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Authorization for Release of Information.8 - hss.edu
authorization for release of confidential hiv*-related information Confidential HIV-related information is any information indicating that a person had an HIV-related test, or has HIV infection, HIV-related illness or AIDS, or any information that could indicate a person has potentially been exposed to HIV.
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KOOS, JR. KNEE SURVEY - Hospital for Special …
www.hss.eduKnee Injury and Osteoarthritis Outcome Score for Joint Replacement (KOOS, JR.), English version 1.0 ©2017 Hospital for Special Surgery KOOS, JR.
L'Insalata Shoulder Questionnaire - located in New …
www.hss.eduThe following questions refer to daily activities. 6. Considering all the ways you use your shoulder during daily, personal and household activities, (i.e.
2000 IKDC SUBJECTIVE KNEE EVALUATION FORM
www.hss.edu2000 IKDC SUBJECTIVE KNEE EVALUATION FORM. SYMPTOMS*: *Grade symptoms at the highest activity level at which you think you could function without significant
TOTAL KNEE ARTHROPLASTY POST-OPERATIVE …
www.hss.eduTOTAL KNEE ARTHROPLASTY POST-OPERATIVE GUIDELINES Post-Operative Phase 2 (Weeks 7-12) PRECAUTIONS • Avoid reciprocal stair negotiation if severe pain or gait deviation present • Avoid high impact activities such as running, jumping, plyometric activity and vibration platforms . ASSESSMENT • LEFS • KOOS JR • Pain
WRIST DISTAL RADIUS FRACTURE POST-OPERATIVE …
www.hss.edujoint position sense test after distal radius fracture intervention. J Hand Ther. 2016 Oct 1; 29(4): 474-482. Mauck BM, Swigler CW. Evidence-based review of distal radius fractures. Orthop Phys Ther Clin N Am. 2018;49(2): 211- 222. Michlovitz S, Festa L. Therapy management of distal radius fractures. In Skirven, Osterman, et al
Knee ACL Reconstruction Post-Operative Guidelines
www.hss.eduKNEE ANTERIOR CRUCIATE LIGAMENT (ACL) RECONSTRUCTION POST-OPERATIVE GUIDELINES . The following anterior cruciate ligament reconstruction (ACLR) guidelines were developed by the HSS Rehabilitation. Progression is both criteria-based and patient specific. Phases and time frames are designed to give the clinician a general sense of progression.
Shoulder Rotator Cuff Repair Post-Operative Guidelines
www.hss.eduThe first phase is focused on soft tissue healing and maintenance of pain-free ROM. Phases two and ... • Independent with sling management, or caregivers independent in assisting ... • Manual therapy as needed, e.g., scapular mobilization, soft tissue mobilization
Achilles Repair Post-operative Guidelines
www.hss.eduANKLE ACHILLES REPAIR POST-OPERATIVE GUIDELINES . The following Post-Operative Achilles Repair Guidelines were developed by HSS Rehabilitation. Progression is both criteria-based and patient specific. Phases and time frames are designed to give the clinician a general sense of progression and will be dependent on adequate soft tissue healing time.
Lysholm Knee Questionnaire / Tegner Activity Scale
www.hss.eduMotorcross, speedway Handball Basketball Recreational sports Soccer Bandy and ice hockey Squash Athletics (jumping) Cross-country track findings both recreational and competitive: Recreational sports Tennis and badminton Handball Basketball Downhill skiing Jogging, at least five times per week
Koos, Jr. Scoring Instructions - Hospital for Special Surgery
www.hss.eduKOOS, JR SCORING INSTRUCTIONS The KOOS, JR was developed from the original long version of the Knee injury and Osteoarthritis Outcome Score (KOOS) survey using Rasch analysis. The KOOS, JR contains 7 items from the original KOOS survey. Items are coded from 0 to 4, none to extreme respectively.
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Authorization for Release of Information - AmeriHealth
www.amerihealth.comAuthorization to Release Information [Please Print] This form is used to release your protected health information as required by federal and state privacy laws. Your authorization allows the Health Plan (your health insurance carrier or HMO) to release your protected health information to a person or organization that you choose. ...
ALLINA HEALTH AUTHORIZATION TO RELEASE AND …
www.allinahealth.orgauthorization, and that information may not be covered by state and federal privacy protections after it is released. By signing this authorization, you release Allina Health from any and all liability resulting from a redisclosure by the recipient.
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OCA Official Form No.: 960 AUTHORIZATION FOR RELEASE …
www.nycourts.govInstructions for the Use of the HIPAA-compliant Authorization Form to Release Health Information Needed for Litigation This form is the product of a collaborative process between the New York State
Authorization for Release of Information - northmemorial.com
northmemorial.comAuthorization for Release of Information ... Information to be released includes records from the following dates: _____ ... understand that I may revoke this authorization at any time by writing a statement to the authorized releaser as noted above except to the extent
Authorization to Release Information - RentHousePro.com
www.renthousepro.com1 of 1 Authorization to Release Information Related to a Residential Lease Applicant I, _____(applicant), have submitted an application to lease a property located at _____
AUTHORIZATION FOR RELEASE OF MEDICAL …
tcomn.com• By authorizing the release of my protected health information, the health information is no longer protected and has the potential to be re-disclosed. • There may be a fee for release of this information and I may be responsible for that fee.
Authorization to Disclose (Release) Health Care Information
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Authorization For Release of Information - ASIFlex
webdocs.asiflex.comAuthorization to Release Protected Health Information (PHI) Participant’s Full Name Employee ID or Social Security Number Street Address City, State & Zip
Authorization for Release of Information
dhs.pa.govI hereby authorize and request the disclosure to the county assistance office any information concerning the age, residence, citizenship, employment, applications for employment, education
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