Healthcare Resources Templates
Looking for reliable healthcare resources? Look no further! Our extensive collection of documents is a valuable source for all your healthcare needs. From screening questionnaires for exceptional family members to applications for Medicaid buy-in programs, we have a wide range of resources to assist you.
Our healthcare resources encompass a variety of topics including family planning, rural health clinics, emergency hospital conversion plans, and much more. Whether you're a healthcare professional, a patient, or a researcher, you'll find valuable information within our collection.
Explore our healthcare resources to access important forms such as the DA Form 7246 Exceptional Family Member Program (EFMP) Screening Questionnaire, the Form H1200-MBIC Application for Benefits - Medicaid Buy-In for Children, and the Hardship Declaration Form for Family Planning/Title X. These documents are designed to facilitate efficient and appropriate healthcare services.
In addition to these specific documents, our collection also features resources on Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs). Stay up-to-date with the latest CMS flexibilities to combat COVID-19 and access Rural Emergency Hospital Conversion Action Plans.
No matter your healthcare information needs, our comprehensive collection of documents is here to help. Start exploring our healthcare resources today and empower yourself with knowledge to make informed decisions about your health and well-being.
Documents:
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This form is filed when applying for the Exceptional Family Member Program (EFMP). This form serves as a summary of health condition and needs of that family member and plays a role in the personnel assignment process.
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This document provides a checklist for individuals and families to help them plan and prepare for a pandemic flu outbreak. It includes important steps and recommendations to protect yourself and others during a flu pandemic.
This document is for individuals or organizations applying for a Certificate of Need in the state of Connecticut. It includes all the necessary forms and instructions for the application process.
This form is used to identify service members with family members that may have special needs and is a part of a set of forms used when enrolling in the Exceptional Family Member Program (EFMP).
This document is an attachment to Form OPSP-2B and provides an inventory of health care resources in New Jersey. It includes information on hospitals, clinics, and other health care facilities in the state.
This form is used in Washington for managing the side effects of hepatitis C treatment. It provides information on how to address and cope with the various side effects that may arise during the course of treatment.
This form is used to apply for the Medicaid Buy-In program for children in Texas.
This document is used for the identification and screening of individuals in New Mexico who may require Level I services under the PASRR program.
This Form is used for requesting home care services in Rhode Island.
This form is used for declaring hardship related to family planning or Title X services in New Mexico.
This type of document provides counseling services for individuals in Iowa who have been exposed to a potential risk of HIV or other sexually transmitted infections.
This document is used to determine the level of care required for individuals in Pennsylvania. It helps in evaluating the appropriate level of medical or long-term care services needed for an individual.
This document is a compilation of resources related to hospitals and COVID-19. It provides information on testing, treatment options, and support services available during the pandemic.
This document explores the CMS flexibilities given to Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) to combat the COVID-19 pandemic. It discusses the measures and changes implemented to enhance healthcare services in these rural areas.
This Form is used for applying for the Ryan White Care program in the state of New Hampshire. The program provides HIV/AIDS-related medical care and support services to eligible individuals.
This Form is used for submitting a prior authorization request for Cimzia medication in the state of Vermont.
This Form is used for making medical treatment decisions in Illinois. It is available in both English and Spanish versions.
This document outlines the action plan for converting a rural hospital into an emergency hospital in Arkansas.
This form is used for requesting special authorization for Crohn's Disease treatment in Prince Edward Island, Canada.
