Release
•Download as DOC, PDF•
0 likes•92 views
R
r2iThis document is a release of information form for Roy Michael Stefanik, DO, a psychiatrist located in Centreville, VA. It authorizes Dr. Stefanik to receive and disclose individually identifiable health information for a specified patient. The information can be released to and received from individuals or organizations listed on the form. The disclosure is for continued care or other purposes and includes diagnosis, treatment, and examination related to mental health or substance abuse. The patient understands they can revoke the authorization and it will expire on a specified date unless revoked earlier.
Report
Share
Report
Share
Recommended
Patient Information
This document contains a patient information form for a medical office. It collects personal details about the patient such as name, date of birth, contact information, insurance details, and emergency contacts. It also includes authorizations for the office to release medical information to third parties and for insurance billing. The patient signs to acknowledge understanding the office's payment policies.
Worker comp employer_authorization
This document provides a workman's compensation authorization form for Dr. R. Mark Pappas' office. It requests information about the patient, including their name, address, and date of accident. It also asks for details about the employer, such as the employer's name, address, phone number, and authorized representative's signature. The bottom portion is to be filled out by the employer and faxed back, providing insurance carrier information, address, phone number, and any available claim or adjustor details.
Formato de matricula
This document is a child enrollment application for a daycare center. It collects information such as the child's name, birthdate, primary language, home address, emergency contacts, medical information, insurance details, and obtains parental consent for emergency medical treatment. The application also requests permission to change the child's clothing if needed and take photographs of the child for display within the daycare center.
Dexter Dog Report OCAC
This report is from OCAC regarding Dexter, a dog they "imported" from Santa Barbara for an adoption event, named April Dog of the Month, and then scheduled to kill in May. Thanks to all of the people who worked so hard to save his life (successfully). Much more information in the FB group.
https://www.facebook.com/groups/savemorekillless/permalink/1734096613504145/
https://www.facebook.com/groups/savemorekillless/permalink/1731938840386589/
https://www.facebook.com/groups/savemorekillless/permalink/1731607553753051/
https://www.facebook.com/groups/savemorekillless/permalink/1731604027086737/
https://www.facebook.com/groups/savemorekillless/permalink/1731235493790257/
https://www.facebook.com/groups/savemorekillless/permalink/1730076157239524/
https://www.facebook.com/groups/savemorekillless/permalink/1729107847336355/
https://www.facebook.com/groups/savemorekillless/permalink/1728927127354427/
Family Care Advantage Application
This document is an application for membership in the Family Care Advantage Plan, a discount medical plan offered by Association Heath Care Management, Inc. It collects personal information from applicants such as name, address, date of birth, and payment details. Membership costs $49.95 per month plus a one-time $50 application fee. The plan provides discounts on dental care, pharmacy costs, lab tests, and imaging services. Applicants must initial that they understand Family Care is not insurance before signing to apply.
T J Y G Permission Youth Game Day 10.2.11
The permission slip is for a TJ Sr. Youth Group event called "Youth Game Day" taking place on Sunday, October 2nd from 1:00 PM to 6:30 PM at TJUC. The event will include challenge and leadership games led by Donald Taylor in the YOUNG ROOM, and will conclude with a pizza dinner in WESTON HALL. Parents must sign and return the permission slip by October 25th to give consent for their child to participate and authorize emergency medical treatment if needed.
Progress towards Meaningful Use: A Patient Perspective
My presentation of the patient perspective as a member of the Public-Private Partnerships for Improved Patient Engagement panel
Medical release hippa_form_new
This document is an authorization form for Dr. R. Mark Pappas to release a patient's protected health information. It lists the patient's name and address, date of birth, and social security number. It authorizes Dr. Pappas to disclose the patient's medical and financial records to Dr. Pappas' own practice located in West Haven, Connecticut. The patient must sign to acknowledge they understand their rights regarding the authorization and that they are signing freely.
Recommended
Patient Information
This document contains a patient information form for a medical office. It collects personal details about the patient such as name, date of birth, contact information, insurance details, and emergency contacts. It also includes authorizations for the office to release medical information to third parties and for insurance billing. The patient signs to acknowledge understanding the office's payment policies.
Worker comp employer_authorization
This document provides a workman's compensation authorization form for Dr. R. Mark Pappas' office. It requests information about the patient, including their name, address, and date of accident. It also asks for details about the employer, such as the employer's name, address, phone number, and authorized representative's signature. The bottom portion is to be filled out by the employer and faxed back, providing insurance carrier information, address, phone number, and any available claim or adjustor details.
Formato de matricula
This document is a child enrollment application for a daycare center. It collects information such as the child's name, birthdate, primary language, home address, emergency contacts, medical information, insurance details, and obtains parental consent for emergency medical treatment. The application also requests permission to change the child's clothing if needed and take photographs of the child for display within the daycare center.
Dexter Dog Report OCAC
This report is from OCAC regarding Dexter, a dog they "imported" from Santa Barbara for an adoption event, named April Dog of the Month, and then scheduled to kill in May. Thanks to all of the people who worked so hard to save his life (successfully). Much more information in the FB group.
https://www.facebook.com/groups/savemorekillless/permalink/1734096613504145/
https://www.facebook.com/groups/savemorekillless/permalink/1731938840386589/
https://www.facebook.com/groups/savemorekillless/permalink/1731607553753051/
https://www.facebook.com/groups/savemorekillless/permalink/1731604027086737/
https://www.facebook.com/groups/savemorekillless/permalink/1731235493790257/
https://www.facebook.com/groups/savemorekillless/permalink/1730076157239524/
https://www.facebook.com/groups/savemorekillless/permalink/1729107847336355/
https://www.facebook.com/groups/savemorekillless/permalink/1728927127354427/
Family Care Advantage Application
This document is an application for membership in the Family Care Advantage Plan, a discount medical plan offered by Association Heath Care Management, Inc. It collects personal information from applicants such as name, address, date of birth, and payment details. Membership costs $49.95 per month plus a one-time $50 application fee. The plan provides discounts on dental care, pharmacy costs, lab tests, and imaging services. Applicants must initial that they understand Family Care is not insurance before signing to apply.
T J Y G Permission Youth Game Day 10.2.11
The permission slip is for a TJ Sr. Youth Group event called "Youth Game Day" taking place on Sunday, October 2nd from 1:00 PM to 6:30 PM at TJUC. The event will include challenge and leadership games led by Donald Taylor in the YOUNG ROOM, and will conclude with a pizza dinner in WESTON HALL. Parents must sign and return the permission slip by October 25th to give consent for their child to participate and authorize emergency medical treatment if needed.
Progress towards Meaningful Use: A Patient Perspective
My presentation of the patient perspective as a member of the Public-Private Partnerships for Improved Patient Engagement panel
Medical release hippa_form_new
This document is an authorization form for Dr. R. Mark Pappas to release a patient's protected health information. It lists the patient's name and address, date of birth, and social security number. It authorizes Dr. Pappas to disclose the patient's medical and financial records to Dr. Pappas' own practice located in West Haven, Connecticut. The patient must sign to acknowledge they understand their rights regarding the authorization and that they are signing freely.
How to Use Your Child\'s Psychological Evaluation to Have a Productive CSE / ...
This document advertises a workshop for parents and educators on how to effectively use a child's psychological evaluation at their IEP or CSE meeting. The workshop, led by psychologist Dr. Edward Petrosky, will explain what different tests in an evaluation measure, what the scores mean, what a child's needs are based on the results, and how to ensure all bases are covered. Attendees will receive a handout and the workshop will cover intelligence, achievement, visual-motor integration, behavior rating scales, ADHD/ADD, and learning disabilities tests and evaluations. The event is on May 14, 2009 from 7-10pm at a hotel in Great Neck, NY.
Policies
This document outlines the office policies and financial agreement for Dr. Roy Michael Stefanik's psychiatry practice. It states that payment is due at the time of service by cash, check, credit card, or money order made out to Dr. Stefanik. Insurance is a contract between the patient and insurance company, and Dr. Stefanik will provide necessary information but is not responsible for reimbursement. Patients are responsible for all bills regardless of insurance coverage. Appointments must be cancelled at least 24 hours in advance to avoid charges. HIPAA compliance policies are available upon request.
Policies
This document outlines the office policies and financial agreement for Dr. Roy Michael Stefanik's psychiatry practice. It states that payment is due at the time of service by cash, check, credit card, or money order made out to Dr. Stefanik. Insurance is a contract between the patient and insurance company, and Dr. Stefanik will provide necessary information but is not responsible for reimbursement. Patients are responsible for all bills regardless of insurance coverage. Appointments must be cancelled at least 24 hours in advance to avoid charges, and patients will not be charged if the doctor cancels. HIPAA compliance policies are available upon request.
Tyshika Resume
Tyshika Bradley is a skilled medical professional with over 10 years of experience in roles such as nurse assistant, private duty nurse assistant, patient care associate, and lab technician. She has worked at organizations like Bayada Home Health Care, Access Nursing Services, Sinai Hospital, and Johns Hopkins Hospital. Bradley is seeking a full-time position in medical care utilizing her skills in areas like vital assessments, medical history taking, documentation, scheduling, phlebotomy, specimen collection, and patient care.
Physical mental health12
This document collects contact and health information from a client of SLP Counseling, Inc. It requests the client's name, date of birth, address, email, phone numbers, permission to leave messages, and contact information for their physician and other healthcare providers. It also asks the client to describe any current health issues, psychiatric medication history, hospitalizations, and current substance use. Finally, it requests a list of any prescription medications, dosages, and start dates. The purpose is to gather relevant personal and medical details to assist in counseling services.
Bcs Claim Form
This document is an insurance claim form from BCS Insurance Company. It requests information from the insured to process a claim, including the insured's details, patient information if different, description of the accident or sickness, prior treatment history, employment details, other insurance coverage, and an authorization to obtain medical records. The insured signs to authorize payment of benefits and to allow their medical information to be disclosed for processing the claim.
Running head HEALTHCARE INTAKE PACKET1HEALTHCARE INTAKE PACK.docx
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 ...
Hippa
This document authorizes Tristate Opiate Recovery Health Center to release a patient's medical records to and receive records from another specified person or organization. It lists the types of medical records that may be disclosed, including treatment plans, progress notes, lab reports, and diagnoses. The purpose of the disclosure is to coordinate the patient's care. The patient consents to the release of any substance abuse, HIV/AIDS, or mental health information contained in the records. The consent will automatically expire one year from the date signed unless revoked earlier in writing.
Applying for Disability Benefits for a Multiple Sclerosis Patient
Lawyers representing Multiple Sclerosis patients review the feasibility of a case with the assistance of competent medical review services.
Travel Clinic Cardiff: Health Advice for International Travelers
Travel Clinic Cardiff offers comprehensive travel health services, including vaccinations, travel advice, and preventive care for international travelers. Our expert team ensures you are well-prepared and protected for your journey, providing personalized consultations tailored to your destination. Conveniently located in Cardiff, we help you travel with confidence and peace of mind. Visit us: www.nxhealthcare.co.uk
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdf
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdfOsvaldo Bernardo Muchanga
GASTROINTESTINAL INFECTIONS AND GASTRITIS
Osvaldo Bernardo Muchanga
Gastrointestinal Infections
GASTROINTESTINAL INFECTIONS result from the ingestion of pathogens that cause infections at the level of this tract, generally being transmitted by food, water and hands contaminated by microorganisms such as E. coli, Salmonella, Shigella, Vibrio cholerae, Campylobacter, Staphylococcus, Rotavirus among others that are generally contained in feces, thus configuring a FECAL-ORAL type of transmission.
Among the factors that lead to the occurrence of gastrointestinal infections are the hygienic and sanitary deficiencies that characterize our markets and other places where raw or cooked food is sold, poor environmental sanitation in communities, deficiencies in water treatment (or in the process of its plumbing), risky hygienic-sanitary habits (not washing hands after major and/or minor needs), among others.
These are generally consequences (signs and symptoms) resulting from gastrointestinal infections: diarrhea, vomiting, fever and malaise, among others.
The treatment consists of replacing lost liquids and electrolytes (drinking drinking water and other recommended liquids, including consumption of juicy fruits such as papayas, apples, pears, among others that contain water in their composition).
To prevent this, it is necessary to promote health education, improve the hygienic-sanitary conditions of markets and communities in general as a way of promoting, preserving and prolonging PUBLIC HEALTH.
Gastritis and Gastric Health
Gastric Health is one of the most relevant concerns in human health, with gastrointestinal infections being among the main illnesses that affect humans.
Among gastric problems, we have GASTRITIS AND GASTRIC ULCERS as the main public health problems. Gastritis and gastric ulcers normally result from inflammation and corrosion of the walls of the stomach (gastric mucosa) and are generally associated (caused) by the bacterium Helicobacter pylor, which, according to the literature, this bacterium settles on these walls (of the stomach) and starts to release urease that ends up altering the normal pH of the stomach (acid), which leads to inflammation and corrosion of the mucous membranes and consequent gastritis or ulcers, respectively.
In addition to bacterial infections, gastritis and gastric ulcers are associated with several factors, with emphasis on prolonged fasting, chemical substances including drugs, alcohol, foods with strong seasonings including chilli, which ends up causing inflammation of the stomach walls and/or corrosion. of the same, resulting in the appearance of wounds and consequent gastritis or ulcers, respectively.
Among patients with gastritis and/or ulcers, one of the dilemmas is associated with the foods to consume in order to minimize the sensation of pain and discomfort. Cervical Disc Arthroplasty ORSI 2024.pptx
Indication and installation of a mobile cervical disc prosthesis. Benefits of the PRODISC C VIVO mobile disc prosthesis (Centinel Spine)
Acute Gout Care & Urate Lowering Therapy .pdf
In this document , the management of acute gout attacks and a description of urate lowering therapy is mentioned.
What is Obesity? How to overcome Obesity?
Obesity is a chronic complex disease defined by excessive fat deposits that can impair health.
Breast cancer: Post menopausal endocrine therapy
Breast cancer in postmenopausal women with hormone receptor-positive (HR+) status is a common and complex condition that necessitates a multifaceted approach to management. HR+ breast cancer means that the cancer cells grow in response to hormones such as estrogen and progesterone. This subtype is prevalent among postmenopausal women and typically exhibits a more indolent course compared to other forms of breast cancer, which allows for a variety of treatment options.
Diagnosis and Staging
The diagnosis of HR+ breast cancer begins with clinical evaluation, imaging, and biopsy. Imaging modalities such as mammography, ultrasound, and MRI help in assessing the extent of the disease. Histopathological examination and immunohistochemical staining of the biopsy sample confirm the diagnosis and hormone receptor status by identifying the presence of estrogen receptors (ER) and progesterone receptors (PR) on the tumor cells.
Staging involves determining the size of the tumor (T), the involvement of regional lymph nodes (N), and the presence of distant metastasis (M). The American Joint Committee on Cancer (AJCC) staging system is commonly used. Accurate staging is critical as it guides treatment decisions.
Treatment Options
Endocrine Therapy
Endocrine therapy is the cornerstone of treatment for HR+ breast cancer in postmenopausal women. The primary goal is to reduce the levels of estrogen or block its effects on cancer cells. Commonly used agents include:
Selective Estrogen Receptor Modulators (SERMs): Tamoxifen is a SERM that binds to estrogen receptors, blocking estrogen from stimulating breast cancer cells. It is effective but may have side effects such as increased risk of endometrial cancer and thromboembolic events.
Aromatase Inhibitors (AIs): These drugs, including anastrozole, letrozole, and exemestane, lower estrogen levels by inhibiting the aromatase enzyme, which converts androgens to estrogen in peripheral tissues. AIs are generally preferred in postmenopausal women due to their efficacy and safety profile compared to tamoxifen.
Selective Estrogen Receptor Downregulators (SERDs): Fulvestrant is a SERD that degrades estrogen receptors and is used in cases where resistance to other endocrine therapies develops.
Combination Therapies
Combining endocrine therapy with other treatments enhances efficacy. Examples include:
Endocrine Therapy with CDK4/6 Inhibitors: Palbociclib, ribociclib, and abemaciclib are CDK4/6 inhibitors that, when combined with endocrine therapy, significantly improve progression-free survival in advanced HR+ breast cancer.
Endocrine Therapy with mTOR Inhibitors: Everolimus, an mTOR inhibitor, can be added to endocrine therapy for patients who have developed resistance to aromatase inhibitors.
Chemotherapy
Chemotherapy is generally reserved for patients with high-risk features, such as large tumor size, high-grade histology, or extensive lymph node involvement. Regimens often include anthracyclines and taxanes.
Computer in pharmaceutical research and development-Mpharm(Pharmaceutics)
Statistics- Statistics is the science of collecting, organizing, presenting, analyzing and interpreting numerical data to assist in making more effective decisions.
A statistics is a measure which is used to estimate the population parameter
Parameters-It is used to describe the properties of an entire population.
Examples-Measures of central tendency Dispersion, Variance, Standard Deviation (SD), Absolute Error, Mean Absolute Error (MAE), Eigen Value
acne vulgaris -Mpharm (2nd semester) Cosmetics and cosmeceuticals
cosmetics and cosmeceuticals
Muskan
mpharm
2nd semester
Guru Gobind Singh college of pharmacy, yamunanagar, haryana
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
- Video recording of this lecture in Arabic language: https://youtu.be/uFdc9F0rlP0
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
une 2024 Oncology Cartoons By Dr Kanhu Charan Patro
Nano-gold for Cancer Therapy chemistry investigatory project
chemistry investigatory project
The development of nanogold-based cancer therapy could revolutionize oncology by providing a more targeted, less invasive treatment option. This project contributes to the growing body of research aimed at harnessing nanotechnology for medical applications, paving the way for future clinical trials and potential commercial applications.
Cancer remains one of the leading causes of death worldwide, prompting the need for innovative treatment methods. Nanotechnology offers promising new approaches, including the use of gold nanoparticles (nanogold) for targeted cancer therapy. Nanogold particles possess unique physical and chemical properties that make them suitable for drug delivery, imaging, and photothermal therapy.
Artificial Intelligence Symposium (THAIS)
Artificial Intelligence Symposium (THAIS). Parc Taulí. Sabadell
More Related Content
Similar to Release
How to Use Your Child\'s Psychological Evaluation to Have a Productive CSE / ...
This document advertises a workshop for parents and educators on how to effectively use a child's psychological evaluation at their IEP or CSE meeting. The workshop, led by psychologist Dr. Edward Petrosky, will explain what different tests in an evaluation measure, what the scores mean, what a child's needs are based on the results, and how to ensure all bases are covered. Attendees will receive a handout and the workshop will cover intelligence, achievement, visual-motor integration, behavior rating scales, ADHD/ADD, and learning disabilities tests and evaluations. The event is on May 14, 2009 from 7-10pm at a hotel in Great Neck, NY.
Policies
This document outlines the office policies and financial agreement for Dr. Roy Michael Stefanik's psychiatry practice. It states that payment is due at the time of service by cash, check, credit card, or money order made out to Dr. Stefanik. Insurance is a contract between the patient and insurance company, and Dr. Stefanik will provide necessary information but is not responsible for reimbursement. Patients are responsible for all bills regardless of insurance coverage. Appointments must be cancelled at least 24 hours in advance to avoid charges. HIPAA compliance policies are available upon request.
Policies
This document outlines the office policies and financial agreement for Dr. Roy Michael Stefanik's psychiatry practice. It states that payment is due at the time of service by cash, check, credit card, or money order made out to Dr. Stefanik. Insurance is a contract between the patient and insurance company, and Dr. Stefanik will provide necessary information but is not responsible for reimbursement. Patients are responsible for all bills regardless of insurance coverage. Appointments must be cancelled at least 24 hours in advance to avoid charges, and patients will not be charged if the doctor cancels. HIPAA compliance policies are available upon request.
Tyshika Resume
Tyshika Bradley is a skilled medical professional with over 10 years of experience in roles such as nurse assistant, private duty nurse assistant, patient care associate, and lab technician. She has worked at organizations like Bayada Home Health Care, Access Nursing Services, Sinai Hospital, and Johns Hopkins Hospital. Bradley is seeking a full-time position in medical care utilizing her skills in areas like vital assessments, medical history taking, documentation, scheduling, phlebotomy, specimen collection, and patient care.
Physical mental health12
This document collects contact and health information from a client of SLP Counseling, Inc. It requests the client's name, date of birth, address, email, phone numbers, permission to leave messages, and contact information for their physician and other healthcare providers. It also asks the client to describe any current health issues, psychiatric medication history, hospitalizations, and current substance use. Finally, it requests a list of any prescription medications, dosages, and start dates. The purpose is to gather relevant personal and medical details to assist in counseling services.
Bcs Claim Form
This document is an insurance claim form from BCS Insurance Company. It requests information from the insured to process a claim, including the insured's details, patient information if different, description of the accident or sickness, prior treatment history, employment details, other insurance coverage, and an authorization to obtain medical records. The insured signs to authorize payment of benefits and to allow their medical information to be disclosed for processing the claim.
Running head HEALTHCARE INTAKE PACKET1HEALTHCARE INTAKE PACK.docx
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 ...
Hippa
This document authorizes Tristate Opiate Recovery Health Center to release a patient's medical records to and receive records from another specified person or organization. It lists the types of medical records that may be disclosed, including treatment plans, progress notes, lab reports, and diagnoses. The purpose of the disclosure is to coordinate the patient's care. The patient consents to the release of any substance abuse, HIV/AIDS, or mental health information contained in the records. The consent will automatically expire one year from the date signed unless revoked earlier in writing.
Applying for Disability Benefits for a Multiple Sclerosis Patient
Lawyers representing Multiple Sclerosis patients review the feasibility of a case with the assistance of competent medical review services.
Similar to Release (9)
How to Use Your Child\'s Psychological Evaluation to Have a Productive CSE / ...
How to Use Your Child\'s Psychological Evaluation to Have a Productive CSE / ...
Running head HEALTHCARE INTAKE PACKET1HEALTHCARE INTAKE PACK.docx
Running head HEALTHCARE INTAKE PACKET1HEALTHCARE INTAKE PACK.docx
Applying for Disability Benefits for a Multiple Sclerosis Patient
Applying for Disability Benefits for a Multiple Sclerosis Patient
Recently uploaded
Travel Clinic Cardiff: Health Advice for International Travelers
Travel Clinic Cardiff offers comprehensive travel health services, including vaccinations, travel advice, and preventive care for international travelers. Our expert team ensures you are well-prepared and protected for your journey, providing personalized consultations tailored to your destination. Conveniently located in Cardiff, we help you travel with confidence and peace of mind. Visit us: www.nxhealthcare.co.uk
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdf
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdfOsvaldo Bernardo Muchanga
GASTROINTESTINAL INFECTIONS AND GASTRITIS
Osvaldo Bernardo Muchanga
Gastrointestinal Infections
GASTROINTESTINAL INFECTIONS result from the ingestion of pathogens that cause infections at the level of this tract, generally being transmitted by food, water and hands contaminated by microorganisms such as E. coli, Salmonella, Shigella, Vibrio cholerae, Campylobacter, Staphylococcus, Rotavirus among others that are generally contained in feces, thus configuring a FECAL-ORAL type of transmission.
Among the factors that lead to the occurrence of gastrointestinal infections are the hygienic and sanitary deficiencies that characterize our markets and other places where raw or cooked food is sold, poor environmental sanitation in communities, deficiencies in water treatment (or in the process of its plumbing), risky hygienic-sanitary habits (not washing hands after major and/or minor needs), among others.
These are generally consequences (signs and symptoms) resulting from gastrointestinal infections: diarrhea, vomiting, fever and malaise, among others.
The treatment consists of replacing lost liquids and electrolytes (drinking drinking water and other recommended liquids, including consumption of juicy fruits such as papayas, apples, pears, among others that contain water in their composition).
To prevent this, it is necessary to promote health education, improve the hygienic-sanitary conditions of markets and communities in general as a way of promoting, preserving and prolonging PUBLIC HEALTH.
Gastritis and Gastric Health
Gastric Health is one of the most relevant concerns in human health, with gastrointestinal infections being among the main illnesses that affect humans.
Among gastric problems, we have GASTRITIS AND GASTRIC ULCERS as the main public health problems. Gastritis and gastric ulcers normally result from inflammation and corrosion of the walls of the stomach (gastric mucosa) and are generally associated (caused) by the bacterium Helicobacter pylor, which, according to the literature, this bacterium settles on these walls (of the stomach) and starts to release urease that ends up altering the normal pH of the stomach (acid), which leads to inflammation and corrosion of the mucous membranes and consequent gastritis or ulcers, respectively.
In addition to bacterial infections, gastritis and gastric ulcers are associated with several factors, with emphasis on prolonged fasting, chemical substances including drugs, alcohol, foods with strong seasonings including chilli, which ends up causing inflammation of the stomach walls and/or corrosion. of the same, resulting in the appearance of wounds and consequent gastritis or ulcers, respectively.
Among patients with gastritis and/or ulcers, one of the dilemmas is associated with the foods to consume in order to minimize the sensation of pain and discomfort. Cervical Disc Arthroplasty ORSI 2024.pptx
Indication and installation of a mobile cervical disc prosthesis. Benefits of the PRODISC C VIVO mobile disc prosthesis (Centinel Spine)
Acute Gout Care & Urate Lowering Therapy .pdf
In this document , the management of acute gout attacks and a description of urate lowering therapy is mentioned.
What is Obesity? How to overcome Obesity?
Obesity is a chronic complex disease defined by excessive fat deposits that can impair health.
Breast cancer: Post menopausal endocrine therapy
Breast cancer in postmenopausal women with hormone receptor-positive (HR+) status is a common and complex condition that necessitates a multifaceted approach to management. HR+ breast cancer means that the cancer cells grow in response to hormones such as estrogen and progesterone. This subtype is prevalent among postmenopausal women and typically exhibits a more indolent course compared to other forms of breast cancer, which allows for a variety of treatment options.
Diagnosis and Staging
The diagnosis of HR+ breast cancer begins with clinical evaluation, imaging, and biopsy. Imaging modalities such as mammography, ultrasound, and MRI help in assessing the extent of the disease. Histopathological examination and immunohistochemical staining of the biopsy sample confirm the diagnosis and hormone receptor status by identifying the presence of estrogen receptors (ER) and progesterone receptors (PR) on the tumor cells.
Staging involves determining the size of the tumor (T), the involvement of regional lymph nodes (N), and the presence of distant metastasis (M). The American Joint Committee on Cancer (AJCC) staging system is commonly used. Accurate staging is critical as it guides treatment decisions.
Treatment Options
Endocrine Therapy
Endocrine therapy is the cornerstone of treatment for HR+ breast cancer in postmenopausal women. The primary goal is to reduce the levels of estrogen or block its effects on cancer cells. Commonly used agents include:
Selective Estrogen Receptor Modulators (SERMs): Tamoxifen is a SERM that binds to estrogen receptors, blocking estrogen from stimulating breast cancer cells. It is effective but may have side effects such as increased risk of endometrial cancer and thromboembolic events.
Aromatase Inhibitors (AIs): These drugs, including anastrozole, letrozole, and exemestane, lower estrogen levels by inhibiting the aromatase enzyme, which converts androgens to estrogen in peripheral tissues. AIs are generally preferred in postmenopausal women due to their efficacy and safety profile compared to tamoxifen.
Selective Estrogen Receptor Downregulators (SERDs): Fulvestrant is a SERD that degrades estrogen receptors and is used in cases where resistance to other endocrine therapies develops.
Combination Therapies
Combining endocrine therapy with other treatments enhances efficacy. Examples include:
Endocrine Therapy with CDK4/6 Inhibitors: Palbociclib, ribociclib, and abemaciclib are CDK4/6 inhibitors that, when combined with endocrine therapy, significantly improve progression-free survival in advanced HR+ breast cancer.
Endocrine Therapy with mTOR Inhibitors: Everolimus, an mTOR inhibitor, can be added to endocrine therapy for patients who have developed resistance to aromatase inhibitors.
Chemotherapy
Chemotherapy is generally reserved for patients with high-risk features, such as large tumor size, high-grade histology, or extensive lymph node involvement. Regimens often include anthracyclines and taxanes.
Computer in pharmaceutical research and development-Mpharm(Pharmaceutics)
Statistics- Statistics is the science of collecting, organizing, presenting, analyzing and interpreting numerical data to assist in making more effective decisions.
A statistics is a measure which is used to estimate the population parameter
Parameters-It is used to describe the properties of an entire population.
Examples-Measures of central tendency Dispersion, Variance, Standard Deviation (SD), Absolute Error, Mean Absolute Error (MAE), Eigen Value
acne vulgaris -Mpharm (2nd semester) Cosmetics and cosmeceuticals
cosmetics and cosmeceuticals
Muskan
mpharm
2nd semester
Guru Gobind Singh college of pharmacy, yamunanagar, haryana
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
- Video recording of this lecture in Arabic language: https://youtu.be/uFdc9F0rlP0
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
une 2024 Oncology Cartoons By Dr Kanhu Charan Patro
Nano-gold for Cancer Therapy chemistry investigatory project
chemistry investigatory project
The development of nanogold-based cancer therapy could revolutionize oncology by providing a more targeted, less invasive treatment option. This project contributes to the growing body of research aimed at harnessing nanotechnology for medical applications, paving the way for future clinical trials and potential commercial applications.
Cancer remains one of the leading causes of death worldwide, prompting the need for innovative treatment methods. Nanotechnology offers promising new approaches, including the use of gold nanoparticles (nanogold) for targeted cancer therapy. Nanogold particles possess unique physical and chemical properties that make them suitable for drug delivery, imaging, and photothermal therapy.
Artificial Intelligence Symposium (THAIS)
Artificial Intelligence Symposium (THAIS). Parc Taulí. Sabadell
Pharmacology of 5-hydroxytryptamine and Antagonist
5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
Call Girls In Mumbai +91-7426014248 High Profile Call Girl Mumbai
Call Girls In Mumbai +91-7426014248 High Profile Call Girl Mumbai
The Nervous and Chemical Regulation of Respiration
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
Pollen and Fungal allergy: aeroallergy.pdf
Pollen and Fungal allergy: aeroallergy.pdfChulalongkorn Allergy and Clinical Immunology Research Group
Pollen and Fungal allergy
Presented by Chaloemchai Chumsaengchotsakul, MD.
June 14, 2024Histololgy of Female Reproductive System.pptx
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
5 Effective Homeopathic Medicines for Irregular Periods
Discover the benefits of homeopathic medicine for irregular periods with our guide on 5 common remedies. Learn how these natural treatments can help regulate menstrual cycles and improve overall menstrual health.
Visit Us: https://drdeepikashomeopathy.com/service/irregular-periods-treatment/
Recently uploaded (20)
Travel Clinic Cardiff: Health Advice for International Travelers
Travel Clinic Cardiff: Health Advice for International Travelers
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdf
Osvaldo Bernardo Muchanga-GASTROINTESTINAL INFECTIONS AND GASTRITIS-2024.pdf
Computer in pharmaceutical research and development-Mpharm(Pharmaceutics)
Computer in pharmaceutical research and development-Mpharm(Pharmaceutics)
acne vulgaris -Mpharm (2nd semester) Cosmetics and cosmeceuticals
acne vulgaris -Mpharm (2nd semester) Cosmetics and cosmeceuticals
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
June 2024 Oncology Cartoons By Dr Kanhu Charan Patro
Nano-gold for Cancer Therapy chemistry investigatory project
Nano-gold for Cancer Therapy chemistry investigatory project
Pharmacology of 5-hydroxytryptamine and Antagonist
Pharmacology of 5-hydroxytryptamine and Antagonist
Call Girls In Mumbai +91-7426014248 High Profile Call Girl Mumbai
Call Girls In Mumbai +91-7426014248 High Profile Call Girl Mumbai
The Nervous and Chemical Regulation of Respiration
The Nervous and Chemical Regulation of Respiration
5 Effective Homeopathic Medicines for Irregular Periods
5 Effective Homeopathic Medicines for Irregular Periods
Release
- 1. ROY MICHAEL STEFANIK, DO PSYCHIATRY 5675 STONE ROAD, SUITE 320 CENTREVILLE, VA 20120 (703) 830-1500 EMAIL: RMS23@GEORGETOWN.EDU FACSIMILE: (703) 830-0001 RELEASE OF INFORMATION PATIENT’S NAME: ______________________________ DOB: __________________ The patient listed above hereby authorizes Roy Michael Stefanik, DO to RECEIVE/DISCLOSE individually identifiable health information of the patient (as described below) TO/FROM Name of individual/organization Address of individual/organization Fax and phone number of individual/organization Specific dates needed: ____________________________. These disclosures are for the purposes of (i.e., continued care, personal, etc.) __________________________________________________________. This information is for release of medical records and information including diagnosis, treatment, and/or examination related to mental health (psychiatry or psychology), or drug and/or alcohol abuse. I understand that I may revoke this authorization at any time. ____________________ (Initial) I understand that unless earlier revoked, this authorization will expire on ____/____/____ or on the happening of ___________________________________ (if no date or event is specified, authorization will expire six (6) months after that date of signature below). 11/10/09
- 2. Patient Date