Healthcare Documents

This form is used to provide information about requests for support on new training initiatives at the San Francisco Department of Public Health. Fill it out to help the CLI team understand your needs, training solutions, and project scope. Submit the completed form to cli.phd@sfdph.org.

This file is a supplement that establishes standards for using secure digital provider tools and applications. It's applicable to Simply Healthcare Plans, Inc. and Clear Health Alliance (CHA) for commercial and government business divisions. The file includes information about digital tools, transaction methods, and process changes.

This file is an AUDIT (Alcohol Use Disorders Identification Test) used to evaluate alcohol consumption habits. It includes questions about the frequency and quantity of alcohol consumption, and the effects on health and social responsibilities. The score helps determine the risk level and suggested interventions.

The SNAP-IV 26 is a rating scale developed by James M. Swanson, Ph.D. from the University of California, Irvine. It is used to assess attention and behavior issues in children. The scale is typically completed by teachers or parents.

This handbook provides detailed information about the Personal Care Attendant (PCA) Program for consumers. It includes guidelines, eligibility criteria, and instructions for applying to the program. The handbook aims to assist consumers in understanding and navigating the PCA Program.

This file contains instructions for submitting a Primary Care Provider form to Catapult Health. It includes details on how to submit via secure email, fax, or mail. Active employees and retirees can use this form to receive credit toward their wellness incentive.

This document outlines UTMB's policies and procedures regarding patients' rights to refuse medical treatment, including handling consent refusals and emergency care situations.

This Vaccine Intake Consent Form from CVS Pharmacy is required for receiving a vaccine. It includes fields for personal information, insurance details, and information about the vaccine to be received. It also contains screening questions and consent statements.

The Controlled Substance Count Sheet is a vital document used to track the management of controlled substances. It includes important fields like individual's name, medication strength, prescription number, date, time, and quantity. This sheet ensures accurate record-keeping and compliance with regulations.

This file is a comprehensive mid-term performance review of the USAID FUNZO Kenya project. Prepared in December 2014, it provides insights and evaluations on the project's progress. It is a collaborative effort by various health professionals and organizations.

This file contains the 2016 catalog for UnitedHealthcare's Over-the-Counter Essentials program, which offers health and wellness products. It provides information on how to order products, benefit credits, and terms of use. It also includes a listing of stomach remedies and other health products available.

This study evaluates the validity and reliability of the Nordic Musculoskeletal Questionnaire (NMQ) in formal and informal sector workers. The NMQ is used to identify and assess musculoskeletal risks in workers. Findings indicate that the Indonesian version of the NMQ is both valid and reliable for use in Indonesia.