The EAP liberally defines family member to include significant people in the lives of employees. 1207 0 obj <>stream <> When it comes to your business, there are multiple options when it comes to scanning. The CIT & Authorization mission is to promote and protect public health by: Managing Centralized Intern Training for new agents of the state to become authorized to enforce state sanitation laws and rules. EAP services are confidential and voluntary to assist NH government employees and their families in addressing issues that may affect their overall well-being. For information on available treatment in NH, go to www.covid19.nh.gov/resources/treatment-resources. If you test positive for COVID-19 and have symptoms, antiviral medication can help! <>>> endobj x TF3e>,YecW=f~+J}VQiIvCYA~,IE`z1Fb2aw(G#&Jv-4m6n} `|UzT4MPjJ5"3t* 1 0 obj NH Department of Health and Human Services (DHHS) BFA Form 775 Bureau of Family Assistance (BFA) 09/22 RENTAL VERIFICATION REQUEST (To be completed by the landlord or Housing Authority, if subsidized.) endobj By law, the EAP staff must notify appropriate agencies of: We are committed to the principle that any information or material we receive, other than that required by law to be reported to authorities will not be communicated to anyone without your permission. When should you upgrade your printer or copier? Adds Six New Printer and Multifunction Devices, Canon U.S.A. New Hampshire Employment Verification Letter for Social Security If finding legal forms online looks like a problem, use US Legal Forms. 3 0 obj This buildup of calcified plaque in artery walls is called atherosclerosis, or "hardening" of the arteries. Box 181 Concord, NH 03301 Most communications are protected by federal and state laws which assure that whatever information is given, orally or in writing, to any member of the EAP staff will not be revealed. The health and well-being of patients is our primary concern. <>>> Calcium scoring is a fast and painless method of determining a person's risk for heart attack and heart disease. x]mo7 aiQ"&mmR,&A[#_hH{v#Ky'gtd]|]n? NH Department of Health & Human Services (DHHS) DDU Form 177 Bureau of Family Assistance (BFA) - Disability Determination Unit (DDU) rev 12/22 Page: 1 of 9 . % During calcium scoring, the amount of calcium in the coronary arteries is measured and a score is obtained that can help determine an individual's risk for heart attack or heart disease. It is best that you check with your individual insurance plan before scheduling the exam. Claim this business. V[$&Bb5F$|zt Centralized Scanning Unit (CSU) PO Box 181 . <>>> Most scans take less than 15 minutes. The final score will be used by your doctor to assess your heart attack risk and recommend treatment and lifestyle changes when needed. There are so many options to choose from, so knowing what you want to get out of your scanner is key. Trying to find an office? endstream endobj startxref family history of heart disease or heart attack. 3 0 obj Tel: +1 310 634 0130. 4 0 obj <>>> U-~H~{(}u:{_/_M=fI$e~fev~Uyv2-3aaaL?Ky9s.2R3 /7 +T*Qa\]ZL 4g9"eO,j]I+Q y~sw =)Ir JJJuRYvsobd Federal privacy law says that a form like this one must say that if you sign it and your health information gets shared (disclosed), you should know the information may be shared again (re-disclosed). NH Department of Health and Human Services DHHS Division of Family Assistance DFA DFA Form 720 02/13 rev 1/15 DETERMINATION OF INCAPACITY STATUS Name Return Completed Form to Centralized Scanning Unit CSU P. How It Works. The images will be analyzed by the CT scanner software to assess the number of plaques, their density and their distribution so a final calcium score can be determined. %PDF-1.5 ?L)8h^x3aBGN xQAmdcW2q @WM7-1.O]d)wXn{Bap\Z-6`7]q){ biB3~K:3l2/a_P{q These services are intended to enhance communication, cooperation, productivity, and teamwork in the workplace. When calcified plaques occur in the coronary arteries, the condition is called coronary artery disease, or CAD, which is a leading cause of heart attack and death. lxQ=w%`:P5@TuE7AF[u$&^kf$it&+Il0*g\K$_0TqtHO3 E~z^e_JB;(G$TVQ*Y AdTmpd3h2HU2$`Y| 4 ~0(-D7p;Ib4(+GB)J}*C:2!q7j6QSk0` RNa*UvfqGNyEj]\DsYZEQ e#z`rV3Fm&kwbq~Yu?;.Q5w]' UQ mjQ?w41K,_ddyuHMLl" x Q>ou30*}$hO)([e\/dDxV[e(-xRAxcmv%,Bi_lE3/BU"Uh2qM myqT/<9b>yv Y- up3q9O)` YuLlvLMLyZW*T&2`?! 4 0 obj <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 1170 0 obj <> endobj Go to the Locations & Facilities page. RRH_T|/yEpg0VtPY>'k] Box 181 Concord, NH 03301 Tenant's name: Tenant's mailing address: Street Apt# City State Zip . <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> In our free Buyers Guide to Document Management, the other types of scanning can be found. endobj % <> H_K~Dn~"v6 j_O9V) 2 0 obj During calcium scoring, the amount of calcium in the coronary arteries is measured and a score is obtained that can help determine an individual's risk for heart attack or heart disease. Once the scanning procedure is complete, you can resume your regular activities. <> <>>> DHHS has a wide range of programs located in offices across the state. Download the form you want from the largest collection of templates. If you test positive for COVID-19 and have symptoms, antiviral medication can help! 3 0 obj Also, looking into a maintenance agreement on the scanner can ensure that your scanner will run at . Long Beach, CA 90807, USA. (3YC) Employment Verification (Completed by Employer Only) FROM: Centralized Scanning Unit (CSU) P.O. Explore and apply for benefits. Before the exam, you'll need to remove any jewelry or metal objects including eyeglasses, and you may be asked to put on a hospital gown. The test is more likely to be ordered in men or women with some of the following risk factors: The test can be especially important in determining the cause of unexplained chest pain. endobj 2 0 obj b)j An Employee Assistance Program (EAP) is a program that can help with everyday issues to traumatic events. 0'Kf(:0W;i~EcqcFH g|d&@EO;H65$D_$@F\7v*$ ISb\}]lXHPPm?.W;Ez'"NC6[B$!"/}Ys+DiW(xjnc[k;-:4!C[S .^8\xqn\ -3vGnJ` &8~"Hz`Qg:Z[9I(di_oHlWtd8C1XqRwl!goNrpB+o@IkCA/9OM=Uu%PW\-RPyV`eJe z1~_9AQwet]*clH"[^gD2 LXmVgXRAk]U:=QOO|yjwGSg{e`)*44'-lSTiTG!H1RJVe$3/o"kE@SOkK@eq;IMYF1D&|z@cDBUsgaf{1*Q'e=4kTh#1\T,UR5ni+pmz; Uy~*6\=[Q{6aLXjBGpBsVB};Zn\Rt/$_jDw ]1VZgv*8ukN0|[J:C$aX/+B`%1vKQT 7DWg[X4018l_pEfH(y%|}$OW+GN6>k=gsh{VR8o_Q?]%8.\5]zr5.BPrv1I;ohu1TvHzUM&t+S6AK94]X:Pi2& `WKOMDAV67\b9>qV;Ph*3o,yv87B"|a5N*L&^!&>ai 111 North Sanders Helena, MT 59601-4520 PO Box 4210 Helena, MT 59604-4210, 1400 Broadway, Rm C314, Helena, MT 59601-5231, Asthma and Diabetes Prevention and Control Programs, Nutritional and Physical Activity Program, 1400 Broadway, Room C202 Helena, MT 59601-5231 TOP, 1400 Broadway, Room B102 Helena, MT 59620, 1400 Broadway, Room C216 Helena, MT 69601-5231, 1400 Broadway, Room C216 Helena, MT 59601, Program Planning Unit 111 N Last Chance Gulch, Helena, MT 59601-6282 PO Box 8005, Helena, MT 59604-8005 TOP, Centralized Intake Unit 111 N Last Chance Gulch, Helena, MT 59601-6282 PO Box 8005, Helena, MT 59604-8005, 1625 11th Ave, Helena MT 59601 PO Box 4210, Helena MT 59620, 1625 11th Ave, Helena MT 59601 PO Box 4210, Helena MT 59620 TOP, Food Distribution/Commodity Warehouse Program 1400 Carter Drive, Helena, MT 59601-6400 PO Box 202956, Helena MT 59620-2956 TOP, Energy & Community Services Program (LIEAP & Weatherization) 1400 Carter Drive, Helena, MT 59601-6400 PO Box 202956, Helena, MT 59620-2956 TOP, Medicaid & Healthy Montana Kids Drug Rebate Program, 1400 Broadway, Room A104 Helena, MT 59601-5231, Audit Bureau 2401 Colonial Dr, 3rd Floor Helena, MT 59601-4909, Administrative Support Supervisor,Afrah Al Asadi, Administrative Assistant,Andrew Erickson, 1100 N. Last Chance Gulch, 2 nd Floor, Helena, MT 59601 TOP, State Information Technology Services Division PO Box 200113 Helena, MT 59620-0113 CONTACT US, STD DIS Program Specialist, Miranda Reddig, U.S. BUREAU OF LABOR STATISTICS FOR MONTANA, MONTANA OFFICE OF TOURISM AND BUSINESS DEVELOPMENT, MONTANA HISTORICAL SOCIETY RESEARCH CENTER, Behavioral Health and Developmental Disabilities, Office of Inspector General (formerly Quality Assurance), State Information Technology Services Division, Economic Security Services Executive Director, Erica Johnston, Medicaid and Health ServicesExecutive Director, Mike Randol, Medicaid and CHIP State Plan Amendment and Waiver Coor., Mary Eve Kulawik, Strategic Planning, Research andAnalysis, Eric Higginbotham, Operations Revenue Forecasting Specialist, Jamie Bartole, Office of Inspector General, Michelle Truax (Interim), State Medical Officer, Dr. Maggie Cook-Shimanek, Office of Health and Human Services Innovation, CIO, Marie Matthews, Legislative and Regulatory Affairs, Brenton Craggs, Communications Specialist, Herbert Council, Program Analyst/Technical Writer, Megan Grotzke, Faith and Community Based Services, Tracy Moseman, American Indian Health Director, Stephanie Iron Shooter, Chief Human Resources Officer, Karol Anne Davis, Deputy Human Resources Officer, Ciarra Krantz, Civil Rights and EEO Officer , Lloyd Sparks, Senior Human Resource Partner/Employee & Labor Relations, Sarah Green, Senior Human Resource Partner/Facility Liaison, Vacant, Human Resources Office Coordinator, Sam Askin, Risk Management and Safety Officer, Joe McAnally, Occupational Health and Safety Officer, Tawni Jo Carmody, Deputy Chief Legal Counsel, Chad G. Parker, Attorney, HIPAA Program Officer, Theran Fries, Office Manager / Administrative Rule Specialist, Valerie St. Clair, Administrative Rule Specialist, Kassie Thompson, Administrative Legal Assistant, Bailey Yuhas, Medicaid Systems Operations Manager, Shellie McCann, State MedicalDirector, Dr. Maggie Cook-Shimanek, MD, Local & Tribal Support Coordinator, Kerry Pride, DVM, System Improvement Coordinator, Terry Ray, Public Health Accreditation Coordinator, Vacant, Workforce Development Coordinator, Neva Loney, Performance Management and Information Systems Coordinator, Marilyn Trevino, State Refugee Coordinator, Kathe Quittenton, Epidemiology Program Manager, Heather Zimmerman, Office Manager/Financial Specialist, Jodee Prevel, Disability Health Education Specialist, Mackenzie Jones, Office Manager/Financial Specialist, Susan Day, Administrative Specialist, Carolyn Linden, Determinates of Health Program Manager, Margaret Mullins, Secondary Prevention Specialist, Mike McNamara, Quality Improvement Coordinator, Callan Brick, Asthma Control Program Manager, BJ Biskupiak, EMS Licensing and PI Specialist, Francine Janik, Cardiac Ready Program Manager, Janet Trethewey, Community Integrated Health Program Specialist, Kelly Little, Trauma System Manager, Alyssa Johnson, RN, BSN, Violent Death Registry Program Manager, William "Buck" Herron, Injury Prevention Coordinator, Maureen Ward, Health Education Specialist, Alivia Winters, Administrative Support/Licensing, Sandra Tirrell, Body Art/Trailer Court Camp Grounds/ Cottage Food/ Farmers Markets, Mark Hall, Wholesale Mfg. 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