LEAVE REQUEST FORM
PDF template
A comprehensive form for employees to request leave under the Family and Medical Leave Act for various personal and family medical situations.
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FMLA Leave Request Form
PDF template
A form for Harnett County employees to request Family and Medical Leave Act (FMLA) protected leave for various qualifying reasons.
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Family And Medical Leave Request
PDF template
Employee form for requesting job-protected medical or family leave under the Family and Medical Leave Act (FMLA)
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FAMILY OR MEDICAL LEAVE REQUEST FORM
PDF template
A form for employees to request family or medical leave for various personal and family health-related reasons.
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FMLA LEAVE REQUEST FORM
PDF template
A form for employees to request leave under the Family and Medical Leave Act for various personal and family health-related reasons.
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HR FMLAOFLA Leave Request
PDF template
A comprehensive form for employees to request leave under Family and Medical Leave Act (FMLA) and Oregon Family Leave Act (OFLA)
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Family And Medical Leave (FML)Paid Parental Leave (PPL) Request Form
PDF template
A form for employees to request family and medical leave or paid parental leave, including various qualifying reasons for absence.
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Family And Medical Leave Request
PDF template
Request form for employees seeking job-protected leave under the Family and Medical Leave Act (FMLA) for medical or family reasons.
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FMS Workshop Evaluation Form
PDF template
A comprehensive evaluation form for assessing workshop content, presentation, and instructor performance.
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NHDP Form 133 Foot Evaluation
PDF template
Comprehensive medical form for assessing foot condition, nerve function, sensation, and risk categorization.
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FOOT Medical And Insurance Form
PDF template
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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Student Travel Profile General Liability Waiver
PDF template
A comprehensive waiver and medical procedure document for students participating in a mission trip, covering liability release and medical emergency protocols.
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Foresight Carrier Screen Requisition Form
PDF template
A medical form for requesting genetic carrier screening, collecting patient and clinic information, and processing billing details.
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Forklift Safety Program
PDF template
A comprehensive safety manual for forklift operations that establishes training and certification procedures to reduce workplace accidents and ensure compliance with OSHA standards.
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LASER DEVICE REGISTRATION FORM
PDF template
Official form for registering laser devices with the Florida Department of Health Bureau of Radiation Control.
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NEW PATIENT INSURANCE AND OFFICE POLICIES CONSENT FORM
PDF template
A comprehensive form for collecting patient personal, insurance, and medical history information for dental office registration.
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PGA Professional Golf Management Program Application
PDF template
An application form for individuals seeking to join the PGA Professional Golf Management Program, outlining pre-requisites, documentation requirements, and eligibility criteria.
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Johnson Wales University Health Services Requirements
PDF template
Comprehensive health documentation and vaccination requirements for new students enrolling at Johnson & Wales University
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PROFESSIONAL GROWTH PRE APPROVAL FORM
PDF template
A form for employees to request pre-approval for professional development courses and activities related to their current position or career growth.
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Professional Growth Pre Approval Form
PDF template
A form for employees to request pre-approval for professional development courses or activities aligned with their career growth at SLOCOE.
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Form 350 Emergency Medical Service Provider Exposure Report Form
PDF template
A form to document exposure to blood and body fluids for emergency medical service providers, tracking details of potential occupational health incidents.
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HFM Study Form 607 Mailing Blood To NIDDK DNA Repository Form
PDF template
A form for mailing blood samples to the NIDDK DNA Repository with specific shipping and tracking instructions.
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Form 6.4.2.2 Rev. D Service Request Form
PDF template
A form for submitting medical devices for service or repair, requiring verification of decontamination and cleaning.
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IUBMB Tang Education Fellowship Application Form A
PDF template
Application form for universities to nominate an experienced biochemistry and molecular biology educator to visit their institution for specific educational outcomes.
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UAB Department Of Obstetrics And Gynecology Presentation Evaluation Form
PDF template
A form for evaluating the effectiveness of presentations within the UAB Obstetrics and Gynecology department.
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Medical Claim Form
PDF template
A comprehensive form for submitting medical claims and patient information to Anthem Blue Cross and Blue Shield insurance plan.
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OBGYN Formative Feedback Form
PDF template
A comprehensive evaluation form for tracking medical student performance in OBGYN clinical rotation, covering multiple professional and clinical competencies.
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IUBMB Tang Education Fellowship Application Form B
PDF template
Application form for educators to visit institutions and develop educational practices through a fellowship program.
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Health Exam Form B
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A medical form for student athletes to obtain health clearance for participation in school athletic activities in Utah.
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Credit Card Pre Authorization ACH Pre Authorization Form
PDF template
A form allowing patients to pre-authorize credit card or bank account charges for medical services and outstanding balances.
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Medical ControlPhysician Contact Hour Attendance Form
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Tracking form for medical personnel to document attendance and details of training sessions for emergency medical services.
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Form C Student Waiver Form
PDF template
A legal document outlining conditions and medical treatment provisions for students performing services at Rutgers University.
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Daily Attendance Sheet
PDF template
An attendance tracking document for fire program courses with space for multiple students and instructors to record their presence
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FMLA LEAVE REQUEST FORM
PDF template
A form for employees to request family or medical leave, documenting leave details and employee information.
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Physical Examination Form
PDF template
Medical form for students at American School of Warsaw to document health status and medical clearance for school attendance and sports participation.
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Medical History Form
PDF template
Required medical history form for students living on campus or participating in sports, documenting health conditions and physical readiness.
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Nebraska FBLA Medical Release Form
PDF template
A medical release and emergency contact form for Future Business Leaders of America (FBLA) chapter members during events or activities.
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Nebraska FBLA Medical Release Form
PDF template
Medical consent and emergency information form for FBLA chapter members, providing authorization for medical treatment and contact details.
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MENTORSHIP INDUCTION EVALUATION FORM
PDF template
A form for documenting mentorship, induction, and performance evaluation for applicants in the MS Alternate Path to Quality Teachers Program.
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NEW PATIENT INTAKE FORM
PDF template
Comprehensive medical form for collecting new patient personal, contact, and demographic information for healthcare providers.
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Form Of 7 Day Notice
PDF template
A formal notice form for submitting details of proposed building development to a Building Control Authority prior to commencing work.
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Physical Examination
PDF template
A comprehensive medical examination form for girls participating in multi-day trips, documenting health status and medical clearance.
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Patient Registration
PDF template
A comprehensive medical patient registration form for collecting personal, contact, and insurance information for a dental practice.
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Patient Intake Form
PDF template
Comprehensive medical intake form for collecting patient personal and health information prior to medical treatment.
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Financial Agreement Appointment Reminders
PDF template
A comprehensive financial agreement outlining patient payment responsibilities, insurance billing, and appointment policies for counseling services.
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Patient Intake Form
PDF template
Comprehensive medical intake form for collecting patient personal and health information for medical treatment purposes.
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Public Education Entity Skills Training Bi Weekly Timesheet
PDF template
A bi-weekly timesheet for tracking workforce development training hours and supportive services for WIOA participants
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OBSTETRICAL Service Request Form
PDF template
Medical service request and authorization form for obstetrical services, used for processing healthcare claims and approvals
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Health Care Personnel (HCP) Baseline Individual TB Risk Assessment
PDF template
A screening form to evaluate tuberculosis risk factors for healthcare personnel
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PRESCRIPTION ORDER FORM
PDF template
A form for obtaining physician authorization for reimbursement of healthcare products and services requiring medical prescription.
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Transfer Request Form
PDF template
A form for requesting transfer of patient medical records to a new healthcare provider or facility.
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Health Care Program For Children In Foster Care (HCPCFC) Foster Care Medical (Specialty) Contact For
PDF template
A form for healthcare providers to document medical services and assessments for children in the foster care system.
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Contribution Form
PDF template
A charitable donation form for contributing to various healthcare-related funds and programs at Stormont Vail Foundation.
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Laboratory Requisition Form
PDF template
A comprehensive laboratory form for collecting patient blood samples and requesting various medical tests.
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2024 FPEG Fellowship Application
PDF template
Fellowship opportunity for Florida Engineering Society members employed in government engineering positions who are pursuing advanced degrees.
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Faith Pharmacy New Patient Intake Form
PDF template
Comprehensive medical intake form for new patients at Faith Pharmacy, collecting personal, insurance, and medical information.
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PATIENT INTAKE FORM
PDF template
Comprehensive medical history and current health status form for patient therapy intake and medical assessment.
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Freeman Fellowship
PDF template
Fellowship program for ASCE members supporting engineering research, travel, publication, and professional development in hydraulic science and engineering.
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Freeman Fellowship Application
PDF template
An application form for engineering fellowship grants from the American Society of Civil Engineers (ASCE) supporting research, travel, and publication in hydraulic sciences.
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Free Medical Clinic Volunteer Application
PDF template
Application form for volunteers interested in working at a free medical clinic, requiring background checks and professional license verification.
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Inmate Medication Information Form
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A comprehensive medical form capturing medication history, psychiatric treatment details, and contact information for incarcerated individuals.
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Milton And Cynthia Friedman Fellowship Grant
PDF template
A competitive fellowship grant supporting Carnegie Mellon undergraduate students for policy-related internships in Washington DC through the American University Washington Semester Program.
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NEW PATIENT INTAKE FORM
PDF template
A comprehensive form for new pharmacy patients to provide contact, medical, and medication preferences.
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Consent For COVID 19 Immunization
PDF template
A consent form for COVID-19 immunization at Alberta Health Services, to be used when a parent or alternate decision-maker cannot be present with the person being immunized.
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Amprion Clinical Laboratory Test Requisition Form
PDF template
Laboratory test request form for collecting patient information, test details, and diagnostic information for Amprion Clinical Laboratory.
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Amprion Clinical Laboratory Test Requisition Form
PDF template
Medical laboratory test request form for collecting patient, billing, and diagnostic information for laboratory testing.
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Medical Reimbursement Form
PDF template
A comprehensive checklist for submitting medical reimbursement claims to Mass General Brigham Health Plan, detailing required documentation and submission process.
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EMS DUTY OFFICER Provider Feedback Form
PDF template
A form used by Montgomery County Fire and Rescue Services to document and evaluate emergency medical service provider performance and incident details.
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Health And Dependent Day Care Reimbursement Form
PDF template
Form for submitting health care and dependent day care expense claims under a Section 125 Cafeteria Plan for reimbursement.
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Text, E Booking E Mail Consent Form
PDF template
Patient consent form outlining risks and conditions for electronic communication with healthcare providers.
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Fraser Street Medical Clinic New Patient Registration Form
PDF template
Comprehensive medical intake form for new patients collecting personal information, medical history, and current health symptoms.
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Medical Release For Training Programs
PDF template
Policy outlining medical clearance requirements for students participating in firefighter training programs with strenuous activities.
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CareDx Transplant Test Requisition Form
PDF template
Medical form for ordering transplant-related diagnostic testing with patient and clinical information details
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CareDx Lung Transplant Test Requisition Form
PDF template
Medical form for ordering diagnostic testing for lung transplant patients, used to track patient information and test requirements.
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FY 2025 Brownfield Remediation Program Application
PDF template
A county-level application for environmental remediation and assessment of brownfield sites in Cuyahoga County.
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Full Face Mask Trainer Requirements And Skills Verification Form
PDF template
A document outlining requirements and verification for Full Face Mask trainers and their students in public safety training programs.
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2023 2024 Employee Handbook
PDF template
Employee handbook outlining credentials, mandatory trainings, and uniform policies for University Dining staff at UWSP.
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Discharge Form
PDF template
A comprehensive form for tracking patient discharge details, follow-up care, and medical conditions in a healthcare setting.
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FUNDING FELLOWSHIP APPLICATION FORM PACNOG 3
PDF template
Application form for funding fellowship to attend PacNOG networking conference in the Cook Islands
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Funeral Home Reimbursement Form
PDF template
Form for reimbursing funeral homes for additional costs associated with preparing and reconstructing organ, tissue, or eye donors for family viewing.
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MEDICAL HISTORY FORM
PDF template
Comprehensive form for collecting patient personal information, medical history, and dental visit details
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Pre Authorization Form
PDF template
Medical form for patients seeking insurance pre-authorization for hospital treatment, documenting patient and medical details for insurance approval.
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Training Feedback Form
PDF template
Feedback form for evaluating workplace safety training on lockout tagout procedures and safety measures
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Training Feedback Form
PDF template
A feedback form for participants to rate and provide comments on a training session about shipyard ergonomics.
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FY2017 Hubert H. Humphrey Fellowship Program Project Objectives, Goals, And Implementation (POGI)
PDF template
Funding opportunity guidelines for administering the Hubert H. Humphrey Fellowship Program for fiscal year 2017, detailing program objectives and implementation requirements.
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Maryland Statewide Medical Assistance Transport TransferDischarge Form
PDF template
A county health department form for documenting medical transportation needs and patient transfer details for medical assistance recipients.
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FY 2024 Mandela Washington Fellowship For Young African Leaders Project Objectives, Goals, And Imp
PDF template
Funding opportunity guidelines for the Mandela Washington Fellowship program supporting young African leaders in academic and professional exchange activities
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PD SESSION EVALUATION AND ATTENDEE FEEDBACK FORM
PDF template
A comprehensive feedback form for evaluating professional development training sessions and workshops.
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PD SESSION EVALUATION AND ATTENDEE FEEDBACK FORM
PDF template
A comprehensive evaluation form for collecting participant feedback on professional development workshops and training sessions.
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Sabbatical Leave Memorandum Of Agreement
PDF template
Official document outlining the guidelines, application process, and key dates for sabbatical leave for academic year 2022-2023.
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April June 2024 Central Region Training Calendar
PDF template
A comprehensive training calendar for childcare and education professionals in Virginia's Central Region, featuring various professional development sessions.
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Patient Interview Form
PDF template
Comprehensive medical intake form for collecting patient demographic, health history, and contact information.
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GAANN Fellowship Application Form
PDF template
Application form for GAANN Fellowship at FIU, focused on AI and Cybersecurity research doctoral programs.
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NOMINATION GRADUATE ASSISTANCE IN AREAS OF NATIONAL NEED (GAANN) FELLOWSHIP PROGRAM
PDF template
A nomination form for selecting graduate students for the Graduate Assistance in Areas of National Need Fellowship Program in scientific computation.
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GEORGIA STATE BOARD OF ACCOUNTANCY AFFIDAVIT OF CITIZENSHIP
PDF template
An affidavit verifying citizenship or immigration status for professional licensure with the Georgia State Board of Accountancy.
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Graduate Assistantship Student Evaluation Form
PDF template
A comprehensive form to assess graduate assistants' performance, professional growth, and contribution to departmental objectives.
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Gannon University Health Examination Form
PDF template
A comprehensive health form required for students to access university health services and on-campus housing at Gannon University.
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New Patient Inquiries
PDF template
Comprehensive guide for new patients to register and schedule an appointment with the Geriatric Assessment Program at University of North Texas Health Science Center.
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GASN Membership Application
PDF template
Application form for nursing students to join the Glendale Association of Student Nurses (GASN) and pay membership dues.
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Gastrointestinal Order Form
PDF template
A comprehensive medical order form for managing student's gastrointestinal, feeding, suction, catheterization, and ostomy care needs during the school year.
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PATIENT MEDICAL HISTORY FORM
PDF template
Comprehensive medical history form for patients at Gateway ENT to collect personal health information, medical history, and family health background.
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Gateway To Nucala Enrollment Form
PDF template
Enrollment form for healthcare providers to prescribe and administer Nucala medication, including prescriber and clinical information.
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MedicalEmergency Information And Waiver Of Liability And Parental Consent Form
PDF template
A comprehensive medical information and liability waiver form for participants in Great Bay Rowing activities, collecting emergency contact details and medical history.
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Authorization Disclosure Of Confidential Information
PDF template
A form authorizing the release of confidential medical information to a specified healthcare facility with patient consent and time-limited authorization.
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Global Counseling Patient Intake Form
PDF template
Comprehensive medical intake form for counseling services, collecting patient personal and insurance information.
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GrapeCity Documents For PDF ReadMe
PDF template
Technical documentation and release notes for GrapeCity Documents for PDF software library, detailing version updates and features.
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Medical Claim Form
PDF template
Comprehensive guide for completing and submitting medical insurance claims to GEHA, including instructions for in-network and out-of-network claims.
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GEIVEX Fellowship Application Form For UIMP Course
PDF template
Application form for fellowship candidates interested in a specialized course on extracellular vesicles in biomedicine.
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Howard University Graduate School GEM Fellowship Application Form
PDF template
Application form for graduate students applying for the GEM Fellowship at Howard University Graduate School.
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Global Emergency Medicine Fellowship Application Form
PDF template
Application form for a specialized fellowship in Global Emergency Medicine at Brigham and Women's Hospital and Harvard University for board-certified emergency medicine physicians.
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Mentorship Agreement Form
PDF template
A form outlining the guidelines, expectations, and logistics for a professional mentorship relationship between a mentor and mentee.
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NARM Certification Application
PDF template
Comprehensive certification application form for professional midwifery certification with demographic and personal information collection.
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YMAHE Health Assessment Form
PDF template
Comprehensive health assessment form for first-year students requiring medical history, vaccination records, and physical examination details.
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Minor Athlete General Consent Form
PDF template
A consent form for parents/guardians to authorize individual training sessions, athletic training, and other activities for minor athletes while addressing abuse prevention policies.
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General Inquiry Form
PDF template
A form for submitting property-related inquiries and pre-consultation requests to the County of Renfrew Development and Property Department.
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Bridge To Wellness Wellbeing Program General Medical Form
PDF template
A form for employees to document preventative medical, dental, eye, and dermatology examinations for a workplace wellness program.
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GENERAL REFERRAL FORM
PDF template
A comprehensive medical referral form for scheduling various imaging procedures at Cedars-Sinai Medical Center.
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General Release And Medical Information Form
PDF template
A comprehensive form for youth program participants covering medical information, emergency contacts, and liability release for recreational activities.
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Glenville State University Reasonable Accommodation Medical Verification And Inquiry Form
PDF template
A form for employees to request medical accommodations at Glenville State University, involving medical verification and authorization for information release.
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General Test Request
PDF template
A comprehensive medical test request form used for submitting patient specimens and information to Mayo Clinic Laboratories for diagnostic testing.
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Partners HealthCare System Research Consent Form
PDF template
A comprehensive consent form template for medical research studies detailing participant rights and study participation guidelines.
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General Test Requisition
PDF template
A comprehensive medical test requisition form for healthcare providers to submit specimens for laboratory testing, covering various health conditions and tests.
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University Health Report
PDF template
Comprehensive health form for Northeastern University students requiring vaccination documentation and personal health information
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Vaccine Administration Record (VAR)Informed Consent For Vaccination
PDF template
A comprehensive form for collecting patient information and consent for vaccination at Walgreens.
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Medical Release, Photo Release, Liability Waiver Form
PDF template
Comprehensive waiver for participants in a construction training program, covering medical risks, property damage, and legal liability.
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MEDICAL HISTORY AND RELEASE FORM
PDF template
Medical history and consent form for DeMolay participants under 21 years of age, including health history and liability release.
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Physician Referral Form
PDF template
A comprehensive medical referral form for routing patients to various medical specialties at Emory Healthcare.
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INTERN EVALUATION FORM
PDF template
A comprehensive form for supervisors to assess intern performance, providing feedback on skills, professionalism, and workplace readiness.
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INTERN EVALUATION FORM
PDF template
A comprehensive form for supervisors to assess intern performance, providing feedback on skills, professionalism, and workplace readiness.
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Germany Close Up Fellowship Application Form
PDF template
Application form for a youth encounter program for Jewish North American students and young professionals to visit Germany.
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DSP Competencies Checklist TEMPLATE
PDF template
A comprehensive checklist to evaluate competencies of Direct Support Professionals (DSPs) working with individuals with developmental disabilities in Virginia's service system.
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PSEA Gettysburg Summer Leadership Conference 2024 Region Scholarship Application
PDF template
Scholarship application for PSEA members to attend the summer leadership conference at Gettysburg College in July 2024.
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2024 2025 Graduate Fellowship Application
PDF template
A fellowship for Northwestern University graduates pursuing a terminal Master's degree, offering $10,000 to $20,000 in tuition assistance based on scholarship, leadership, and public service potential.
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Patient Intake Form
PDF template
Comprehensive patient intake document for healthcare services, collecting personal, contact, and medical information with insurance and consent provisions.
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New Patient Intake Form
PDF template
Comprehensive medical intake form for new chiropractic patients, collecting personal information and detailed health history.
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Laboratory Specimen Collection Form
PDF template
A detailed form for collecting patient and specimen information for laboratory testing and analysis.
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Quartz Medicare Advantage (HMO) Quartz CashCard Reimbursement Form
PDF template
Form for Medicare members to request reimbursement for fitness memberships or medical transportation rides using their Quartz CashCard.
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Dental Claim Form
PDF template
A comprehensive form for submitting dental insurance claims, capturing patient, subscriber, and dental service details.
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Pre Participation Physical Evaluation History Form
PDF template
Official medical evaluation form for student-athletes participating in Georgia high school sports, detailing medical history and physical examination requirements.
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Short Term Individual And Peer Group Fellowship Program
PDF template
A fellowship program for early-career scholars in humanities, arts, and social sciences at the Global Institute for Advanced Study in Budapest.
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Michigan Gastrointestinal Illness Complaint Interview Form
PDF template
A comprehensive form for documenting and investigating gastrointestinal illness complaints, patient information, and medical details.
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LSU SVM Gift Contribution Form
PDF template
A form for making financial contributions to support various programs and funds at the LSU School of Veterinary Medicine.
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Gift Contribution Form
PDF template
A donation form for contributing to various funds within the Virginia Tech College of Veterinary Medicine
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Gig Development Agreement Form
PDF template
A form for documenting and tracking internal workforce development assignments and learning opportunities within Cornell University.
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Camper Medical Form
PDF template
Medical form for assessing a camper's health status, medical conditions, and fitness for camp participation.
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Health And Medical History Form
PDF template
A comprehensive medical history and health information form for American Heritage Girls members, valid for 12 months.
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Girl Scouts Health History And Medical Examination Form For Minors
PDF template
Comprehensive medical and health history form for Girl Scout participants to capture essential health information and emergency contact details.
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Health History And Medical Examination Form For Minors
PDF template
Comprehensive medical form for collecting health information and medical history for Girl Scouts participants under 18 years old.
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Short Term Disability Claim Form Statement Of Employee
PDF template
A comprehensive form for employees to file a short-term disability claim with detailed personal, employment, and medical information.
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Long Term Disability Claim Form PhysicianS Statement
PDF template
A comprehensive medical form for submitting a long-term disability insurance claim, requiring detailed patient and medical information.
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Global Mamas Health Emergency Contact Form
PDF template
A comprehensive medical and contact information form for Global Mamas organization, collecting personal details and health history.
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ResidentFellow Leave Request Form
PDF template
Form for residents and fellows to request medical, parental, or caregiver leave, documenting leave details and receiving institutional approval.
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National Board Certification (NBCT) Achievement Course Enrollment Form
PDF template
Enrollment form for teachers seeking National Board Certification through a professional development course at George Mason University.
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TSST Course Audit Form
PDF template
A form for community-based teacher panel evaluation of courses facilitated by the Institute of Physics, focusing on course coherence and delivery standards.
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Center For Endocrine Tumors And Disorders Patient Intake Form (Dr Goldfarb)
PDF template
Comprehensive medical intake form for patients with endocrine-related health concerns, collecting personal, medical, and medication history.
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Goldner Mini Fellowship Application Description And Guidelines
PDF template
A financial aid program for students with work constraints, offering $1000 fellowships to facilitate participation in theater productions.
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Golder Mini Fellowship Application Description And Guidelines
PDF template
Financial support program for students with financial need to participate in theater productions by reducing work hours and providing $1000 term-long fellowships.
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Google PhD Fellowship
PDF template
A fellowship program providing tuition and stipend support for PhD students in research areas of interest to Google, with a focus on diverse applicants.
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OPIC Handbook
PDF template
Comprehensive guide for international investment and political risk insurance provided by the Overseas Private Investment Corporation (OPIC)
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Guiding Principles For Evaluators Workshop Evaluation Form
PDF template
A survey to assess participant knowledge and experience with Guiding Principles for Evaluators before and after a workshop
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Grant Program In School Psychology Internship Application Form
PDF template
An application for a pre-doctoral psychology internship program at Stephen F. Austin State University Charter School, focusing on training school psychologists.
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GPTI Teaching Evaluation Form
PDF template
A comprehensive evaluation form for assessing teaching performance across multiple dimensions including course outline, exams, materials, and classroom performance.
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Grade Appeal Form
PDF template
Form for students to request a review of their academic grade at Washington University School of Medicine.
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Goucher College Graduate Fellowship Applications
PDF template
Application form for graduate students seeking fellowships at Goucher College, with sections covering personal information, educational background, and study plans.
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Graduate Assistant Evaluation Form
PDF template
A comprehensive evaluation form for assessing graduate assistant performance across multiple professional competencies.
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Graduate Equity Fellowship Application Form, 2023 2024
PDF template
Application form for graduate students seeking an equity fellowship at Sonoma State University for the 2023-2024 academic year.
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General Outpatient Referral Form
PDF template
A medical referral form for patients seeking healthcare services at Grady Health System in Atlanta, Georgia.
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Graduate Research Abroad Fellowship Application Form
PDF template
Application form for graduate students seeking funding to conduct research abroad for academic projects.
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Grant Application Form
PDF template
A comprehensive grant application form for funding research and projects at the Mater Hospital Foundation in Dublin, Ireland.
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Grant Application Form
PDF template
Comprehensive form for submitting research grant proposals to the International Essential Tremor Foundation (IETF)
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Stanley H. Mathis Foundation Grant Application
PDF template
A grant application form for educational courses in real estate, submitted to the Stanley H. Mathis Foundation for review and potential funding.
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Wellspring Chaplaincy Initiative Grant Application Form
PDF template
A comprehensive application form for chaplains seeking grant funding through the Wellspring Chaplaincy Initiative, capturing professional and educational background.
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Sales Order Form
PDF template
Order form for various workplace safety training workbooks and certification sets with bulk pricing options.
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Grateful Patient Contribution Form
PDF template
A form for patients to make tax-deductible contributions to support endodontic research, education, and awareness.
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GRMC Foundation Contribution Form
PDF template
A tax-deductible donation form for supporting various fundraising categories at Gila Regional Medical Center Foundation.
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Group Course Booking Form
PDF template
A form for booking group training courses with SAS Institute, including contact and payment details.
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Pre Authorisation Form Group Care
PDF template
A medical insurance form for requesting cashless hospitalization, to be filled by the patient and treating doctor
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Invasive Species Training 2017 Group Booking Form
PDF template
A registration form for group booking of invasive species training modules with multiple participant slots and payment details.
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Group Short Term Disability Claim Form
PDF template
A comprehensive form for filing a short-term disability insurance claim with Dearborn National, capturing employee medical and income details.
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2024 2025 GSA Grant Handbook
PDF template
Comprehensive guide for graduate students applying for academic and professional development grants at the University of Northern Colorado.
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Girl Scouts Health History And Medical Examination Form For Minors
PDF template
Comprehensive health history and medical examination form for Girl Scout participants to document medical information and insurance details.
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Guest Medical Information Form
PDF template
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
PDF template
Detailed guidance for obtaining informed consent from research subjects with limited English proficiency, covering different interpreter scenarios.
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Hearing The Student Voice Guidance For Staff
PDF template
A comprehensive guide for educational staff on capturing and utilizing student perspectives to enhance academic practice through a ten-step approach.
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Guidelines For Acceptable Documentation
PDF template
Comprehensive guidelines explaining acceptable documentation for medical and personal circumstances affecting academic course completion.
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GSU COB Intellectual Contribution Form
PDF template
A form providing guidelines for documenting research plans, publications, and professional development activities for Georgia State University College of Business faculty members.
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The NWU Literary Agent Agreement
PDF template
A comprehensive guide for authors explaining the relationship with literary agents and understanding agent agreements.
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Guide To Completing The Patent Application Form (Form No.1)
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Comprehensive instructions for completing a patent application with details on patent types, fees, and required information for the Intellectual Property Office of Ireland.
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REIMBURSEMENT FORM
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Form for submitting optical services reimbursement to General Vision Services by members.
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Medical History Form
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A comprehensive form for collecting patient medical history, health details, and emergency contact information for dental service purposes.
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COVID 19 CVD Registry Powered By Get With The Guidelines Investigator Initiated Research Proposal Fo
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A form for researchers to submit investigator-initiated research proposals related to the COVID-19 Cardiovascular Disease Registry by the American Heart Association.
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Get With The Guidelines Quality Improvement Research Opportunity
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Request for research proposals focused on intracerebral hemorrhage (ICH) stroke using Get With The Guidelines data collection.
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Permission To Contact For Research
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A form allowing Gulf War veterans to authorize contact for potential research participation in a biorepository brain bank study.
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VOLUNTEER PROGRAM GUIDELINES
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Comprehensive guidelines for managing volunteers, including recruitment, training, policies, and risk management procedures.
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Reimbursement Request Form
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A form for members to request reimbursement for eligible healthcare services paid out-of-pocket.
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Conference And Meeting Leave Procedure
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Detailed procedure outlining conference and meeting leave policies for various employee types within the college district.
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Influenza Sentinel Provider Report Form
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Comprehensive medical reporting form for tracking influenza cases, patient information, clinical data, and laboratory test results.
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PATIENT INTAKE FORM
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Comprehensive form for collecting patient personal, contact, insurance, and medical information for healthcare providers.
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Request For Hospital DischargeTransfer Approval Form (H 804)
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A medical form for documenting tuberculosis patient discharge, medication regimen, and transfer details for healthcare providers.
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2016 Haiti Mission Trip Payroll Deduction Form
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A form for employees of Morehouse School of Medicine to make a financial contribution to a Haiti Mission Trip through payroll deduction or direct payment.
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Harold B. Hancock Research Fellowship
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A fellowship program offering research opportunities at the Delaware Public Archives focused on state and local history before 1980.
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University Of Toronto Hand Fellowship Application Form
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Application form for medical professionals seeking a hand surgery fellowship at the University of Toronto.
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XAVIER HAP 2024 Personal Health History
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A comprehensive medical history form for students, to be completed by parents or guardians before submitting to a medical provider.
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Hardship Refund Request Form
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Policy detailing conditions and process for students to request tuition refunds due to exceptional medical or family circumstances.
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Samuel P. Harn Museum Of Art Intern Application Packet
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Comprehensive internship application materials for students and professionals interested in museum careers at the Samuel P. Harn Museum of Art.
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The Harrington Public Affairs Fellowship Program For Undergraduates
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A fellowship program for Clark University undergraduates in Political Science to support research, service projects, and academic conference participation.
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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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Homeland Security TTX Toolkit Participant Feedback Form
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A form designed to collect participant feedback and insights from a homeland security training exercise to identify strengths and areas for improvement.
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Registration Form
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Comprehensive registration form for healthcare services, collecting patient demographic, contact, insurance, and medical history information.
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REQUEST FOR MEDICAL ELIGIBILITY DETERMINATION
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A form for assessing an individual's medical care needs and eligibility for healthcare services or facilities.
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Provider Enrollment Form
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Comprehensive form for healthcare providers to enroll and provide professional details for credentialing and practice information.
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Radiology Exam Order Form
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A comprehensive form for ordering radiology examinations, collecting patient, provider, and insurance information for medical imaging services.
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1500 Health Insurance Claim Form
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Standard medical claim form used for submitting healthcare insurance reimbursement requests.
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Patient Intake Form
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Comprehensive patient registration form collecting personal, demographic, and healthcare-related information.
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OHSU Referral Form
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A comprehensive medical referral form for patients being referred to various specialty departments at OHSU (Oregon Health & Science University).
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Health Care Provider Accommodation Assessment Form
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A form for employees to request reasonable workplace accommodations by obtaining medical documentation from their healthcare provider.
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Health Care Provider Examination Form
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A comprehensive healthcare provider form for documenting medical examinations, immunization history, and patient assessments.
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HCPCS Authorization Form
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Medical form used for requesting authorization for medical procedures or medications with detailed patient, physician, and treatment information.
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Form 4506 Health Care Practitioner Physical Assessment Form
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Medical assessment form for collecting a resident's comprehensive health history and current medical status for assisted living program admission
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Form 4506
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A detailed medical assessment form for evaluating a resident's health status and medical history for assisted living admission.
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Weld HCP Referral Form
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A comprehensive referral form for healthcare coordination and client information collection in Weld County, Colorado.
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ADA Medical Questionnaire
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Medical questionnaire for employees requesting workplace accommodations under the Americans with Disabilities Act (ADA)
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Healthcare Workers Satisfaction And Engagement Survey
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A survey designed to assess job satisfaction, engagement, and work experiences of healthcare workers across various dimensions of their professional life.
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Submission Instructions For Development Requisitions
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Instructions for developers on submitting payment requisitions during development and construction periods using a Master Budget Template.
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CMS 1500 Claim Filing Instructions
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Detailed guidelines for completing the CMS-1500 healthcare claim form with specific instructions for each field.
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Mandatory Tuberculosis (TB) Risk Assessment Form
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A comprehensive medical form to assess tuberculosis risk factors and required testing for students, particularly those from high-risk regions or with specific exposure history.
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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 current health status details for safety purposes.
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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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A comprehensive health screening form for children entering school, requiring parental consent and medical provider certification.
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Tips For Claim Submission
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Comprehensive guide for submitting healthcare and flexible spending account claims, detailing documentation requirements and eligible expenses.
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Tips For Claim Submission
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Comprehensive guide for submitting medical expense claims, including eligible expenses, documentation requirements, and over-the-counter medication rules.
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Expense Reimbursement Voucher For Healthcare Flexible Spending Account (Healthcare FSA)Health Reimbu
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A form for employees to request reimbursement for medical expenses through their flexible spending account or health reimbursement arrangement.
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Medical Inquiry Form Accommodation Request
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A medical form for healthcare providers to evaluate an employee's physical or mental impairments and potential workplace accommodations.
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Co PayDeductible Reimbursement Form
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Form for students to request reimbursement for medical co-pays and deductibles, with specific instructions and limitations.
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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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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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Certificate Of Child Health Examination
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Official state document for recording child's health examination and immunization records.
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Health Extras Reimbursement Form
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Form for submitting healthcare service reimbursement claims through Independent Health's Health Extras program.
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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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Physical Examination Form
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Medical form for documenting a child's physical health status and ability to participate in a child care program.
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Health Records Form
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Comprehensive health documentation required for student enrollment at Bennett College, including immunization records and medical consent forms.
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Medical History Form
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Comprehensive medical history form for students collecting personal health information, medical conditions, and health maintenance details.
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Medical History Form
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Comprehensive medical history form capturing patient's health status, previous illnesses, and current medical conditions.
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Health History Physical Exam Form
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Confidential medical history form for Allied Health and Nursing students at Minnesota West Community and Technical College to document health status and medical background.
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MEDICAL HISTORY FORM
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Comprehensive medical history form for patient intake, collecting personal health information, medical conditions, and allergies.
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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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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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HEALTH INVENTORY FORM
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A comprehensive medical history form for collecting student health information, including past diseases, treatments, and current medical status.
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Medical Claim Form
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A comprehensive form for submitting medical insurance claims, capturing patient, subscriber, and medical service details.
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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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HealthMedication Authorization Form
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Form for authorizing medication administration for participants in M-NCPPC park and recreation programs, including prescription and non-prescription medications.
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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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Health Professions Personal Medical History Form
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Medical documentation form for health professions students to submit immunization and health screening records for clinical experiences.
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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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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 Savings Account (HSA) Contribution Form
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A form for depositing funds into a Health Savings Account with instructions for contribution types and participant authorization.
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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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Health Services Student Medical Form
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Comprehensive medical form for students enrolling in various healthcare-related programs and continuing education classes at Catawba Valley Community College.
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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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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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Training Package For Enumerators Of Elephant Damage
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A comprehensive training guide for documenting and assessing human-elephant conflict incidents in African rural areas.
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Request For Proposal No. HPI20221027
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Request for proposal seeking services to develop management manual and professional development courses for Heifer Project International's global non-profit development work.
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Medical Form
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Medical history and immunization form for students, requiring detailed health information and parental consent.
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Medical Form
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Comprehensive medical history and immunization form for students, requiring detailed health information to be completed by parents/guardians and physicians.
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2024 Arthur C. Helton Fellowship Program
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A fellowship program providing $2,000 grants for law students and new professionals to conduct international law and human rights research.
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DR. E. BRUCE HENDRICK ONTARIO SCHOLARSHIP PROGRAM 2023 MEDICAL ASSESSMENT FORM
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A medical assessment form for students with spina bifida or hydrocephalus applying for the Dr. E. Bruce Hendrick Ontario Scholarship Program.
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Hepatitis B Vaccination Waiver Form
PDF template
Form for students to decline Hepatitis B vaccination while acknowledging potential health risks from occupational exposure.
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NIDDK Hepatology Fellowship Application Form
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Application form for individuals seeking a hepatology fellowship at the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
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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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TSST Course Audit Form
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A course evaluation form for physics teachers, designed to assess course quality and community approval by the Institute of Physics
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Parental Consent Form Highlighting Effective Teaching Strategies (HETS) Project
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A consent form for parents to allow their child's classroom to be videotaped for a research study on effective teaching strategies in Hawaii schools.
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PATIENT FRIENDLY BILLING PATIENT GLOSSARY OF BILLING TERMS
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A comprehensive guide to commonly used financial terms in healthcare billing, designed to improve patient understanding of medical financial communications.
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NYCHHC HIPAA Authorization To Disclose Health Information
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A form authorizing the release of personal medical and health information with specific privacy protections and consent requirements.
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Hickory Hill Member Family Emergency Contact Form
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A form for collecting emergency contact and medical authorization details for club members and their families.
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Texas Health And Human Services Acronym Guide
PDF template
A comprehensive list of acronyms used by Texas Health and Human Services covering various healthcare and administrative terms.
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NCIEC Healthcare Interpreting Fellowship Application Form
PDF template
Application form for healthcare interpreters seeking a professional fellowship program in medical interpreting across multiple US locations.
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Patient Intake Form
PDF template
Comprehensive medical questionnaire collecting patient personal, insurance, and health history information for medical providers.
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FDNY HIPAA AUTHORIZATION TO DISCLOSE HEALTH INFORMATION
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Form authorizing the release of personal health information with specific consent parameters and privacy protections.
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HIPAA Compliance Patient Consent Form
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A form detailing patient consent for healthcare information usage, disclosure, and privacy practices under HIPAA regulations.
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Authorization For Release Of Health Information Pursuant To HIPAA
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Official form allowing patient authorization for release of sensitive medical information in compliance with HIPAA regulations.
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HIPAA Acknowledgement And Medical Information Release Form
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A form for patients to authorize release of medical information and provide contact preferences for communication.
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Privacy Complaint Form
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A form for patients to submit written complaints regarding privacy and confidentiality of protected health information.
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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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Histology Service Request Form
PDF template
A form for requesting histology laboratory services with sample submission details and contact information.
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HSS Histopathology Service New Project Request
PDF template
A form for researchers to request histopathological services at the HSS Research Institute for investigating autoimmune, inflammatory, and orthopedic diseases.
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Medical History Form
PDF template
Comprehensive medical form for capturing patient health history, symptoms, and medical conditions across various body systems.
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HIV Case Report Form
PDF template
A comprehensive medical form for documenting HIV patient demographics, testing history, and risk factors.
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Pediatric Provider Referral Form
PDF template
A form for healthcare providers to refer pediatric patients for additional services or evaluations.
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Hmsa Travel Assistance Request Form
PDF template
A form for requesting travel-related medical assistance or coverage through HMSA health plan
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Harvard Outing Club Medical Form
PDF template
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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HOD COMMITTEE VOLUNTEER FORM
PDF template
A form for volunteering to serve on various committees for the House of Delegates meeting, including reference committees and other organizational groups.
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2024 Antitrust Section Hollis Salzman WomenS Leadership Fellowship Application Form
PDF template
Application form for a leadership fellowship program in antitrust law, specifically designed to support women in the legal profession.
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Training Evaluation Form
PDF template
A comprehensive survey to collect participant feedback on a specific training session about supportive housing development and operations.
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Hooper DSC Referral Form
PDF template
A medical referral form for patient intake and scheduling at a healthcare facility with specific requirements and patient information collection.
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Hematology And Oncology Physician Coverage (HO PC) Service
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A document outlining objectives and expectations for physician coverage in Hematology and Oncology during nights and weekends.
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K 2nd Grade Student Evaluation Form
PDF template
A comprehensive evaluation form for K-2nd grade students assessing academic, social, and emotional development for Horizons program at New Canaan Country School.
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K 2nd Grade Student Evaluation Form
PDF template
Comprehensive evaluation form for assessing K-2nd grade student's academic, social, and emotional development for Horizons program.
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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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Hospital Discharge Form
PDF template
A form to document patient details and discharge readiness, including medical conditions and follow-up care requirements.
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Hospitalization Pre Authorization Form
PDF template
A comprehensive form for patients and healthcare providers to request pre-authorization for hospital admission and medical treatment from Jubilee Health Insurance.
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Development And Royalty Agreement
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Agreement between Voltron Therapeutics and Hoth Therapeutics for collaborative development of a COVID-19 vaccine through HaloVax, LLC.
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Housing Construction Rolling Gap Grant Application Form
PDF template
An application form for developers seeking housing construction grants from the Cuyahoga Land Bank to support new residential development projects.
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Housing Incentives Program Supplemental Information Sheet
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Document providing guidance and procedures for affordable housing project applications with density bonus in San Bernardino County.
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How To Choose The Correct Proof Of Insurance Form
PDF template
A decision tree for University of Illinois staff, faculty, students, and medical professionals to determine the appropriate proof of insurance form to submit.
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Medical Release Form
PDF template
Step-by-step guide for completing an online medical release form for Forest Home organization through CircuiTree registration account.
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Terms Of Reference (ToR) For Short Term Technical Assistance To Support The Optimization Of Implemen
PDF template
Request for technical assistance proposal from Heifer International Nigeria Program to support implementing partner application optimization
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HIGH PLAINS MUSIC CAMP MEDICAL FORM
PDF template
Comprehensive medical form for participants of High Plains Music Camp, collecting personal, medical, and emergency contact information.
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Health Professions Recruitment And Exposure Program 2022 Parental Consent Form
PDF template
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
PDF template
Consent form for minors to participate in the Health Professions Recruitment and Exposure Program at Weill Cornell Medical College.
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Entity Professional Liability Insurance Application
PDF template
An insurance application form for healthcare entities seeking professional liability coverage for their practice and healthcare professionals.
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Medical History Form
PDF template
Comprehensive form for documenting patient medical history, conditions, and potential health issues
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Health Reimbursement Account (HRA) Claim Form
PDF template
A form for employees to submit healthcare expense reimbursement claims through their Health Reimbursement Account (HRA)
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Human Rights Clinic Volunteer Application Form
PDF template
Application form for potential volunteers interested in joining the Human Rights Clinic
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FMLA LEAVE REQUEST FORM
PDF template
A comprehensive form for employees to request leave under the Family and Medical Leave Act (FMLA) for various qualifying reasons.
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Sample Employee Resignation Form
PDF template
A standard template for employees to formally submit their resignation from a job position.
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Performance Review Form Hourly Employees
PDF template
A comprehensive performance review form for evaluating hourly employees across competencies and performance expectations.
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Claim Form
PDF template
A form for seeking reimbursement of eligible out-of-pocket expenses with participant certification and submission instructions.
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Health Savings Account 2023 Payroll Deduction Contribution Form
PDF template
Form for employees to start, stop, or change Health Savings Account (HSA) contributions through payroll deductions.
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Health Savings Account 2024 Payroll Deduction Contribution Form
PDF template
Form for employees to start, stop, or change Health Savings Account (HSA) contributions through payroll deductions for the 2024 plan year.
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Health Savings Account (HSA) Contribution Form
PDF template
A form for individuals to make contributions to their Health Savings Account through various deposit methods.
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Health Savings Account Employer Contribution Form
PDF template
A form for employers to make contributions to employee Health Savings Accounts with specific contribution details and authorization.
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Health Savings Account Payroll Deduction 2021
PDF template
Form for employees to authorize health savings account contributions through payroll deduction for qualified high deductible medical plans.
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BlueFund HSA Payroll Deduction Form
PDF template
A form for employees to set up payroll deductions for a Health Savings Account (HSA) with contribution guidelines and instructions.
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Health Savings Account (HSA) Transfer Request Form
PDF template
A form for transferring funds from an existing Health Savings Account (HSA) to a new HSA administered by Aptia and custodied by WEX Inc.
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Health Contact Form
PDF template
A bilingual form for tracking medical, dental, and health visits for foster children in Sonoma County
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Physical Examination Form
PDF template
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
PDF template
Comprehensive guide for filing a special risk insurance claim, detailing required documentation and submission process.
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ParentGuardian Consent Form For Children And Youth
PDF template
A consent form for parents/guardians to authorize their children's participation in church-sponsored activities and provide medical information.
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State University Of New York Medical Reimbursement Form Claims Incurred Outside Of The United States
PDF template
A medical reimbursement form for SUNY employees and members to claim medical expenses incurred outside the United States.
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Prescription Reimbursement Form
PDF template
A form for submitting prescription drug expenses for insurance reimbursement, requiring patient and prescription details.
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Health Insurance Information
PDF template
Form for collecting student health insurance details and coverage acknowledgment for Hobart and William Smith Colleges students.
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Graduate InternshipProfessional Project Form
PDF template
A form for graduate students in Humanities to document internship, professional project, or teaching experience requirements.
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Harbor View Neighborhood Association Project Information Form
PDF template
A mandatory form for developers seeking zoning relief within the Harbor View Neighborhood Association boundaries, outlining the community review process.
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Huron Valley Percussion Physical Examination Form
PDF template
Comprehensive health screening form for student musicians detailing medical history and physician examination findings.
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Hospice Of Washington County Employment Application
PDF template
Comprehensive job application form for employment at Hospice of Washington County, collecting personal, professional, and skills information from job applicants.
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Form I 983 Training Plan For STEM OPT Students
PDF template
Comprehensive guide for nonimmigrant students and employers completing the Form I-983 for STEM Optional Practical Training extension.
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IACUC Training Requirements
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Policy outlining training requirements for personnel working with animals in research at SUNY Downstate Health Sciences University.
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Request For Expressions Of Interest Consulting Services
PDF template
Seeking consulting services to provide a certification program for government procurement officials in Guyana at three expertise levels.
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Student Volunteer Service Program Application
PDF template
Application form for students interested in volunteering at the Inter-American Foundation (IAF) across various departments and areas of interest.
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Indigenous Arts Leaders Fellowship Application Form
PDF template
An application form for an arts fellowship program designed to support Indigenous artists in Winnipeg, Manitoba.
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IAN Scholarship Form
PDF template
Scholarship program to support professional development for current IAN members with financial limitations, offering up to $150 for workshop registration.
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Cook County PEL Grant Application Form
PDF template
A grant application form for school nurses seeking professional certification funding in Cook County, Illinois.
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Information Bulletin 503
PDF template
Announcement of new forms for Master Plan Review and Rights Determinations by the City of San Antonio Planning & Development Services.
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Proof Of Attendance Form
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A form for documenting attendance at an educational course for bank directors, used for professional certification purposes.
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IBEF Monastic Fellowship Application Policy And Procedure
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Detailed policy outlining financial aid for Buddhist monastic students pursuing religious studies and chaplaincy degrees at University of the West.
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2020 DAY CAMP EMERGENCY CONTACT FORM
PDF template
A form for collecting camper and family information, emergency contacts, and medical permissions for a day camp program.
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Employee Emergency Contact Form
PDF template
A form for collecting employee personal and emergency contact details for workplace safety and emergency response purposes.
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Ice Rescue Trainer Certification Form
PDF template
A form for Ice Rescue Trainers to confirm their compliance with certification requirements and student exam procedures.
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Integrated Clinical Experience Student Evaluation Form
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Evaluation form for assessing physical therapy students during clinical rotations, rating performance across multiple professional competencies.
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MEDICAL HISTORY FORM TEMPLATE
PDF template
A comprehensive form for collecting patient medical information including medications, surgical procedures, illnesses, and vaccination history.
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Patient Discharge Form
PDF template
A comprehensive form for documenting patient discharge details, medical treatment, and follow-up information.
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Patient Intake Form Template
PDF template
A comprehensive form for collecting patient personal, medical, insurance, and payment information during initial healthcare visit.
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Federal Employee Injury Compensation Basic Training Enrollment Form
PDF template
Enrollment form for U.S. Federal Government employees seeking training in injury compensation through the Department of Labor's Office of Workers' Compensation Programs.
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TRAINING FEEDBACK FORM
PDF template
A form for participants to provide detailed feedback about a training session's effectiveness, content, and delivery.
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Skills Inventory Form
PDF template
A worksheet for individuals to document and showcase their professional skills, their context of use, and potential evidence for employers.
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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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Booking Form
PDF template
A registration form for booking professional courses with the Institution of Engineering and Technology (IET)
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Public Booking Form
PDF template
Registration form for booking professional development courses offered by the Institution of Engineering and Technology (IET)
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Interface Development And Testing Agreement
PDF template
Agreement governing the development and testing of customer interfaces connecting to CME electronic trading systems and interfaces
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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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IFNH Refund Policy
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Detailed policy outlining refund procedures for class memberships, personal training sessions, and assessment appointments at Rutgers University's IFNH unit.
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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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QualificationProgramme Schedule Real Estate
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A registration form for real estate professional qualifications and training programmes in New Zealand, covering salesperson, property management, and unit standard options.
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Immune Globulin Referral Form
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Medical referral form for patients requiring immune globulin treatment for various neurological and immune disorders.
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Public Law 94 437 Title I Scholarship Program Application Checklist
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Comprehensive application checklist for scholarship programs offered by the Indian Health Service for healthcare professionals and students.
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MRG MINI REGISTRATION FORM
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A registration form for patients at the Naval Health Clinic in Annapolis, Maryland, collecting basic patient demographic and contact information.
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Clovis Community College Counseling Training Session Agenda
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Multiple agendas from Clovis Community College documenting counseling meetings and training sessions in 2015-2016
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ILA Specialized Event Proposal Form
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A comprehensive form for proposing specialized conferences through the International Leadership Association (ILA), outlining event details, purpose, and planning process.
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ILCA Africa Fellowship 2022 Application Form
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Application form for research fellowship program by the International Liver Cancer Association targeting African researchers and medical professionals.
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ILCA 2023 2024 Fellowship Application Form
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Application form for researchers seeking a fellowship from the International Liver Cancer Association with detailed requirements for applicants and mentors.
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Illinois State Foundation Fellowship Application Form
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Application for a $2,500 fellowship for doctoral and master's level students demonstrating academic excellence at Illinois State University.
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Imaging Order Request
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A comprehensive medical imaging request form for various diagnostic scans and procedures
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NEW PATIENT INTAKE FORM
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Comprehensive medical form for collecting new patient personal, contact, and medical history information.
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Required Certificate Of Immunization
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A comprehensive form documenting required immunizations for students, including vaccination history and personal information.
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Immunization Consent Form
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A medical form capturing patient consent for immunizations, detailing potential adverse reactions and risks associated with vaccine administration.
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IMMUNIZATION CONSCIENTIOUSRELIGIOUSMEDICAL FORM
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A form for students to request exemption from immunization requirements due to conscientious, religious, or medical reasons
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Immunization Record Form
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A comprehensive form for documenting student immunization history and requirements for university enrollment.
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Authorization For Release Of MedicalHealth Information
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Missouri Department of Social Services form authorizing the release of an individual's medical and health information to specified parties.
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IPL TEST REQUISITION FORM
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Medical form for submitting patient specimens for oncology immunophenotyping testing at Cincinnati Children's Hospital Medical Center laboratory.
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Incident Or Injury Form
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A comprehensive form documenting details of an incident or injury involving a child in a care facility.
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INCIDENT, ACCIDENT, ILLNESS, DEATH OR ARREST REPORT
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A comprehensive form for documenting and reporting health-related incidents, accidents, illnesses, or other critical events in a community health network.
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Incident Report Form
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A comprehensive form for documenting details of an incident, including participant information, injury details, first aid, and follow-up actions.
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Inclusionary Reduction Request For Pipeline Projects
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A supplemental form for residential development projects seeking to reduce inclusionary affordable housing requirements in San Francisco.
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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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2017 Training Dates Invasive Species One Day Module Courses
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Booking form for one-day training modules on invasive species management across multiple South African cities.
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Initial Disability Claim Form
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Insurance claim form for reporting initial disability claims, covering policyholder and patient information related to sickness or injury.
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33rd EACTS Annual Meeting Industry Opportunities Booking Form
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Registration and booking form for industry sponsorship opportunities at the 33rd European Association for Cardio-Thoracic Surgery Annual Meeting in Lisbon, Portugal.
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Industry Presentation Submission Form
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A form for submitting clinical research presentations for The Aesthetic MEET 2025 conference.
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49th Annual Training Institute REGISTRATION FORM
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Registration form for the annual training institute with pricing details for various attendee types and membership levels.
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Influenza Sample Submission Form
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A detailed form for submitting influenza test samples to the South Dakota Public Health Laboratory with comprehensive patient and specimen information.
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Limited License Fee Waiver Affidavit Form
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A form for employers to certify that a volunteer physician will not receive monetary compensation, enabling a fee waiver for medical licensure.
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Informant Interview Form Instructions
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Instructions for completing an interview form about a participant through a close contact when direct participant data collection is not possible.
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Informational Interview Site Visit Form
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A structured form for conducting informational interviews with employers to gather insights about company culture, roles, and industry trends.
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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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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, Accident Waiver, And Release Of Liability Active Shooter Full Scale Exercise
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A consent form for volunteers participating in a full-scale active shooter emergency response simulation at Eastern Kentucky University.
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Informed Risk Insurance Form For Allied Health Students
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A document detailing potential infectious disease risks for allied health students and insurance requirements during clinical studies.
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PLASTIC COSMETIC CENTER IN HOUSE FINANCING FORM CREDIT CHECK
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A comprehensive form for patients seeking in-house financing for cosmetic procedures with credit authorization.
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IN HOUSEVIRTUAL REGISTRATION FORM
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Registration form for educational classes and training offered by Neuhaus Education Center, with options for in-house and virtual learning.
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INITIAL CONTACT FORM (ICF)
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Comprehensive intake form for patient medical, substance use, and treatment history for healthcare services.
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Initial Disability Claim Form
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Insurance claim form for reporting initial disability claim with details about injury, hospitalization, and patient information.
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Initial Early Neutral Evaluation (ENE) Provider Training Program Manual
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A comprehensive training manual for Early Neutral Evaluation providers in family court settings, covering training requirements and curriculum for social and financial evaluations.
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Initial Uniform Health Assessment Form
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A comprehensive health evaluation form for medical professionals to assess fitness for duty and potential health risks to patients.
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Nursing Education Program Medical Form
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Medical form required for students entering the Jefferson State Community College Nursing Program, documenting health status and immunizations.
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Medical History Form
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Comprehensive medical history questionnaire used by Egea Medical Weight Loss Center to collect patient health information and background.
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Initial Disability Claim Form
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Insurance claim form for reporting initial disability due to sickness or injury, used by Aflac to process insurance claims.
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Injury And Illness Prevention Plan Guide
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Comprehensive guide for developing and implementing a workplace safety plan focusing on injury and illness prevention strategies.
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Form D Student Injury Report Form
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A form used to document and report student injuries or exposures during academic or clinical activities.
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INNOVATION GRANT APPLICATION FORM
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A comprehensive application form for researchers seeking innovation grants from the British Medical Ultrasound Society (BMUS)
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PremierS Award For Innovation In Teaching Application Form
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Application for recognizing innovative teaching practices in Newfoundland and Labrador's education system
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California Lawyer Association In Person Program Submission Form
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A form for submitting in-person legal programs and events by the California Lawyer Association, designed for programs 4 hours or less in length.
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AAS Evaluation Form For StaffVolunteer In Services
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A feedback form for evaluating staff and volunteer training sessions in a nutrition program center.
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Reimbursement Account Claim Form
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Claim form for submitting healthcare and dependent care expenses for reimbursement through a flexible spending account or reimbursement account.
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Instructional Faculty Performance Review
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A comprehensive review process for evaluating instructional faculty performance, including teaching effectiveness, professional growth, and service contributions.
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Worksite Observations Evaluation Form Instructional Specialist
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A comprehensive evaluation form for assessing the performance of instructional specialists across multiple professional competency areas.
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CMS 1500 Claim Form Instructions
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Detailed instructions for completing the CMS 1500 form for medical service billing to SFHP by healthcare providers.
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INSTRUCTIONS FOR MEDICAL REQUIREMENTS FOR CONDITIONALLY APPOINTED APPLICANTS
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Detailed guidelines for completing medical forms for conditionally appointed VMI applicants through the Medicat Portal.
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INSTRUCTIONS FOR PRE AUTHORIZATION FORM
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Detailed instructions for completing a pre-authorization form for medical procedures and services at Kaiser Permanente.
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UNMC AssistantshipFellowship Application
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Instructions and eligibility requirements for Ph.D. students applying for research assistantships and fellowships at the University of Nebraska Medical Center.
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Updated Instructor Monitoring Form 908
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Evaluation form for monitoring and assessing American Heart Association emergency cardiovascular care instructors' competency and performance.
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NOMINATION FOR A FHWA EMPLOYEE TO INSTRUCT NATIONAL HIGHWAY INSTITUTE TRAINING
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A form for nominating Federal Highway Administration employees to become instructors for the National Highway Institute training program.
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Dental Insurance Information
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Insurance form for collecting patient dental insurance details and treatment consent
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Insurance Information And Authorization Form
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Medical insurance and patient authorization document for Drs. Mark and Suzanne Boas' eyecare practice, collecting patient insurance details and financial responsibilities.
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Student Athlete Insurance Information Form
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A comprehensive insurance information form for student-athletes at Kutztown University to provide medical and contact details.
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Insurance WaiverChange Of Address
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A document for patients to waive insurance coverage and update contact information for medical services.
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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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Patient intake document providing contact information for multiple PanCare Health medical and dental clinics across Florida counties.
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Patient Intake Form
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A comprehensive medical intake form for collecting patient personal and health information for acupuncture treatment.
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Patient Intake Form
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A comprehensive patient intake document for collecting detailed personal, medical, and contact information at a memory clinic.
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Adult Patient Intake Form
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Comprehensive medical intake form for collecting patient personal, contact, emergency, and insurance information for medical treatment.
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New Patient Intake Form
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Comprehensive form for collecting patient demographic, contact, insurance, and scheduling information for new healthcare patients.
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NEW PATIENT INTAKE FORM
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Comprehensive medical and insurance information form for new patients, focusing on vision and health insurance details.
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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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NEW PATIENT INTAKE FORM
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Comprehensive patient intake form for podiatry medical practice collecting patient information, medical history, and insurance details.
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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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Neighborhood Health Plan Of Rhode Island (NHPRI) DME Authorization Form
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Healthcare authorization form for durable medical equipment (DME) services from Neighborhood Health Plan of Rhode Island
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Orthopaedic Surgery Program Intent To Travel Form
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A form for documenting and requesting travel reimbursement for residents in the Orthopaedic Surgery Program with details about mileage and funding sources.
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Interim Evaluation Form
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A form for documenting an employee's interim performance review, highlighting areas of achievement and improvement.
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Interim Evaluation Form
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A supervisory form for assessing an intern's professional performance, skills, and development during an internship period.
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Internship Application Form
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A comprehensive form for students to apply for an internship placement, including personal and professional details.
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Application Form Frankfurt Fellowship Programme
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Application form for a professional fellowship program focusing on young adult books in the publishing industry
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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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Generali Worldwide Health Insurance Healthcare Pre Authorization
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A pre-authorization form for healthcare services requiring insurance approval and documentation for Generali Worldwide Health Insurance.
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Health Insurance Pre Authorization Form For Therapy
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Insurance form for pre-authorization of physical, occupational, speech, and chiropractic therapy treatments.
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BOBST INTERNATIONAL CENTER SERVICE REQUEST FORM
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A comprehensive form for patients seeking medical services, including travel, consultation, and treatment details.
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International Student Medical Form
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Comprehensive medical form for international students attending community colleges in North Carolina, capturing personal and medical information.
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Internship Evaluation Form
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A comprehensive form for supervisors to assess intern performance, goals, and professional skills during an internship placement.
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Intern Evaluation Form
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Comprehensive evaluation form for assessing internship performance across professional competencies and job duties.
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NDSU Counselor Education Program School Counseling Internship Application Form 3
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Application form for students seeking internship placement in elementary and secondary school counseling settings through NDSU's Counselor Education Program.
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Undergraduate Internship Handbook
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Handbook for University of Louisville undergraduate students completing internships in sport administration, outlining program requirements and guidelines.
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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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Intern Medical Treatment Authorization Form
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Medical authorization form for interns to provide emergency treatment details and contact information in case of medical incidents.
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Internship Program Policy
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Policy document outlining the internship program for the Eastern District of Michigan Pretrial Services Agency, describing program purpose, coordinator responsibilities, and intern supervision.
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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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Internship 20232024 Student Form
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A comprehensive form for students to apply for academic internship credits, detailing personal information, internship details, and student commitments.
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KINESIOLOGY INTERNSHIP APPLICATION FORM
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Application form for students seeking internship opportunities in the Department of Kinesiology at the University of Rhode Island.
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INTERNSHIP APPLICATION FORM
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A comprehensive form for students seeking internship opportunities, collecting personal and academic information along with professional aspirations.
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Internship Application And Agreement Form
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A comprehensive guide for students seeking academic internship opportunities, detailing requirements, credit hours, and application process.
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INTERNSHIP APPLICATION FORM
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Comprehensive application form for internship candidates seeking placement at the African Centre for Democracy and Human Rights Studies.
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Turning Point Internship Application Form
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A comprehensive application form for internship candidates seeking placement at Turning Point organization
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Tompkins County Whole Health Internship Application Form
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A comprehensive application form for internship candidates at Tompkins County Whole Health, collecting educational and personal information.
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MBA Student Internship Checklist
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A comprehensive guide for MBA students detailing the steps required to complete an internship through the Herberger Business School.
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INTERN FEEDBACK FORM
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A comprehensive form for assessing student intern performance across multiple professional competency areas during an internship experience.
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STUDENT AND FACULTY GUIDE TO INTERNSHIPS
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Comprehensive guide outlining requirements and policies for student internships at Wesleyan University.
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Internship Guideline Handbook For Interdisciplinary Studies (INDS) Comprehensive Component
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A comprehensive guide for graduate students participating in internship programs, outlining responsibilities, procedures, and required documentation for internship experiences.
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Clarence H. Jackman Accounting Internship Program Packet
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Comprehensive guide for accounting students seeking internship opportunities at Cal Poly Pomona, providing details about the internship program, benefits, and participation steps.
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Internship Site Assessment Form
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A form for evaluating internship sites and intern experiences at the State University of New York College of Agriculture and Technology.
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INTERNSHIP STUDENT EVALUATION FORM
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A comprehensive form for students to evaluate their internship experience and provide feedback on professional learning.
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Internship Supervisor Evaluation Form
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A comprehensive form for supervisors to evaluate student intern performance, skills, and overall internship experience.
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Hunter College History Department Internship Work Agreement
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A formal document outlining the terms, objectives, and expectations for a student internship in the History Department at Hunter College.
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Foreign Language Certification Process For Becoming A Certified Or Qualified Interpreter For The Sta
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Comprehensive guide for foreign language interpreters seeking certification to work in the Rhode Island court system, detailing written and oral examination requirements.
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Interventional Radiology Referral Form
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Medical referral form for various interventional radiology procedures and services at Cincinnati Children's Hospital Medical Center
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Credential Admission Interview Form
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A form used to evaluate teaching credential applicants through an admission interview process in California.
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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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Stockton Introductory Fieldwork Feedback Form
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A feedback form for evaluating teacher education students during their introductory fieldwork experience in educational settings.
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CACFP Training Manual
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A training manual section covering invoice documentation for the Child and Adult Care Food Program (CACFP)
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IPAC Application Form
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Application form for research project consultation and imaging analysis services at a medical research facility.
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Institutional Review Board Training Declaration
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A form documenting training completion for individuals involved in institutional research review processes at St. Joseph's University.
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IRCP Medical History Form
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Comprehensive medical history form for patients with polio, capturing details about diagnosis, hospitalization, symptoms, and current health status.
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Implant Restorative Study Club Membership Form
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A membership form for joining the Implant Restorative Study Club with annual fee and contact information collection.
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Leverhulme Trust Research Fellowship Application Form
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Application form for a research fellowship exploring revolutionary movements in Southern Europe during the 1820s, focusing on political transformation and transnational connections.
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Continuing Education Unit (CEU) Attendance Form
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A form for recording continuing education units for professionals in arboriculture, used to track educational session attendance for certification purposes.
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Continuing Education Unit (CEU) Attendance Form
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A form for tracking and reporting continuing education units for certification with the International Society of Arboriculture
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Is It An Emergency
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A guide to recognizing and responding to medical emergency warning signs for adults and children.
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Cancellation Form
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Form for cancelling enrollment in Medica health insurance plans with multiple reason options.
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ISP Audit Meeting Minutes
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Minutes from an ISP audit meeting discussing safety training, incident reporting, and certification requirements for the Biochemistry department.
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ISSS 10 Fellowship Application Form
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Application form for fellowships to attend the 10th International School/Symposium for Space Simulations for students and young researchers under 30 years old.
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Report Of 2014 ISYA At Chiang Mai, Thailand
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A comprehensive report detailing the 2014 International School for Young Astronomers held in Chiang Mai, Thailand, including student demographics and evaluation results.
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Interest Inventory Form For Protgs
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A form for faculty members to indicate technology training interests and goals for professional development
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Mentor Assessment Form
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A form for proteges to provide feedback on their mentoring experience and mentor's performance.
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MCSA 5870 Insulin Treated Diabetes Mellitus Assessment Form
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A medical form used to evaluate individuals with insulin-treated diabetes mellitus for commercial motor vehicle operator qualification.
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ITEC Winter 20 General Application Form
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Application form for ecological and conservation training courses during winter session covering tropical ecology, marine biology, and conservation programs.
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CALL FOR APPLICATIONS Ignatian Teaching Fellowships
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A competitive fellowship supporting Saint Louis University faculty in innovative course design and teaching across different learning environments.
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Outpatient Physician Visit Referral Form
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A medical referral form for patient transfer between healthcare providers, collecting patient and referral details.
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IVIS 23rd International Vaccinology Course Fellowship Application Form
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Fellowship application for international professionals to attend a vaccinology course, targeting individuals from low- and middle-income countries with public health contributions.
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J88 Report On A Medico Legal Examination
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Official form for documenting medical findings in legal investigations, completed by healthcare practitioners for forensic purposes.
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J 1 Student Intern Eligibility And Requirements
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Comprehensive guidelines for international undergraduate students seeking internship opportunities in the United States under the J-1 visa program.
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J 1 Visa Application For Prospective UTSW International Visitor
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Comprehensive application package for international trainees seeking J-1 visa sponsorship at UT Southwestern Medical Center.
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J 1 Student Intern Evaluation Form
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Evaluation form for J-1 student interns at Florida Atlantic University, required by the Department of State for tracking intern progress and performance.
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Alonzo And Elisabeth Jamison Excellence Fund GovernmentNon Profit Internship Application
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An application for students seeking internships in government or non-profit organizations through the Jamison Internship Program.
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Jane Farver Memorial Fund Residency Application
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Application form for artists seeking a residency at the International Studio & Curatorial Program (ISCP)
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PSP Committee Members
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Detailed workflow for committee members participating in a professional procurement selection process at the University of Illinois.
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Jasper County 4 H Project Form
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Comprehensive form for 4-H members to document project activities, learning, and achievements for a specific project year.
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Judicial Branch Certification Commission Complaint Form
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Official form for filing complaints against certified court professionals in Texas, including court reporters, guardians, process servers, and interpreters.
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Patient Intake Form
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Comprehensive medical intake document collecting patient personal, contact, insurance, and consent information for medical services.
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Medical Release Form
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A form for documenting participant medical history, conditions, medications, and emergency contact information.
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Journal Of Hospital Medicine Author Contribution Form
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A form detailing authorship guidelines and contributions for a medical research manuscript submission.
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Joseph L. Henry Oral Health Fellowship In Minority Health Policy Application
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Application guidelines for a fellowship program targeting dental professionals interested in minority health policy and public health.
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Joseph L. Henry Oral Health Fellowship In Minority Health Policy Application
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Fellowship program for dental professionals interested in minority health policy and public health, offering advanced academic opportunities at Harvard University.
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FOBT FOLLOW UP FORM
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A medical chart audit form for tracking patient follow-up after a positive fecal occult blood test (FOBT) result in a colorectal cancer screening study.
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Urgent Care Application For Employment
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Comprehensive employment application for various medical positions at an urgent care facility, including equal opportunity and work authorization sections.
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Job Interview Contest
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Comprehensive guidelines for a job interview skills competition evaluating participants' interview techniques and professional communication abilities.
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Job Related Training And Education Employee Request Form
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Form for employees to request tuition reimbursement and time off for job-related educational programs at UTHealth.
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Louisiana Delta Community College Academic Affairs Master Syllabus
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A course designed to help students develop job search skills, create career portfolios, and prepare for employment opportunities.
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Job Search Lesson Plan
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A lesson plan teaching high school students how to complete job applications effectively and avoid common mistakes.
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Medical Alert Form
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Medical information form for students using Johnson Bus Company transportation services in Menomonee Falls School District.
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Joint Venture Agreement (Development Agreement) Between Southwark Council And Berkeley Homes Plc
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A joint venture agreement between Southwark Council and Berkeley Homes for developing land at Potters Fields in London SE1, aimed at creating new homes, commercial spaces, and generating capital.
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HCP Referral Form
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A comprehensive referral form for healthcare coordination and client information collection
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Journeyworker Training Contributions Form
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A form for contractors to submit monthly training contributions for journeyworker projects in California.
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Fresh Osteochondral Allograft And Fresh Frozen Meniscus Order Form
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Medical order form for requesting fresh osteochondral allografts and meniscus grafts for surgical procedures.
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Medical Examination Physician Statement
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