Healthcare Documents
Healthcare
Post Basic Pharmacist Assistant Learnership in KwaZulu-Natal
This file provides information on a Post Basic Pharmacist Assistant Learnership opportunity in KwaZulu-Natal for unemployed qualified Basic Pharmacist Assistants. The document includes details about job type, stipend, required minimum education and training, learner responsibilities, and the application process. Interested candidates are advised to apply by the specified closing date.
Healthcare
ClearScript Authorization Request Form
The ClearScript Authorization Request Form is used by prescribers to request approval for medications. It requires patient and prescriber information, medication details, and medical justification. Submit via fax for processing.
Healthcare
HUMIRA Complete Enrollment and Prescription Form
This file contains details and instructions about enrolling in the HUMIRA Complete program, along with information on prescription usage and safety. It provides a comprehensive guide for getting started with HUMIRA treatment, including insurance navigation, prescription fulfillment, and injection training. It also includes important safety information and how to fill out the enrollment and prescription form.
Healthcare
Emergency Guidelines for Schools: Second Pennsylvania Edition
This file contains updated emergency guidelines for school staff to respond to pediatric emergencies. It includes information on various illnesses, injuries, and disaster preparedness planning. It also assists in coordinating with local EMS agencies during emergencies.
Healthcare
Nevada Medicaid Annual Employer Report 2022
This report details the number of full-time employees in Nevada who are Medicaid recipients and their access to employer-based health care plans, as required by NV law.
Healthcare
NHS Student Bursaries Travel and Dual Accommodation Expenses Claim Form
This file is used by NHS Bursary students to claim travel and dual accommodation expenses. It includes fields for personal details, travel methods, and practice placement info. The file should be submitted to your university within nine months of your practice placement.
Healthcare
Wellcare Non-Participating Provider Appeal Request Form
This file is used to process appeals for non-participating providers with Wellcare. Complete all required fields and submit with necessary medical documentation. Ensure proper authorization and documentation are included.
Healthcare
Submit Your 2023 Biometric Screening Verified Form
This file provides detailed instructions on how to submit your biometric screening verified form for the 2023 Annual Wellness Assessment program. Make sure your biometric screening is done between Aug. 1, 2022, and July 31, 2023. Follow the steps mentioned to properly fill out and submit the form.
Healthcare
Radiation Therapy Nursing Baseline Assessment Form
A comprehensive baseline assessment form for patients starting radiation therapy. This form includes medical history, social history, and various assessments. It's essential for documenting patient health information before therapy.
Healthcare
Henry Ford Health System Medical Information Release Authorization
This form allows patients to authorize Henry Ford Health System to release their medical information to a specified recipient. It includes details on fees, types of information to be disclosed, and patient rights. Complete the form to facilitate the transfer of medical records.
Healthcare
Tennessee Department of Health Certificate of Live Birth
This file is the Certificate of Live Birth form from the Tennessee Department of Health. It includes fields for child's information, mother's and father's details, and medical information. It is used for registering the birth of a child in Tennessee.
Healthcare
Individual Transportation Participant Agreement Form
The Individual Transportation Participant (ITP) Agreement is required for participants in the Individual Transportation Program. The document includes instructions, required forms, and important information on how to schedule and receive payment for transportation services provided. It needs to be filled out, signed, and returned along with necessary documents.