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Once the exam begins, you'll lie flat on the CT exam table and sticky electrodes will be adhered to your chest. 36T_9?=)^wU(Z^ Specialist within DHHS, via DHHS's Centralized Scanning Unit, PO Box 181, Concord, NH 03301. <>
EAP services are confidential and voluntary to assist NH government employees and their families in addressing issues that may affect their overall well-being. <>>>
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Click on each procedure to learn more. New York. '[:?&g=$m (DGP@);]+yFyY|yx3OV [j T*[oD? }yB%YFY'j/QRaa
O^`"=g/*nxrzdz-TE;BVXG+hi`nW'IbcAf~"KUtGd*tZF~r New Hampshire Employee Termination Form US Legal Forms provides its subscribers with various state-specific legal forms. Concord, NH 03301 (3YC) Employment Verification (Completed by Employer Only) FROM: Centralized Scanning Unit (CSU) P.O. Long Beach, CA 90807, USA. Calcium scoring is a diagnostic imaging system that uses CT (computed tomography) scans of the coronary arteries to detect the presence of calcified plaque, a substance that builds up inside the artery walls and hardens, making it difficult for oxygen-rich blood to reach the heart. endobj
Apply to Medical Technician, Concierge, Document Specialist and more! lxQ=w%`:P5@TuE7AF[u$&^kf$it&+Il0*g\K$_0TqtHO3 E~z^e_JB;(G$TVQ*Y AdTmpd3h2HU2$`Y| 4
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"OkAd>-`@D% E Choose from 85,000 state-specific document templates available for download in Word and PDF format. nRqIP,lK?2|/!.Qf]Sya^>Pec{$h-0e18nr:DQE8O`]fd. An Employee Assistance Program (EAP) is a program that can help with everyday issues to traumatic events. 50 Central Ave Kearny NJ 07032. %%EOF
STATE OF NEW HAMPSHIRE Department of Health and Human Services Division of Economic and Housing Stability Bureau of Child Development and Head Start Collaboration Form 1863 May 2020 BCDHSC Form 1863 May 2020 Mail a copy to DHHS Central Scanning Unit, P.O. Download our free Buyers Guide today or contact us to learn more about how we could help you create a successful document management system for your company! %PDF-1.5
6\j|CM:.0q=\ .R.HGHm%eeI.L8]kp]@GO2. Box 181 Concord, NH 03301 BFA SR 19-29 This institution is an equal opportunity provider. <>>>
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The CIT & Authorization mission is to promote and protect public health by: Managing Centralized Intern Training for new agents of the state to become authorized to enforce state sanitation laws and rules. Federal privacy law says that a form like this one must say that if you sign it and your health information gets shared (disclosed), you should know the information may be shared again (re-disclosed). (o}Wy]vCf \^ q^.I7khxGF:F@u~V(l^yZVo
h|-('- Need Help Applying? For information on available treatment in NH, go to www.covid19.nh.gov/resources/treatment-resources, Or look for an answer in our Frequently Asked Questions. TO: FROM: Centralized Scanning Unit P.O. <>
Have a Question About Your Assistance? <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>>
These services are intended to enhance communication, cooperation, productivity, and teamwork in the workplace. If you test positive for COVID-19 and have symptoms, antiviral medication can help! endobj
YuLlvLMLyZW*T&2`?! Services are available to all NH state government employees and their family members. 4 0 obj
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DFA SR 07-05 (3YC) Employment Verification (Completed by Employer Only) FROM: Centralized Scanning Unit (CSU) P.O. <>>>
).#b NH Department of Health & Human Services (DHHS) DFA Form 65 Division of Family Assistance (DFA) 11/01 Rev 3/2011 rev2 3/15 DFA SR 01-36 (3YC) Client's Printed Name Date Client's Case Number CLIENT STATEMENT Shelter Statement Fraud Statement Voluntarily Withdrawing Application Voluntarily Terminating <>
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A family member is extended the same rights of confidentiality as the employee, and of course, the program is voluntary for family members as well. Suicide Prevention: 988. In addition to specific services directed to individuals, EAP provides consultation services to managers and supervisors effectively addressing group problems or group-focused improvements. The health and well-being of patients is our primary concern. These scanning can range from personal desktop scanners to production scanners. ] Most scans take less than 15 minutes. \@ 9x i~u 2023 Capital Business Systems, Inc. | 800-221-0604, My Account (service, supplies, metering), Architecture, Engineering and Construction, Canon U.S.A. 1 0 obj
%U$ 1~fh~n Uv~ @| F?/Ho1zyE@&~^ F?+ygxV Tel: +1 310 634 0130. Once the scanning procedure is complete, you can resume your regular activities. NH Department of Health and Human Services (DHHS) DFA Form 756 Division of Family Assistance (DFA) 07/07 Rev 8/15 Thank you for your cooperation. ?L)8h^x3aBGN xQAmdcW2q endobj
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The final score will be used by your doctor to assess your heart attack risk and recommend treatment and lifestyle changes when needed. 1 0 obj
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department of health and human services division of economic and housing stability bureau of employment supports 129 pleasant street, concord, nh 03301-3857 603-271-9474 fax: 603-335-5993 tdd access: 1-800-735-2964 www.dhhs.nh.gov participant expectations & commitment name: rid#: (for internal use only). The following procedures are performed by our Interventional Radiology team at designated hospitals. While this directory is intended to provide contact information to related programs, it doesn't not include contact information for all DHHS staff members. For information on available treatment in NH, go to www.covid19.nh.gov/resources/treatment-resources. 7/2OPcMTvsoDZ)jYJle^VzYdJ]UyU:U%W_U.JQubFMPs0. Types of scanners vary based on your application. | gZ&)wI,H&-`~YbZ'G~ o+XwH
Y_\Ljs. The following tips can help you fill out NH DHHS DFA 756 quickly and easily: Open the document in the feature-rich online editing tool by clicking Get form. #~Q5L76qs%b~:j{Q-AtwLE[sX af Q|cRKQdFej!$o"s~Jcv-RCCHny6$LC3`fac$?mnM;? 1 0 obj
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syf`^LGC gd8!r;WTc,7:!(OWf@6 !d^ F%="!4gF` guiHO*U66vC7(.EcSMx>Z+e7L"0aQ NH Department of Health and Human Services (DHHS) BFA Form 765 Bureau of Family Assistance (BFA) 06/15 rev 2/19 DFA SR 15-15 Return to: Centralized Scanning Unit (CSU), P.O. During calcium scoring, the amount of calcium in the coronary arteries is measured and a score is obtained that can help determine an individual's risk for heart attack or heart disease. This buildup of calcified plaque in artery walls is called atherosclerosis, or "hardening" of the arteries. 2 0 obj
Box 181, Concord, NH 03301 DFA SR 11-43 (A) REIMBURSEMENT AGREEMENT AND ACKNOWLEDGMENT Applicant Name: Spouse: Name: (Please print) (Please print) . It requires high-volume production scanners, so looking for a scanner with a large document feeder and a high scan speed is key. by Capital Business Solutions | Oct 20, 2016 | Blog. x]mo7 aiQ"&mmR,&A[#_hH{v#Ky'gtd]|]n? Box 181 Centralized Scanning Unit (CSU) PO Box 181 . Call 1-844-ASK-DHHS (1-844-275-3447) Before the exam, you'll need to remove any jewelry or metal objects including eyeglasses, and you may be asked to put on a hospital gown. The test is more likely to be ordered in men or women with some of the following risk factors: The test can be especially important in determining the cause of unexplained chest pain. NE%Pq8iAwhGRFdWA.;)2U[!I60wEnXqdrO}w;mdL|qyq vsyt>m5N,;'x ; 5m!$N@or:F&x'ni/@Fs3[4
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RWpb]3 It is both a confidential and voluntary program, assisting employees and their family members in resolving personal concerns that may interfere with work or home life. 2 0 obj
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i. It is best that you check with your individual insurance plan before scheduling the exam. This buildup of calcified plaque in artery walls is called atherosclerosis, or hardening of the arteries. <>
Intake Procedure (1) Children and young adults in families who are already receiving SNAP do not need to apply, the benefits will be loaded onto their LINK/EBT card automatically, (2) Apply online at ABE.illinois.gov, or fill out the paper application by downloading it from the IDHS website and emailing the completed form to DHS.FCS.PEBT@illinois.gov, (3) Completed application forms can also . endobj
Employees and departments participating in the Employee Assistance Program may be concerned about the matter of confidentiality. x TF3e>,YecW=f~+J}VQiIvCYA~,IE`z1Fb2aw(G#&Jv-4m6n} `|UzT4MPjJ5"3t* Abuse & Neglect: (800) 652-1999. u3O/KeI^#[Fo/d(\UK5z
p?sxF,Czx%[_w44q^TVz8udw"+J>wSw~A('e+S55 Scan-Shipping Inc. 4201 N. Long Beach Blvd, Suite 327. Centralized Intake Unit 111 N Last Chance Gulch, Helena, MT 59601-6282 PO Box 8005, Helena, MT 59604-8005. "3NOVU7GRd3]: U-~H~{(}u:{_/_M=fI$e~fev~Uyv2-3aaaL?Ky9s.2R3 /7 +T*Qa\]ZL 4g9"eO,j]I+Q y~sw =)Ir JJJuRYvsobd <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>>
NH Department of Health and Human Services (DHHS) BFA Form 756 Bureau of Family Assistance (BFA) 10/19 Thank you for your cooperation. Register and get access to reusable templates today! endobj
When calcified plaques occur in the coronary arteries, the condition is called coronary artery disease, or CAD, which is a leading cause of heart attack and death. <>>>
NH Department of Health & Human Services (DHHS) DDU Form 177 Bureau of Family Assistance (BFA) - Disability Determination Unit (DDU) rev 12/22 Page: 1 of 9 . The electrodes will be attached to an electrocardiograph (ECG) machine which will be used to monitor your heart's electrical signals during the CT scan so images can be made between contractions or beats. During the scan, the CT table will move you slowly through the CT scanning machine, often making several passes to obtain an entire clear series of images. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>>
EAP services are confidential and voluntary to assist NH government employees and their families in addressing issues that may affect their overall well-being. endstream
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New Hampshire Employment Verification Letter for Bank With more than 85,000 state-specific editable templates, US Legal Forms guarantees you will find the exact document you need. If you test positive for COVID-19 and have symptoms, antiviral medication can help! Centralized Scanning - This is an environment where paper documents are sent to a central location for processing. ?&8Z{Uh)`&iG-Ipr#TAiRL
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We at the Employee Assistance Program are committed to confidentiality, however it is important that you realize that even professional confidentiality has its limits. The images will be analyzed by the CT scanner software to assess the number of plaques, their density and their distribution so a final calcium score can be determined. stream
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An RAI representative will be contacting you shortly. Q\z15b>='w23\K|&6`.lo]2VdITi2-'\NOJL6'o3?nZ. Scan-Shipping Inc. 590 Belleville Turnpike, Bldg 4, Suite B. Kearny, NJ 07032, USA. |Ei=r
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b)j Economic Assistance: (800) 383-4278. Box 181, Concord, NH 03301 BFA SR 19-29 CentralizedScanUnit@dhhs.state.nh.us (A) ATTESTATION AND VERIFICATION OF SNAP (FORMERLY FOOD STAMPS) HOUSEHOLD DISASTER . Educating and evaluating specialists to ensure that established competency standards are met before they are delegated authority to enforce . <>
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Calcium scoring is a fast and painless method of determining a person's risk for heart attack and heart disease. stream
Centralized Intake Bureau Chief, Laura McCullough (406) 444-6849: Centralized Intake Specialist Supervisor, Vacant (406) 444-3286: Centralized Intake Specialist Supervisor, Rachel Rolston (406) 444-9846 RRH_T|/yEpg0VtPY>'k] Click here for our full COVID-19 response. '
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However, in some cases, the State requires of all individuals the obligation to report certain facts which come to their attention. During calcium scoring, the amount of calcium in the coronary arteries is measured and a score is obtained that can help determine an individual's risk for heart attack or heart disease. 111 North Sanders Helena, MT 59601-4520 PO Box 4210 Helena, MT 59604-4210, 1400 Broadway, Rm C314, Helena, MT 59601-5231, Asthma and Diabetes Prevention and Control Programs, Nutritional and Physical Activity Program, 1400 Broadway, Room C202 Helena, MT 59601-5231 TOP, 1400 Broadway, Room B102 Helena, MT 59620, 1400 Broadway, Room C216 Helena, MT 69601-5231, 1400 Broadway, Room C216 Helena, MT 59601, Program Planning Unit 111 N Last Chance Gulch, Helena, MT 59601-6282 PO Box 8005, Helena, MT 59604-8005 TOP, Centralized Intake Unit 111 N Last Chance Gulch, Helena, MT 59601-6282 PO Box 8005, Helena, MT 59604-8005, 1625 11th Ave, Helena MT 59601 PO Box 4210, Helena MT 59620, 1625 11th Ave, Helena MT 59601 PO Box 4210, Helena MT 59620 TOP, Food Distribution/Commodity Warehouse Program 1400 Carter Drive, Helena, MT 59601-6400 PO Box 202956, Helena MT 59620-2956 TOP, Energy & Community Services Program (LIEAP & Weatherization) 1400 Carter Drive, Helena, MT 59601-6400 PO Box 202956, Helena, MT 59620-2956 TOP, Medicaid & Healthy Montana Kids Drug Rebate Program, 1400 Broadway, Room A104 Helena, MT 59601-5231, Audit Bureau 2401 Colonial Dr, 3rd Floor Helena, MT 59601-4909, Administrative Support Supervisor,Afrah Al Asadi, Administrative Assistant,Andrew Erickson, 1100 N. Last Chance Gulch, 2 nd Floor, Helena, MT 59601 TOP, State Information Technology Services Division PO Box 200113 Helena, MT 59620-0113 CONTACT US, STD DIS Program Specialist, Miranda Reddig, U.S. BUREAU OF LABOR STATISTICS FOR MONTANA, MONTANA OFFICE OF TOURISM AND BUSINESS DEVELOPMENT, MONTANA HISTORICAL SOCIETY RESEARCH CENTER, Behavioral Health and Developmental Disabilities, Office of Inspector General (formerly Quality Assurance), State Information Technology Services Division, Economic Security Services Executive Director, Erica Johnston, Medicaid and Health ServicesExecutive Director, Mike Randol, Medicaid and CHIP State Plan Amendment and Waiver Coor., Mary Eve Kulawik, Strategic Planning, Research andAnalysis, Eric Higginbotham, Operations Revenue Forecasting Specialist, Jamie Bartole, Office of Inspector General, Michelle Truax (Interim), State Medical Officer, Dr. Maggie Cook-Shimanek, Office of Health and Human Services Innovation, CIO, Marie Matthews, Legislative and Regulatory Affairs, Brenton Craggs, Communications Specialist, Herbert Council, Program Analyst/Technical Writer, Megan Grotzke, Faith and Community Based Services, Tracy Moseman, American Indian Health Director, Stephanie Iron Shooter, Chief Human Resources Officer, Karol Anne Davis, Deputy Human Resources Officer, Ciarra Krantz, Civil Rights and EEO Officer , Lloyd Sparks, Senior Human Resource Partner/Employee & Labor Relations, Sarah Green, Senior Human Resource Partner/Facility Liaison, Vacant, Human Resources Office Coordinator, Sam Askin, Risk Management and Safety Officer, Joe McAnally, Occupational Health and Safety Officer, Tawni Jo Carmody, Deputy Chief Legal Counsel, Chad G. Parker, Attorney, HIPAA Program Officer, Theran Fries, Office Manager / Administrative Rule Specialist, Valerie St. Clair, Administrative Rule Specialist, Kassie Thompson, Administrative Legal Assistant, Bailey Yuhas, Medicaid Systems Operations Manager, Shellie McCann, State MedicalDirector, Dr. Maggie Cook-Shimanek, MD, Local & Tribal Support Coordinator, Kerry Pride, DVM, System Improvement Coordinator, Terry Ray, Public Health Accreditation Coordinator, Vacant, Workforce Development Coordinator, Neva Loney, Performance Management and Information Systems Coordinator, Marilyn Trevino, State Refugee Coordinator, Kathe Quittenton, Epidemiology Program Manager, Heather Zimmerman, Office Manager/Financial Specialist, Jodee Prevel, Disability Health Education Specialist, Mackenzie Jones, Office Manager/Financial Specialist, Susan Day, Administrative Specialist, Carolyn Linden, Determinates of Health Program Manager, Margaret Mullins, Secondary Prevention Specialist, Mike McNamara, Quality Improvement Coordinator, Callan Brick, Asthma Control Program Manager, BJ Biskupiak, EMS Licensing and PI Specialist, Francine Janik, Cardiac Ready Program Manager, Janet Trethewey, Community Integrated Health Program Specialist, Kelly Little, Trauma System Manager, Alyssa Johnson, RN, BSN, Violent Death Registry Program Manager, William "Buck" Herron, Injury Prevention Coordinator, Maureen Ward, Health Education Specialist, Alivia Winters, Administrative Support/Licensing, Sandra Tirrell, Body Art/Trailer Court Camp Grounds/ Cottage Food/ Farmers Markets, Mark Hall, Wholesale Mfg. 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