Healthcare Documents
Medical Forms
PTO Expense Reimbursement and Money Submission Form
This form is used for PTO expense reimbursement and money submission. It is necessary to list each receipt or receipt of funds separately. All receipts should be attached to the reverse side of this form.
Medical Forms
Arizona Sole Proprietor Workers' Compensation Waiver Form
This form is for sole proprietors without employees, contracting with Arizona state agencies, to waive rights to Workers' Compensation coverage.
Medical Forms
Community Service Work Verification Form for Non-Profit
This form is used by non-profit organizations to verify the community service work completed by individuals assigned to them. It is completed by the supervisor of the organization and submitted to the Whitman County Probation Office. Failure to complete this form satisfactorily may result in additional penalties for the individual.
Medical Forms
New Zealand Police Vetting Request and Consent Form
The New Zealand Police Vetting Service Request & Consent Form is used to obtain a vetting check for individuals working with vulnerable groups. It ensures the safety of children, elderly, and other vulnerable adults by verifying the suitability of the applicant for their role. This form requires detailed personal information and consent for background checks.
Medical Forms
Notification of Lost Share Certificate Form
This form is used for notifying Computershare about a lost share certificate. It provides options for replacement or dematerialization of shares. Complete the sections with required details to proceed.
Medical Forms
After Hours Medical Care Script for Medi-Cal Patients
This file provides sample scripts for physicians and medical groups to ensure Medi-Cal patients have timely access to medical care after business hours. It includes instructions for calls answered by a live voice and an answering machine.
Medical Forms
Sunday School Curriculum Order Form
This file contains the order form for Sunday School Curriculum. It includes various sections for children, youth, and adult divisions. Shipping charges and payment methods are also detailed.
Public Health
Public Health Communications Awards Application for Most Innovative Campaign
This file provides details on the Public Health Communications Awards application for the Most Innovative Campaign category, focusing on the 'Choose Health LA Moms' program. It includes campaign contacts, purpose, planning, implementation, targeted population, replication prospects, partners, outcomes, and more.
Medical Forms
Coffee Order Form Template - Comprehensive & Customizable
This Coffee Order Template from unop.co.uk helps streamline your coffee requests. It includes various options for tea, traditional, decaf, and flavored coffees. Easily select your preferences!
Medical Forms
Paxlovid Prescription Template for Pharmacists
This document is a prescription template for pharmacists prescribing Paxlovid. It includes detailed instructions for doses based on renal function and criteria for use. Ensure all fields are filled correctly to comply with the authorized use limitations.
Medical Forms
City of Plainwell Art Hop Registration Form
This file is a registration form for the City of Plainwell's Art Hop event. It includes fields for artist information, type of art, and venue space requirements. Instructions and legal disclaimers are also provided.
Medical Forms
Victim Witness Certification and Election Concerning Prisoner Status Form
This form is used to inform victims and witnesses of their post-trial rights. It allows them to elect to be notified of changes in the confinement status of a convicted criminal offender. The form records their election and provides necessary details for continued notifications.