Healthcare Documents

This document is the Edinburgh Postnatal Depression Scale (EPDS) questionnaire, which is used to screen for postnatal depression in new mothers. It includes a series of questions about how the user has been feeling over the past week. The user should answer the questions based on their recent experiences.

This document provides comprehensive guidelines for audiologic screening developed by the American Speech-Language-Hearing Association (ASHA). It includes principles of screening, diagnostic criteria, and treatment recommendations. The guidelines aim to enhance early detection and treatment of audiologic disorders.

The 1199SEIU Benefit Funds Provider Recruitment Form is used to request participation in the Benefit Funds' network. Submission does not guarantee acceptance and is subject to network adequacy guidelines. Providers must be registered with CAQH.

This file provides instructions and an application form for obtaining a European Health Insurance Card (EHIC) in Ireland. It includes various methods to apply, required documents, and contact information for EHIC offices.

This file contains information about flu vaccination compliance for SHC Medical Staff for the 2015-2016 flu season. It includes vaccination deadlines, reporting protocols, and vaccine schedules. Additionally, it outlines the consequences of non-compliance.

The PHQ-9 Quick Depression Assessment is a tool for healthcare professionals to diagnose and monitor the severity of depression in patients. It provides detailed instructions for completing the assessment, scoring, and interpreting the results. This guide helps ensure accurate diagnosis and effective treatment planning.

This file provides information about Medicare Outpatient Observation Notice, payment details, and instructions for patients. It helps patients understand the costs and coverage associated with observation services. Additionally, it includes sections for signature and additional information.

This file is a comprehensive orientation guide for providers joining the Empire BlueCross BlueShield Managed Long-Term Care (MLTC) network. It covers important topics such as the provider website, authorization process, claims submission, appeals and grievances, compliance program, fraud prevention, HIPAA, and cultural competency. Providers will find all the necessary information to ensure a successful partnership with Empire.

This file is the Acupuncture Intake Form used by Cleveland Clinic's Center for Integrative Medicine. It collects personal, medical, and emotional health details of patients. It also covers symptoms, lifestyle, and treatment history.

This file is a Therapeutic Phlebotomy Order form from LifeSouth Community Blood Centers. It includes instructions for physicians on how to complete the form, as well as patient information and order details. The form must be completed by a physician or advanced practice provider and faxed to LifeSouth.

This file provides detailed instructions for participating providers with Avera Health Plans to submit prior authorization requests for advanced imaging. It covers the quick access guide, step-by-step procedure selection, and clinical collection phase. Additionally, it includes information on approvals and denials, modifications to cases, and contact details for CareCore National.

This file is used by healthcare providers to authorize special formulas and WIC supplemental food for women, infants, and children with qualifying medical conditions. The form ensures that special formulas for non-specific symptoms are not issued. It includes sections for participant information, special formula requests, and healthcare provider details.