Specialized Care Documents

This form is used by employees to request leave or document an approved absence. It includes sections for personal information, type of leave requested, and certifying conditions. Employers can utilize this document to streamline the leave approval process.

This file provides detailed instructions for using DePuy Synthes Large External Fixators for long bone fractures. It covers MR safety information and clinical indications. Essential for healthcare professionals involved in orthopedic treatments.

This form is necessary for employees to request authorization for overtime or compensatory time. It outlines the necessary information for proper processing. Please ensure all details are filled out completely and accurately.

This file is a TRICARE Breast Pump and Supplies Prescription Form. It provides details to assist beneficiaries in requesting breast pumps and supplies. The form includes instructions, required fields, and information on how to submit it.

This Application for Leave Form is essential for employees seeking official leave from their respective departments. It outlines the necessary details required to process leave applications effectively. Users must complete the form accurately to ensure timely approval of their leave requests.

This document provides essential information about SureSmile aligners and the consent required for orthodontic treatment. It outlines the procedure, benefits, risks, and what to expect during treatment. Ideal for patients seeking clear guidance on orthodontic aligners.

This file contains management-directed assignment changes within USPS. It is essential for documenting employees' temporary assignments and schedule adjustments. Use this form to ensure proper record-keeping regarding employee assignments.

This file provides essential information and guidelines for conducting community-based care member assessments. It covers agency-directed and consumer-directed services to support healthcare providers and caregivers. The assessment includes functional statuses, medical information, and care instructions.

The Arrowhead Dental Case Submission Form provides crucial details for dental restorations. It ensures accurate information for processing dental cases. This file is essential for dental professionals and labs involved in restorations.

The Remote Work Request Form is designed for employees seeking approval for a remote work arrangement. This form helps ensure that all necessary details are conveyed before the submission for approval. Completing this form is essential for compliance with university policies and procedures.

This file provides essential measuring guidelines for various types of window treatments. It includes details on the correct way to measure for roller, solar, sheer, and zebra shades. Follow the instructions closely to ensure accurate measurements and fit.

This form allows employees to request a return from medical leave. It requires a medical clearance from a healthcare provider. Submit the completed form to Employee Health Services before returning to work.