Specialized Care Documents

Chronic Disease Management
Paycor Sample PTO Policy Template
This sample Paid Time Off (PTO) policy template provides clear guidelines for employee time off, including accrual and usage. It is designed to help employers establish compliant and effective PTO policies. Customize it to fit the needs of your organization for a better work environment.

Chronic Disease Management
Domestic Partnership Affidavit City of Austin
This document serves as an affidavit for domestic partners in the City of Austin, allowing eligibility for benefits. It outlines the conditions under which domestic partners can qualify for medical, dental, and other related coverages. Ensure proper documentation and understanding of tax implications.

Dental Care
Dental Claim Submission Form Instructions
This file contains detailed instructions for filling out a dental insurance claim form. It includes the necessary sections and required information. Users can benefit from understanding how to accurately complete the form to ensure seamless processing.

Chronic Disease Management
Employee Referral Bonus Policy Savanna Well Servicing
This document outlines the Employee Referral Bonus Program at Savanna Well Servicing. It details eligibility, submission requirements, and bonus amounts for successful referrals. Employees can earn bonuses for assisting in the hiring process through referrals.

Chronic Disease Management
Employee Change of Address Form Instructions
This form allows employees to update their address. It is necessary for maintaining accurate employee records. Complete it clearly to ensure proper processing.

Chronic Disease Management
Leave of Absence Agreement Template for Employees
This Leave of Absence Agreement outlines the terms for employees seeking temporary leave from work. It stipulates conditions related to compensation, covenants, and dispute resolution. This template serves as a reliable guide for both employers and employees.

Orthopedics
ÖSSUR Custom Brace Order Form Instructions
This file provides a comprehensive order form for ÖSSUR custom braces. It includes shipping information, measurement types, and patient data collection. Healthcare professionals can use this form to facilitate the order of customized orthopedic braces efficiently.

Chronic Disease Management
Excused Absence for Blood Donation Guidelines
This file provides guidelines and instructions for employees planning to donate blood during work hours. It outlines the approval process and required documentation for excused absence. It is essential for understanding leave policies related to blood donation.

Chronic Disease Management
HR Leaver's Form for University of Worcester
This HR Leaver's Form is essential for University of Worcester staff when resigning. Complete this form to ensure final salary payments are processed accurately. Use this form to communicate your resignation and details regarding your departure.

Dental Care
Delta Dental Patient Attestation Assignment Form
This file contains the Delta Dental Patient Attestation form necessary for requesting the assignment of benefits to a non-participating dentist. It outlines the rights the patient agrees to waive and provides necessary instructions for submission. This document is crucial for Delaware employees seeking dental services outside of their network.

Home Health Services
California IHSS Paramedical Services Request Form
This file is a request form for In-Home Supportive Services to provide paramedical services to eligible patients. It contains sections to list the patient's medical condition and required services. Healthcare professionals use this form to recommend necessary services for patients to maintain their health at home.

Dental Care
Consent for Final Cementation - Cosmetic Dentistry
This document provides consent for the final cementation of cosmetic dental procedures. It explains the materials used and requires the patient's approval on the appearance of dental fixtures. Use this form to ensure that you understand and authorize the dental work being done.