Specialized Care Documents

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Chronic Disease Management

Teacher Reference Check Form for Pre-employment Evaluation

This file is a Teacher Reference Check form required for the top candidate out of the district before submitting to HR. It includes a set of questions and rating scales to evaluate the candidate's performance and suitability. The form is designed to gather essential insights from references provided by the candidate.

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Chronic Disease Management

Request for Overtime Pay or Compensatory Time Form

This file is a form to request overtime pay or compensatory time for extra hours worked. Employees need to fill in details like the date, time, reason, and total extra hours worked. Supervisors and employees must sign the form before submission.

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Chronic Disease Management

Checklist for Reviewing Resumes or Application Forms

This file provides a checklist for reviewing resumes or application forms. It includes tips on how to check work experience and educational background against the job requirements. It also offers guidance on how to conduct initial screenings and telephone interviews.

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Home Health Services

Texas Birth Certificate Worksheet Form DSHS

This worksheet helps medical personnel collect information for reporting births in TxEVER. It is essential for creating an accurate child's birth certificate. The document safeguards the confidentiality of parents and their child.

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Chronic Disease Management

Paychex New Employee Packet Submission and Certification

This document provides the instructions and forms needed for new employee information submission to Paychex. It includes sections for employer and employee information, as well as the dispute resolution agreement. Instructions for spreadsheet submission, online payroll summary, and NEP submission are detailed in the document.

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Home Health Services

Missouri Department of Health and Senior Services Pediatric Vaccine Order Form

This file is the Pediatric Vaccine Order Form from the Missouri Department of Health and Senior Services. It is used by providers and clinics to request doses of various pediatric vaccines. The form includes details such as vaccine brands, doses, and NDC numbers.

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Dental Care

Enable Dental New Patient Consent Form

The Enable Dental New Patient Consent Form provides comprehensive details and instructions for new patients registering with Enable Dental. This form covers personal details, medical history, dental history, and financial disclosures. It is essential for new patients to fill out this form for proper dental care and insurance purposes.

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Physical Therapy

EMDR Informed Consent: Healing Matters Psychological Services

This file contains informed consent information for EMDR therapy provided by Healing Matters Psychological Services. It describes the potential benefits, risks, and necessary preparations for EMDR therapy. It also includes requirements and contraindications for clients.

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Chronic Disease Management

Subway Employee Evaluation Form for Performance Review

This Subway employee evaluation form is designed to assess the performance of employees. It covers various aspects like attendance, preparation, work habits, and customer relations. Managers use this form to determine potential raises based on the overall score.

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Chronic Disease Management

Time Off Request Form for TRI-MED HOME CARE SERVICES INC.

This file is a time-off request form for TRI-MED HOME CARE SERVICES, INC. Employees use this form to request vacation or sick leave. It needs to be approved by a supervisor.

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Dental Care

Dental Laboratory Document - Dentopia

This document is used by Dentopia Dental Laboratory for recording and processing dental cases. It includes various sections to be filled out by dental professionals for patient cases. Use this form for detailed dental lab orders.

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Chronic Disease Management

Free Employee Performance Review Template Word

This document is a free employee performance review template available in Word format. It includes fields for employee details, performance evaluation criteria, goals, achievements, and feedback. It also provides space for signatures and comments from both the reviewer and the employee.