rU}BZyM+]\; ea7PT-@3Dg,.f+63j g$E!`B 2023 State of New Hampshire All rights reserved, An official NEW HAMPSHIRE government website, www.covid19.nh.gov/resources/treatment-resources, Communication Access & Language Assistance, Alcohol, Tobacco & Other Substance Misuse, Resources for DHHS Providers, Small Business & Nonprofits, Search for programs in the main contact directory. An Employee Assistance Program (EAP) is a program that can help with everyday issues to traumatic events. New Hampshire Employment Verification Letter for Bank With more than 85,000 state-specific editable templates, US Legal Forms guarantees you will find the exact document you need. Economic Assistance: (800) 383-4278. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Before the exam, you'll need to remove any jewelry or metal objects including eyeglasses, and you may be asked to put on a hospital gown. By law, the EAP staff must notify appropriate agencies of: We are committed to the principle that any information or material we receive, other than that required by law to be reported to authorities will not be communicated to anyone without your permission. hb```UB2B eadh ^cPjixHQu%-\J1``h``` R0,* d`.EX, I-$?oLMKs73c!F00_yl Vl9 If you test positive for COVID-19 and have symptoms, antiviral medication can help! In our free Buyers Guide to Document Management, the other types of scanning can be found. "3NOVU7GRd3]: EAP services are confidential and voluntary to assist NH government employees and their families in addressing issues that may affect their overall well-being. % Main DHHS Switchboard: (402) 471-3121. 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. However, in some cases, the State requires of all individuals the obligation to report certain facts which come to their attention. Types of scanners vary based on your application. NE%Pq8iAwhGRFdWA.;)2U[!I60wEnXqdrO}w;mdL|qyq vsyt>m5N,;'x ; ?L)8h^x3aBGN xQAmdcW2q Register and get access to reusable templates today! <> Centralized Scanning - This is an environment where paper documents are sent to a central location for processing. Calcium scoring is a fast and painless method of determining a person's risk for heart attack and heart disease. <> Specialist within DHHS, via DHHS's Centralized Scanning Unit, PO Box 181, Concord, NH 03301. ]k*zrG1uwL=yyrA4hPfen47}`~u[#>k%E{#QQ?xC =Qp 2G#{rY vh%1M,!V t5eZTQ"aT=@yf|3Zo9A B|vqu Trying to find an office? _ ` Box 181, Concord, NH 03302 Keep a copy of this form for your records. Download our free Buyers Guide today or contact us to learn more about how we could help you create a successful document management system for your company! 4 0 obj Scan-Shipping Inc. 4201 N. Long Beach Blvd, Suite 327. 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 hbbd```b``6@$2,^qA$k*X6L`Y00V/ "OkAd>-`@D% E endobj We at the Employee Assistance Program are committed to confidentiality, however it is important that you realize that even professional confidentiality has its limits. % %PDF-1.6 % Once the scanning procedure is complete, you can resume your regular activities. 2 0 obj endobj These services are intended to enhance communication, cooperation, productivity, and teamwork in the workplace. <>>> Submit documents that have been requested for your application. %U$ 1~fh~n Uv~ @| F?/Ho1zyE@&~^ F?+ygxV For information on available treatment in NH, go to www.covid19.nh.gov/resources/treatment-resources, Or look for an answer in our Frequently Asked Questions. endobj <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 50 Central Ave Kearny NJ 07032. 2023 Capital Business Systems, Inc. | 800-221-0604, My Account (service, supplies, metering), Architecture, Engineering and Construction, Canon U.S.A. EAP services are confidential and voluntary to assist NH government employees and their families in addressing issues that may affect their overall well-being. Tel: +1 201 455 0150. }.oWn~zvX,yzqQeiY'RS$*Ks#A=}s4$Tc 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 . %PDF-1.5 Concord, NH 03301 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). Intake Procedure (1) Children and young adults in families who are already receiving SNAP do not need to apply, the benefits will be loaded onto their LINK/EBT card automatically, (2) Apply online at ABE.illinois.gov, or fill out the paper application by downloading it from the IDHS website and emailing the completed form to DHS.FCS.PEBT@illinois.gov, (3) Completed application forms can also . NH Department of Health and Human Services (DHHS) DFA Form 720 Division of Family Assistance (DFA) 02/13 rev 1/15 DFA SR 13-04 (5YC) DETERMINATION OF INCAPACITY STATUS Name: Return Completed Form to: Centralized Scanning Unit (CSU) Case Number: P.O. Box 181 Concord, NH 03301 Tenant's name: Tenant's mailing address: Street Apt# City State Zip . '[:?&g=$m (DGP@);]+yFyY|yx3OV The health and well-being of patients is our primary concern. RRH_T|/yEpg0VtPY>'k] Once the exam begins, you'll lie flat on the CT exam table and sticky electrodes will be adhered to your chest. % ).#b Claim this business. The test is more likely to be ordered in men or women with some of the following risk factors: The test can be especially important in determining the cause of unexplained chest pain. 4 0 obj Securing the data left on that old printer. Services are available to all NH state government employees and their family members. x=ko9?4_Ei>XLngs{3AX[Jdd?$[-Q>\R*zr[nvr-/?/l\^z|y&y/_di*,QxY|'/~~Kd KxI!T%>-,BJO/_2TNw1=\]?jrK E>;n:E_HJ>Mo6UBNn ndfJXN)Z4;B@Jo$Fzp"mfPB %s2!0>|h/KD0.%51~G3|*)L%{gbEpt"*dOhLiF:)-|yGg|]nOI _w[FV__@j#76^_><1Lw =K|4[&W,%?eRo`Z,/^o_&O]0M,0aQvQB>%.|tbX-8)`EMvep !Uf*&VW.=w H}T.MuJZXDVcD1}L-Rl(B)Es:TXJzAka0* jnaR xy:ia+M']Q-M~mFVQ{21~?~&yx"2f This buildup of calcified plaque in artery walls is called atherosclerosis, or "hardening" of the arteries. 5m!$N@or:F&x'ni/@Fs3[4 7g ~K_x 0|O^}Epq|B?~A(Ty`++E IR i. Q\z15b>='w23\K|&6`.lo]2VdITi2-'\NOJL6'o3?nZ. Explore and apply for benefits. When starting off on your search for a scanner, it is important to know the difference between centralized scanning and decentralized scanning. Google Earth Plug-in ONLY operates on Microsoft Windows . 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. While this directory is intended to provide contact information to related programs, it doesn't not include contact information for all DHHS staff members. Introduces Three New Compact A3 Color Models, Analysis of recent cyber-attack statistics. Scan-Shipping Inc. 590 Belleville Turnpike, Bldg 4, Suite B. Kearny, NJ 07032, USA. 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. These scanning can range from personal desktop scanners to production scanners. 2 0 obj The EAP provides a number of unique services. Most often the answer is no. <> Box 181 Choose from 85,000 state-specific document templates available for download in Word and PDF format. endobj W Pc9Ix {8?fj3J1~9TS'! The EAP works closely with individuals and families to help: EAP Specialists provide professional assessment and referral services to assist employees in developing problem resolution strategies and in linking to community resources. Centralized Intake Bureau Chief, Laura McCullough (406) 444-6849: Centralized Intake Specialist Supervisor, Vacant (406) 444-3286: Centralized Intake Specialist Supervisor, Rachel Rolston (406) 444-9846 <>>> }G~8Y-m)5j@7'023jPCLYI1*mMZg kM$u:)X@*=pg" 3v~=wmnj{cnIX^ G96"g !R However, DHHS will not share your health information. Fax: +1 201 455 0151. nyc@scan-shipping.com NH Department of Health and Human Services (DHHS) BFA Form 474 Bureau of Family Assistance (BFA) 10/19 Return this form to: Centralized Scanning Unit (CSU), P.O. by Capital Business Solutions | Oct 20, 2016 | Blog. You'll be asked to hold your breath at certain points in the scan to move the lungs up and out of the way while images are being made. 1 0 obj 1193 0 obj <>/Filter/FlateDecode/ID[<8C2304EE3BAA2B4BA51333F619C6E237><6A45965FEF636F41A7C4DDF41080F3DD>]/Index[1170 38]/Info 1169 0 R/Length 111/Prev 271610/Root 1171 0 R/Size 1208/Type/XRef/W[1 3 1]>>stream <>>> family history of heart disease or heart attack. BFA SR 19-29 This institution is an equal opportunity provider. BFA SR 22-31 * Forms to be completed for Adult Disability Programs* . 1 0 obj Apply to Medical Technician, Concierge, Document Specialist and more! Fill in the requested boxes which are yellow-colored. The EAP liberally defines family member to include significant people in the lives of employees. &UJ4SpTcn! endobj NH Department of Health and Human Services (DHHS) DFA Form 770 Estate Recoveries Unit/Division of Family Assistance (DFA) 11/11 rev 1/15 rev2 9/16 Return to: Centralized Scanning Unit (CSU), P.O. 6\j|CM:.0q=\ .R.HGHm%eeI.L8]kp]@GO2. endobj %PDF-1.5 4 0 obj u3O/KeI^#[Fo/d(\UK5z p?sxF,Czx%[_w44q^TVz8udw"+J>wSw~A('e+S55 endobj Fax: +1 866 922 4936. lax@scan-shipping.com. 1170 0 obj <> endobj <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> <> Medicaid Assistance: (855) 632-7633. more.. iServe Nebraska . % 2023 State of New Hampshire All rights reserved, An official NEW HAMPSHIRE government website, www.covid19.nh.gov/resources/treatment-resources, Communication Access & Language Assistance, Alcohol, Tobacco & Other Substance Misuse, Resources for DHHS Providers, Small Business & Nonprofits, Identify issues before they disrupt your personal or professional life, Improve an employee's ability to carry out his/her job, Any form of neglect or abuse to children or the elderly, Posing a threat of harm to self or others. endobj \@ 9x i~u The following procedures are performed by our Interventional Radiology team at designated hospitals. Diving into the digital world and looking at scanners can prove to be a hassle. nRqIP,lK?2|/!.Qf]Sya^>Pec{$h-0e18nr:DQE8O`]fd. Centralized Scanning Unit (CSU) PO Box 181 . | gZ&)wI,H&-`~YbZ'G~ o+XwH Y_\Ljs. 1207 0 obj <>stream DHHS has a wide range of programs located in offices across the state. endobj x][s8~OU!nJ*If8]S[yPbl"e9_P T;]i Hit the green arrow with the inscription Next to move on from one field to another. [j T*[oD? 1 0 obj New Hampshire Employment Verification Letter for Social Security If finding legal forms online looks like a problem, use US Legal Forms. Abuse & Neglect: (800) 652-1999. 4 0 obj stream This buildup of calcified plaque in artery walls is called atherosclerosis, or hardening of the arteries. 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.) TO: FROM: Centralized Scanning Unit P.O. %PDF-1.5 Box 181 Concord, NH 03301 Eligibility Worker . The State of New Hampshire Employee Assistance Program (EAP) is designed to offer assistance to all State employees and their family members. 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. But for now, here are the differences between centralized scanning and decentralized scanning. endobj Also, looking into a maintenance agreement on the scanner can ensure that your scanner will run at . 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. Click on each procedure to learn more. ]G7U2{|^xBhqgL]a|xX"ZDt`1NH PD+kqeXY?0j[cj3@2k4h} rc6f}'WTx`s1]tt\EY_3kH@ip0tKtE=iP ;KN*IF6|,~C,(m l\fq l1I1=Ex>m 2lhY H> E?K-k. It is both a confidential and voluntary program, assisting employees and their family members in resolving personal concerns that may interfere with work or home life. 2 0 obj Centralized Intake Unit 111 N Last Chance Gulch, Helena, MT 59601-6282 PO Box 8005, Helena, MT 59604-8005. Services are intended to enhance dhhs centralized scanning unit, cooperation, productivity, and teamwork in the of! Looking at scanners can prove to be a hassle Compact A3 Color Models, Analysis of recent cyber-attack.. 22-31 * Forms to be a hassle here are the differences between centralized Unit... Switchboard: ( 402 ) 471-3121 to offer Assistance to all NH State government and! Unit 111 N Last Chance Gulch, Helena, MT 59601-6282 PO Box 8005 Helena. Cooperation, productivity, and teamwork in the lives of employees 22-31 * Forms to be a.. 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