This document contains a confidential client intake form for a counseling center. It requests personal information such as name, contact details, demographic info, medical history, counseling history, and description of present issues. It also includes sections on family history, relationships, symptoms, and an informed consent agreement for counseling services.
This talk has to distinct parts, the first part is about this new design-lead Era at IBM, which is really about how to scale great design to large organizations.
We’re making a huge company-wide commitment and investment to turn IBM to a design lead organization, with design led products and projects.
In the second part of the talk, I’d talk about how my team, which has embraced lean UX methods, has managed to stay focus by adopting the new IBM design thinking framework, as well as some of the lessons of integrating a strong design competency with a lean team.
Lean UX: Building a shared understanding to get out of the deliverables businessJeff Gothelf
This is the latest iteration of the Lean UX conversation as given at UX LX (Lisbon) in May of 2012. Many thanks to Jeff Patton for the opening imagery.
This talk has to distinct parts, the first part is about this new design-lead Era at IBM, which is really about how to scale great design to large organizations.
We’re making a huge company-wide commitment and investment to turn IBM to a design lead organization, with design led products and projects.
In the second part of the talk, I’d talk about how my team, which has embraced lean UX methods, has managed to stay focus by adopting the new IBM design thinking framework, as well as some of the lessons of integrating a strong design competency with a lean team.
Lean UX: Building a shared understanding to get out of the deliverables businessJeff Gothelf
This is the latest iteration of the Lean UX conversation as given at UX LX (Lisbon) in May of 2012. Many thanks to Jeff Patton for the opening imagery.
Interested in becoming a volunteer for Bully Prevention Alliance and you live in the state of Indiana? Please fill out the volunteer application and submit it to: Info@bpindyinc.org.
Thanks!
In this booklet, you will find recorded information on decisions that I have made in advance to help you during this time.
If you will give this booklet to my funeral director, everything can be conducted in accordance with my written wishes. I believe that this effort will minimize the emotional strain that you are in at this time.
In this booklet, you will find vital statistics, estate information, funeral or cremation arrangements and other important information. I hope this, in someway, relieves you from the anxiety and burden of making these decisions at a very difficult time.
Running head HEALTHCARE INTAKE PACKET1HEALTHCARE INTAKE PACK.docxjeanettehully
Running head: HEALTHCARE INTAKE PACKET1
HEALTHCARE INTAKE PACKET 9
Healthcare Intake Packet
Sharlene Salinas
Professor Bradshaw
Rasmussen College
HSA
August 15, 2019
Healthcare Intake Packet
New Patient Letter
Three Mountains Regional Hospital
5096, Detroit, MI 3963-1130,
US
____________, day of _______, 20____
Dear ________________________ (Patient’s Name),
RE: HEALTHCARE INTAKE PACKET INTRODUCTION
Greetings and it is an honor to have you at Three Mountains Regional Hospital. We are dedicated to excellence within our professional practice of promoting community, organizational, family, and individual health. The following healthcare intake packet includes the hospital’s code of ethics and a living will.
The code of ethics provides a structure and shape to the hospital’s environment and ethical position. A living will is a legal document with proper instructions which specifies the type of treatment or medical care that you want or not want, in the event, I am unable to make decisions for yourself.
Three Mountains Regional Hospital will handle your information under HIPAA and its regulations to protect the confidentiality of medical and personal information as permitted and required by the law.
Save time before your appointment at the Three Mountains Regional Hospital. It is recommended that you print and complete your patient intake form before your appointment. (This is not mandatory but offered as a convenience for patients)
Sincerely,
________________________
Health Services Manager
Three Mountains Regional Hospital
Code of Ethics
· Uphold policies of the Three Mountains Regional Hospital.
· Protect the intellectual, physical, and electronic property of the hospital.
· Promote a healthy, secure, and safe working environment.
· Promote the principles of accuracy and confidentiality in billing processes.
· Uphold the principles of social networking by not transmitting or placing online, individually identifiable patient information. Protect and respect the confidentiality and privacy of all individuals and information linked to the Three Mountains Regional Hospital policies and relevant legislation such as HIPAA.
· Treat both internal and external members of the community with dignity, respect, and without discrimination.
· Promote the communication of information, rights, and responsibilities to nurture informed decision making geared towards offering the highest quality of care and safety.
· Offer patient care, support work, and research education with professional competence, high ethical standards, and intellectual honesty.
· Uphold the values of the Three Mountains Regional Hospital
· Individuals are encouraged to professionally engage in social-political activities through transparency and honesty to the healthcare profession.
Three Mountains Regional Hospital
Living Will Declaration
Advance Health Care Directive of: _________________________
To my family, doctors, surgeons, medical care providers, hospitals, an ...
This pdf is about the Schizophrenia.
For more details visit on YouTube; @SELF-EXPLANATORY;
https://www.youtube.com/channel/UCAiarMZDNhe1A3Rnpr_WkzA/videos
Thanks...!
Interested in becoming a volunteer for Bully Prevention Alliance and you live in the state of Indiana? Please fill out the volunteer application and submit it to: Info@bpindyinc.org.
Thanks!
In this booklet, you will find recorded information on decisions that I have made in advance to help you during this time.
If you will give this booklet to my funeral director, everything can be conducted in accordance with my written wishes. I believe that this effort will minimize the emotional strain that you are in at this time.
In this booklet, you will find vital statistics, estate information, funeral or cremation arrangements and other important information. I hope this, in someway, relieves you from the anxiety and burden of making these decisions at a very difficult time.
Running head HEALTHCARE INTAKE PACKET1HEALTHCARE INTAKE PACK.docxjeanettehully
Running head: HEALTHCARE INTAKE PACKET1
HEALTHCARE INTAKE PACKET 9
Healthcare Intake Packet
Sharlene Salinas
Professor Bradshaw
Rasmussen College
HSA
August 15, 2019
Healthcare Intake Packet
New Patient Letter
Three Mountains Regional Hospital
5096, Detroit, MI 3963-1130,
US
____________, day of _______, 20____
Dear ________________________ (Patient’s Name),
RE: HEALTHCARE INTAKE PACKET INTRODUCTION
Greetings and it is an honor to have you at Three Mountains Regional Hospital. We are dedicated to excellence within our professional practice of promoting community, organizational, family, and individual health. The following healthcare intake packet includes the hospital’s code of ethics and a living will.
The code of ethics provides a structure and shape to the hospital’s environment and ethical position. A living will is a legal document with proper instructions which specifies the type of treatment or medical care that you want or not want, in the event, I am unable to make decisions for yourself.
Three Mountains Regional Hospital will handle your information under HIPAA and its regulations to protect the confidentiality of medical and personal information as permitted and required by the law.
Save time before your appointment at the Three Mountains Regional Hospital. It is recommended that you print and complete your patient intake form before your appointment. (This is not mandatory but offered as a convenience for patients)
Sincerely,
________________________
Health Services Manager
Three Mountains Regional Hospital
Code of Ethics
· Uphold policies of the Three Mountains Regional Hospital.
· Protect the intellectual, physical, and electronic property of the hospital.
· Promote a healthy, secure, and safe working environment.
· Promote the principles of accuracy and confidentiality in billing processes.
· Uphold the principles of social networking by not transmitting or placing online, individually identifiable patient information. Protect and respect the confidentiality and privacy of all individuals and information linked to the Three Mountains Regional Hospital policies and relevant legislation such as HIPAA.
· Treat both internal and external members of the community with dignity, respect, and without discrimination.
· Promote the communication of information, rights, and responsibilities to nurture informed decision making geared towards offering the highest quality of care and safety.
· Offer patient care, support work, and research education with professional competence, high ethical standards, and intellectual honesty.
· Uphold the values of the Three Mountains Regional Hospital
· Individuals are encouraged to professionally engage in social-political activities through transparency and honesty to the healthcare profession.
Three Mountains Regional Hospital
Living Will Declaration
Advance Health Care Directive of: _________________________
To my family, doctors, surgeons, medical care providers, hospitals, an ...
This pdf is about the Schizophrenia.
For more details visit on YouTube; @SELF-EXPLANATORY;
https://www.youtube.com/channel/UCAiarMZDNhe1A3Rnpr_WkzA/videos
Thanks...!
The increased availability of biomedical data, particularly in the public domain, offers the opportunity to better understand human health and to develop effective therapeutics for a wide range of unmet medical needs. However, data scientists remain stymied by the fact that data remain hard to find and to productively reuse because data and their metadata i) are wholly inaccessible, ii) are in non-standard or incompatible representations, iii) do not conform to community standards, and iv) have unclear or highly restricted terms and conditions that preclude legitimate reuse. These limitations require a rethink on data can be made machine and AI-ready - the key motivation behind the FAIR Guiding Principles. Concurrently, while recent efforts have explored the use of deep learning to fuse disparate data into predictive models for a wide range of biomedical applications, these models often fail even when the correct answer is already known, and fail to explain individual predictions in terms that data scientists can appreciate. These limitations suggest that new methods to produce practical artificial intelligence are still needed.
In this talk, I will discuss our work in (1) building an integrative knowledge infrastructure to prepare FAIR and "AI-ready" data and services along with (2) neurosymbolic AI methods to improve the quality of predictions and to generate plausible explanations. Attention is given to standards, platforms, and methods to wrangle knowledge into simple, but effective semantic and latent representations, and to make these available into standards-compliant and discoverable interfaces that can be used in model building, validation, and explanation. Our work, and those of others in the field, creates a baseline for building trustworthy and easy to deploy AI models in biomedicine.
Bio
Dr. Michel Dumontier is the Distinguished Professor of Data Science at Maastricht University, founder and executive director of the Institute of Data Science, and co-founder of the FAIR (Findable, Accessible, Interoperable and Reusable) data principles. His research explores socio-technological approaches for responsible discovery science, which includes collaborative multi-modal knowledge graphs, privacy-preserving distributed data mining, and AI methods for drug discovery and personalized medicine. His work is supported through the Dutch National Research Agenda, the Netherlands Organisation for Scientific Research, Horizon Europe, the European Open Science Cloud, the US National Institutes of Health, and a Marie-Curie Innovative Training Network. He is the editor-in-chief for the journal Data Science and is internationally recognized for his contributions in bioinformatics, biomedical informatics, and semantic technologies including ontologies and linked data.
Nutraceutical market, scope and growth: Herbal drug technologyLokesh Patil
As consumer awareness of health and wellness rises, the nutraceutical market—which includes goods like functional meals, drinks, and dietary supplements that provide health advantages beyond basic nutrition—is growing significantly. As healthcare expenses rise, the population ages, and people want natural and preventative health solutions more and more, this industry is increasing quickly. Further driving market expansion are product formulation innovations and the use of cutting-edge technology for customized nutrition. With its worldwide reach, the nutraceutical industry is expected to keep growing and provide significant chances for research and investment in a number of categories, including vitamins, minerals, probiotics, and herbal supplements.
Multi-source connectivity as the driver of solar wind variability in the heli...Sérgio Sacani
The ambient solar wind that flls the heliosphere originates from multiple
sources in the solar corona and is highly structured. It is often described
as high-speed, relatively homogeneous, plasma streams from coronal
holes and slow-speed, highly variable, streams whose source regions are
under debate. A key goal of ESA/NASA’s Solar Orbiter mission is to identify
solar wind sources and understand what drives the complexity seen in the
heliosphere. By combining magnetic feld modelling and spectroscopic
techniques with high-resolution observations and measurements, we show
that the solar wind variability detected in situ by Solar Orbiter in March
2022 is driven by spatio-temporal changes in the magnetic connectivity to
multiple sources in the solar atmosphere. The magnetic feld footpoints
connected to the spacecraft moved from the boundaries of a coronal hole
to one active region (12961) and then across to another region (12957). This
is refected in the in situ measurements, which show the transition from fast
to highly Alfvénic then to slow solar wind that is disrupted by the arrival of
a coronal mass ejection. Our results describe solar wind variability at 0.5 au
but are applicable to near-Earth observatories.
(May 29th, 2024) Advancements in Intravital Microscopy- Insights for Preclini...Scintica Instrumentation
Intravital microscopy (IVM) is a powerful tool utilized to study cellular behavior over time and space in vivo. Much of our understanding of cell biology has been accomplished using various in vitro and ex vivo methods; however, these studies do not necessarily reflect the natural dynamics of biological processes. Unlike traditional cell culture or fixed tissue imaging, IVM allows for the ultra-fast high-resolution imaging of cellular processes over time and space and were studied in its natural environment. Real-time visualization of biological processes in the context of an intact organism helps maintain physiological relevance and provide insights into the progression of disease, response to treatments or developmental processes.
In this webinar we give an overview of advanced applications of the IVM system in preclinical research. IVIM technology is a provider of all-in-one intravital microscopy systems and solutions optimized for in vivo imaging of live animal models at sub-micron resolution. The system’s unique features and user-friendly software enables researchers to probe fast dynamic biological processes such as immune cell tracking, cell-cell interaction as well as vascularization and tumor metastasis with exceptional detail. This webinar will also give an overview of IVM being utilized in drug development, offering a view into the intricate interaction between drugs/nanoparticles and tissues in vivo and allows for the evaluation of therapeutic intervention in a variety of tissues and organs. This interdisciplinary collaboration continues to drive the advancements of novel therapeutic strategies.
Observation of Io’s Resurfacing via Plume Deposition Using Ground-based Adapt...Sérgio Sacani
Since volcanic activity was first discovered on Io from Voyager images in 1979, changes
on Io’s surface have been monitored from both spacecraft and ground-based telescopes.
Here, we present the highest spatial resolution images of Io ever obtained from a groundbased telescope. These images, acquired by the SHARK-VIS instrument on the Large
Binocular Telescope, show evidence of a major resurfacing event on Io’s trailing hemisphere. When compared to the most recent spacecraft images, the SHARK-VIS images
show that a plume deposit from a powerful eruption at Pillan Patera has covered part
of the long-lived Pele plume deposit. Although this type of resurfacing event may be common on Io, few have been detected due to the rarity of spacecraft visits and the previously low spatial resolution available from Earth-based telescopes. The SHARK-VIS instrument ushers in a new era of high resolution imaging of Io’s surface using adaptive
optics at visible wavelengths.
1. Confidential Client Intake Form
General Information
Name: _________________________________________________________ Date: ______________
Address: ___________________________________________________________________________________
City: _____________________________________ State: ___________ Zip: ______________________
Phone #’s Home: ___________________ Work: _____________________ Cell: _____________________
Please DO NOT contact me at: Home Work Cell E-mail:_____________________________
Sex: M F Date of Birth: _____________________ Age: ________ SS#:_______________
Employer: ________________________________________ Occupation/Title:_________________________
Hours per week: _______ Years at job: _____ Highest level of education completed: _____________________
Do you regularly attend church, synagogue or other religious institution? Yes No Member? Yes No
Name of church/institution: ________________________________Name of Pastor________________________
How did you hear about our services?:___________________________________________________________
Relational Information
Marital status: 0 Single 0 Engaged 0 Married 0 Separated 0 Divorced 0 Widowed
If engaged, married, divorced or widowed, how long have you been so? _______________
Number of previous marriages for you? _____________ For your current spouse? __________________
Name of spouse: ______________________________________________ Spouse’s age: __________________
Spouse’s Occupation: ________________________________________________________________________
Please provide a brief description of your spouse (e.g., angry, controlling, outgoing, supportive): ______________
__________________________________________________________________________________________
Please list your children, including step, adopted and foster children (use back of sheet if necessary):
Name Sex Age/Year of death Relationship to you Living with whom?
2. Family of Origin
Please list your mother, father, brothers, sisters, stepfamily and/or relatives who had a significant effect upon your
life (positive or negative).
Name Sex Age/Year of death Relationship to you Describe him/her
Please identify any of the following you experienced in your family:
Physical Abuse Emotional Abuse Sexual Abuse Abortions Gambling
Drug/Alcohol Addiction Religious Upbringing Major Losses Multiple Marriages
Please describe the kind of family you grew up in: __________________________________________________
__________________________________________________________________________________________
Counseling History
If you have had any previous counseling, psychiatric treatment, substance abuse treatment, or residential/in-
patient care, please list the name of the therapists and/or programs (use back of this sheet if necessary):
Name of Therapist/Program Issues Addressed Dates in Treatment
Has anyone in your family ever been treated or hospitalized for substance abuse, mental health issues, or
psychiatric conditions? Yes No
If yes, please describe: __________________________________________________________
Have any of your family or friends ever attempted or committed suicide? Yes No
If yes, who and when: ___________________________________________________________
Medical History
Name and Town of Current Physician: ___________________________________________________________
Date and outcome of last physical exam: _________________________________________________________
Please list any conditions, illnesses or surgeries that might be relevant to your reason for seeking counseling:
__________________________________________________________________________________________
Please list current medications you are taking even if use is seldom or as needed (use back of sheet if
necessary):
Name of Medication Dosage Reason for taking medication
3. Present Issues and Goals
Please describe why you are coming to counseling (issues, problems, symptoms, how long, etc.):
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Check any of the following symptoms or problems that you are currently or have recently experienced:
Stress Grief Verbal abuse Impulsive behavior Anxiety
Chronic pain Sexual abuse Controlling Sexual problems Fears
Loneliness Sexual addiction Obsessive thoughts Depression Panic
Indecisiveness Poor concentration Shyness Gender identity Anger
Fatigue Low self-esteem Hearing voices Loss of appetite Bad dreams
Marital problems Aggression Racing thoughts Trouble sleeping Apathy
Relational issues Eating problems Physical Abuse Unwanted memories Alcohol use
Feeling worthless Emotional Abuse Loss of control Pregnancy/Abortion Work issues
Financial issues Spiritual apathy Drug use Career choices Loss
Compulsive behavior Controlled by others Seeing things others don’t
Please place an “X” on the scale to indicate how distressing your problems are to you.
{----------------------------------------------------------------------------------------------------------------------------------------------}
Very minimal distress Moderate distress Very extreme
distress
Are you currently experiencing any suicidal thoughts? Yes No
Have you experienced suicidal thoughts or attempted suicide in the past? Yes No
Are you currently experiencing any violent or homicidal thoughts? Yes No
_________________________________________________________________ ________________________
Client’s Signature Date
4. Informed Consent for Counseling Services
I am willingly entering into a counseling relationship with the understanding of the following
conditions:
1) I understand that my counseling records are kept confidential, except where
disclosure is required by law (e.g., child abuse/elder abuse reporting requirements,
serious threat of harm to self or others) or I have signed the appropriate release of
information forms.
2) Counseling will cover emotional, physical and spiritual aspects of my life and may
sometimes be distressing and difficult. However, I understand working through my
issues will enable me to achieve increase health both personally and relationally.
3) I have the right to ask questions pertaining to my treatment and may discontinue
therapy at any time. I understand terminating counseling is best decided after
consulting with my therapist.
4) I understand that Life Counseling Center does not accept insurance for partial or full
payment of services rendered. I agree to pay $______________________________
at the conclusion of each appointment.
5) Barring emergencies, I understand I must cancel and/or reschedule my appointments
by notifying the office at lease 24 hours prior to the scheduled appointment hour.
There will be a charge if appointment is cancelled within 24 hours of appointment
time. If you do not call and do not show up for your appointment, the full charge
will apply. In the evenings and on weekends, you may leave a message on our voice
mail, which will accurately record the date and time of your call.
6) In consideration of the benefits to be derived from the counseling, the receipt
whereof is hereby acknowledged, I hereby release, remise and forever discharge and
covenant not to sue or hold legally liable Life Counseling Center, or employees of the
aforesaid from any and all claims, demands, actions or causes of action of whatsoever
kind and nature related to the counseling process.
I have read and understood the preceding information and agree to the policies of Life
Counseling Center as stated. I understand that these comments are prerequisite to my receiving
and continuing counseling through Life Counseling Center.
_________________________________________________________ __________________
Client’s Signature Date
____________________________________________________ __________________
Therapist’s Signature Date