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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. collector: ethan davio phone: 603-476-2348 NH Department of Health and Human Services (DHHS) DFA Form 720 Division of Family Assistance (DFA) 02/13 rev 1/15 DFA SR 13-04 (5YC) DETERMINATION OF INCAPACITY STATUS Name: Return Completed Form to: Centralized Scanning Unit (CSU) Case Number: P.O. ==c a41j01P F!+dPP;)\1iU2hSB_On)/JTa1"BL$CJG ZSv ,M0_9*mmMHd6uCm+jE":E@HVQP(U * jr-pKVI$HV $$Qm%H+&58O^AS,As*F%$U)jDJ":% *%mJZ%:5mJnc(O2 It requires high-volume production scanners, so looking for a scanner with a large document feeder and a high scan speed is key. Box 181, Concord, NH 03301 BFA SR 19-29 CentralizedScanUnit@dhhs.state.nh.us (A) ATTESTATION AND VERIFICATION OF SNAP (FORMERLY FOOD STAMPS) HOUSEHOLD DISASTER . 1193 0 obj <>/Filter/FlateDecode/ID[<8C2304EE3BAA2B4BA51333F619C6E237><6A45965FEF636F41A7C4DDF41080F3DD>]/Index[1170 38]/Info 1169 0 R/Length 111/Prev 271610/Root 1171 0 R/Size 1208/Type/XRef/W[1 3 1]>>stream u3O/KeI^#[Fo/d(\UK5z p?sxF,Czx%[_w44q^TVz8udw"+J>wSw~A('e+S55 NH Department of Health and Human Services (DHHS) DFA Form 756 Division of Family Assistance (DFA) 07/07 Rev 8/15 Thank you for your cooperation. NH Department of Health and Human Services (DHHS) BFA Form 765 Bureau of Family Assistance (BFA) 06/15 rev 2/19 DFA SR 15-15 Return to: Centralized Scanning Unit (CSU), P.O. If you test positive for COVID-19 and have symptoms, antiviral medication can help! 3 0 obj Introduces Three New Compact A3 Color Models, Analysis of recent cyber-attack statistics. stream '[:?&g=$m (DGP@);]+yFyY|yx3OV New Hampshire Employee Termination Form US Legal Forms provides its subscribers with various state-specific legal forms. 0'Kf(:0W;i~EcqcFH g|d&@EO;H65$D_$@F\7v*$ ISb\}]lXHPPm?.W;Ez'"NC6[B$!"/}Ys+DiW(xjnc[k;-:4!C[S .^8\xqn\ -3vGnJ` &8~"Hz`Qg:Z[9I(di_oHlWtd8C1XqRwl!goNrpB+o@IkCA/9OM=Uu%PW\-RPyV`eJe z1~_9AQwet]*clH"[^gD2 LXmVgXRAk]U:=QOO|yjwGSg{e`)*44'-lSTiTG!H1RJVe$3/o"kE@SOkK@eq;IMYF1D&|z@cDBUsgaf{1*Q'e=4kTh#1\T,UR5ni+pmz; Uy~*6\=[Q{6aLXjBGpBsVB};Zn\Rt/$_jDw ]1VZgv*8ukN0|[J:C$aX/+B`%1vKQT 7DWg[X4018l_pEfH(y%|}$OW+GN6>k=gsh{VR8o_Q?]%8.\5]zr5.BPrv1I;ohu1TvHzUM&t+S6AK94]X:Pi2& `WKOMDAV67\b9>qV;Ph*3o,yv87B"|a5N*L&^!&>ai V[$&Bb5F$|zt 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 . <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> While this directory is intended to provide contact information to related programs, it doesn't not include contact information for all DHHS staff members. <>>> 1 0 obj 2 0 obj %%EOF Tel: +1 201 455 0150. 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. Box 181 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. In our free Buyers Guide to Document Management, the other types of scanning can be found. Scan-Shipping Inc. 4201 N. Long Beach Blvd, Suite 327. <> x=ko9?4_Ei>XLngs{3AX[Jdd?$[-Q>\R*zr[nvr-/?/l\^z|y&y/_di*,QxY|'/~~Kd KxI!T%>-,BJO/_2TNw1=\]?jrK E>;n:E_HJ>Mo6UBNn <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Google Earth Plug-in ONLY operates on Microsoft Windows . endobj }.oWn~zvX,yzqQeiY'RS$*Ks#A=}s4$Tc <> 7/2OPcMTvsoDZ)jYJle^VzYdJ]UyU:U%W_U.JQubFMPs0. W Pc9Ix {8?fj3J1~9TS'! Main DHHS Switchboard: (402) 471-3121. % rU}BZyM+]\; ea7PT-@3Dg,.f+63j g$E!`B Economic Assistance: (800) 383-4278. 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 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. x TF3e>,YecW=f~+J}VQiIvCYA~,IE`z1Fb2aw(G#&Jv-4m6n} `|UzT4MPjJ5"3t* <> (o}Wy]vCf \^ 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. 2 0 obj 1170 0 obj <> endobj %PDF-1.6 % Box 181, Concord, NH 03302 Keep a copy of this form for your records. Our free Buyers Guide to Document Management contains more information on scanning, along with other important facts to know about creating a document management system for your business. % RRH_T|/yEpg0VtPY>'k] <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 1,188 Document Scanning jobs available in Kearny, NJ on Indeed.com. \@ 9x i~u <> 6\j|CM:.0q=\ .R.HGHm%eeI.L8]kp]@GO2. <>>> 36T_9?=)^wU(Z^ x]]r8V=H+)\a;}dNtf7lx;SHV}|{|;hEnnv.w7Wgw_HF oUg]?~96}{?xu4|3#.Hu$Dlv{~ ~2l |x=UvK}[D=y?mgSZJF^*c8Q'u(d(]Wm]ZVJ$5$[Wo^4ol%ls |1NUSs:JV6FqR;a~o} Securing the data left on that old printer. <> h!aYL\>x"LEzX^GR4*{,:B L%H}39S?|J>}^K%i^ _gt3|4\~LN>?_+4OWdT2\&+N;9P%h,@"j{9648oGL ~juV$y$7kX`4#{%?'fvazwr&yy?oc17k Dx/c1l R4]E fAZ>_'9qk5'?:%P2IwU?!0 l$}Mi|0=,Q0t}ns=6\N9J\ u7KGAD]NE6n v-%,#M(T40yJU +SOpG`04TJ*)-L,+o:"[p9aB V=k`0vyiBQn&+Bgj=kXpc>I V94X/50f v@C' LYn.b19 7"Gy4! Call 1-844-ASK-DHHS (1-844-275-3447) endobj Download the form you want from the largest collection of templates. 2023 State of New Hampshire All rights reserved, An official NEW HAMPSHIRE government website, www.covid19.nh.gov/resources/treatment-resources, Communication Access & Language Assistance, Alcohol, Tobacco & Other Substance Misuse, Resources for DHHS Providers, Small Business & Nonprofits, Search for programs in the main contact directory. The health and well-being of patients is our primary concern. stream 4 0 obj Once the exam begins, you'll lie flat on the CT exam table and sticky electrodes will be adhered to your chest. The following procedures are performed by our Interventional Radiology team at designated hospitals. These services are intended to enhance communication, cooperation, productivity, and teamwork in the workplace. : +1 201 455 0150 Inc. 4201 N. Long Beach Blvd, Suite 327 scan-shipping Inc. 4201 N. Long Blvd! Blvd, Suite 327 > _'9qk5 '?: % P2IwU 2 obj... 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