Anxiety symptoms

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Patient Health Questionnaire (PHQ-9)

PATIENT HEALTH QUESTIONNAIRE (PHQ-9) NAME: DATE: Over the last 2 weeks, how often have you been bothered by any of the following problems? Not at all Several

http://www.integration.samhsa.gov/images/res/PHQ%20-%20Questions.pdf

Forms

This Injury and Illness Incident Report is one of the first forms you must fill out when a recordable work-related injury or illness has occurred.

https://www.osha.gov/recordkeeping/new-osha300form1-1-04.xls

IMPORTANT - WILL NOT PAY OR REIMBURSE ANY …

supersedes va form 21-0960n-1, oct 2014, which will not be used. note: ... signs or symptoms attributable to chronic ear infection, inflammation,

http://www.vba.va.gov/pubs/forms/VBA-21-0960N-1-ARE.pdf

Geriatric Depression Scale (short form)

Geriatric Depression Scale (short form) 1 Tools may be copied without permission Instructions: Circle the answer that best describes how you felt

http://geriatrictoolkit.missouri.edu/cog/GDS_SHORT_FORM.PDF

Tip Sheet Musculoskeletal - bcbsm.com

Tip Sheet Musculoskeletal Created Date: 4/3/2014 3:12:16 PM ...

http://www.bcbsm.com/content/dam/public/Providers/Documents/help/faqs/icd10-tipsheet-musculoskeletal.pdf

Rotator Cuff and Shoulder Conditioning Program

AAOS does not endorse any treatments, procedures, products, or physicians referenced herein. This information is provided as an educational service and is

http://orthoinfo.aaos.org/PDFs/Rehab_Shoulder_5.pdf

Traumatic Brain Injury (TBI) Examination …

Traumatic Brain Injury (TBI) Examination . ... Narrative: The potential residuals of traumatic brain injury ... symptoms - mood swings, anxiety, ...

http://benefits.va.gov/PREDISCHARGE/DOCS/disexm58.pdf

Disability Report- Adult

DISABILITY REPORT - ADULT SSA-3368-BK PLEASE READ THIS INFORMATION BEFORE COMPLETING THIS REPORT. The information you give us on this report will …

https://www.ssa.gov/forms/ssa-3368.pdf

OMB Approved No. 2900-0781 Respondent Burden: …

sinusitis/rhinitis and other conditions of the nose, ... does the veteran currently have any findings, signs or symptoms attributable to chronic sinusitis?

http://www.vba.va.gov/pubs/forms/VBA-21-0960N-4-ARE.pdf

FORMAL GRIEVANCE - Nevada

A formal grievance must be filed within 20 working days following origin of the grievance or the date an employee who feels aggrieved learns of the problem.

http://hr.nv.gov/uploadedFiles/hrnvgov/Content/Resources/Forms/Grievance/Npd-50FormalGrievance(1).doc


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