Policies & Procedures Manual

2010-11 Policies & Procedures Manual Get Acrobat Reader

Appendices
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A. Staff Professional/ Performance Evaluation
B. Hepatitis B Vaccination Declination
C. OSHA Training Verification
D. Exposure Report
E. Operation/Cleaning Duties Record
F. Release of Medical Records
G. Pre-Physical Examination
H. Physical Examination
I. Accident Insurance Policy Information
J. Personal Insurance Information
K. Emergency Information
L. Release of Medical Information
M. Assumption of Risk
N. Acceptance of Responsibility of Reporting Injuries & Illnesses
O. Sickle Cell Testing Statement
P. Medical Exception ADD/ADHD
Q. Walk-On Participation Authorization
R. Post-Physical Examination
S. TBI Take Home Symptom Monitoring Instructions
T. Secondary Insurance Claim Form
U. Medical Referral
V. Team Sports Medical Hardship
W. Individual Sports Medical Hardship
X. OTC Medication Tracking Chart
Y. Rx Medication Tracking Chart
Z. Pacific Medical Inc. Patient Product Agreement & Rx Form
AA. Equipment Check-Out



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