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Certification of Serious Health Condition form

Certification of Serious Health Condition form

resources.paidleave.wa.gov

A “serious health condition” is defined in RCW 50A.05.010 and healthcare providers should review the complete definition before certifying a patient’s condition. Generally, a serious health condition could include an illness, injury, impairment, or physical or mental condition that involves:

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Military Police Serious Incident Report

Military Police Serious Incident Report

dmna.ny.gov

Contents—Continued Incidents not reportable by serious incident report † 2–5, page 19 Chapter 3 Reporting Procedures, page 19 Special handling of reports † 3–1, page 19 Time requirements and means of reporting † 3–2, page 19 Types of serious incident reports and reporting formats † 3–3, page 19 Reporting incidents when reporting responsibility is transferred † 3–4, page 20

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Serious Reportable Adverse Events in Health Care

Serious Reportable Adverse Events in Health Care

www.ahrq.gov

Serious Reportable Adverse Events 343 Table 1. List of serious reportable events Event Additional specifications 1. Surgical events A. Surgery performed on the wrong body part Defined as any surgery performed on a body part that is not consistent with the documented informed consent for that patient. Excludes emergent situations that occur in

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Why Do Some Individuals with Serious Mental Illness Refuse ...

Why Do Some Individuals with Serious Mental Illness Refuse ...

www.treatmentadvocacycenter.org

Backgrounder: Why Do Some Individuals with Serious Mental Illness Refuse to Take Medication? (updated 3/2014) 2. Alcohol and/or drug abuse The second most important reason for medication nonadherence in individuals with serious psychiatric disorders is concurrent substance abuse. This association has been reported in many studies.

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Certification of Health Care Provider for Serious Health ...

Certification of Health Care Provider for Serious Health ...

hr.duke.edu

Certification of Health Care Provider for Serious Health Condition (FMLA) – Duke Employee (Form 1002-E) Employee Statement First Name . Last Name Duke Unique ID . Best Phone No. Shift (Days/Nights/Weekends) Supervisor Name Telephone No. E-mail Fax No. _ I authorize . Employee Occupational Health & Wellness,

  Serious

U.S. Department of Labor Employee’s Serious Health ...

U.S. Department of Labor Employee’s Serious Health ...

www.usaid.gov

certification to support a request for FMLA leave due to your own serious health condition. If requested by your employer, your response is required to obtain or retain the benefit of FMLA protections. 29 U.S.C. §§ 2613, 2614(c)(3). Failure to provide a complete and sufficient medical certification may result in a denial of your FMLA

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