Fill and Sign Legal Forms and Templates

This document is a form used to request an immunization record from the City of Philadelphia, Pennsylvania.

This Form is used for requesting a vaccination card in the City of Philadelphia, Pennsylvania.

This document is used for requesting a copy of your immunization record from the City of Philadelphia, Pennsylvania. It is available in Chinese Simplified.

This form is used for requesting immunization records from the City of Philadelphia, Pennsylvania. It is available in Korean.

This form is used for requesting immunization records from the City of Philadelphia, Pennsylvania. It is written in Russian.

This Form is used for requesting a copy of your immunization record from the City of Philadelphia, Pennsylvania. It is available in French.

This form is used for a residency agreement in the state of Arizona. It outlines the terms and conditions for living in a particular residence.

This document is for informing individuals about their rights regarding monitoring and disclosure in the state of Arizona. (Spanish)

This type of document is used in Arizona to create an individualized plan for family transition services.

This document is a care coordination request report specific to North Dakota in the year 1915. It provides information and requests for coordinated care services in the state.

This document is for the review of Home and Community Based settings in North Dakota that require heightened scrutiny under Section 1915(I) of the Medicaid program. It outlines the process for on-site visits and evaluations to ensure compliance with the program's standards.

This document is used for obtaining signatures of attendees at a meeting in North Dakota. It helps verify the presence of individuals and their agreement with the topics discussed or decisions made during the meeting.

This type of document is used for creating a community transition plan of care and requesting funds in North Dakota in 1915(I).

This document is used for obtaining individual acknowledgements and signatures for care coordination in the state of North Dakota.

This document is a form used in North Dakota to document an individual's rights and responsibilities.

This document is used to request a service provider in North Dakota in the year 1915.

This form is used for agencies in Nevada to request the removal of a grievance based on NRS 284.384 or NRS 288.505.

This type of document provides guidelines and information on how to ensure compliance with social distancing measures in the community of North Dakota. It includes recommendations for individuals and businesses to help prevent the spread of COVID-19.

This document is for tracking the daily temperature of individuals in isolation or quarantine at home in North Dakota.

This document is a Home Isolation/Quarantine Assessment Tool specific to the state of North Dakota. It is used to assess whether individuals should be subject to home isolation or quarantine measures during the COVID-19 pandemic.

This document outlines the scoring system used to evaluate the sheltering-in-place capacity of health care facilities in North Dakota.

This document is a draft survey that assesses the vulnerability of hospitals and their capacity to provide shelter-in-place in North Dakota. It aims to gather information on the preparedness of hospitals in case of emergencies or disasters.

This document provides guidance on how to handle medication provision during a disaster in North Dakota. It includes strategies for ensuring access to necessary medications, coordinating with healthcare providers, and prioritizing distribution to affected individuals.

This type of document provides the concept of operations forms for minimum care facilities in North Dakota.

This document outlines the procedure for converting an ambulance into a bus and deploying it in North Dakota.

This document outlines the plan for operating reception centers in North Dakota. It provides details on how these centers will be managed and the procedures that will be followed.

This document provides information and guidance for the North Dakota staff on the staging orientation process. It covers important details and requirements to ensure a successful staging orientation.

This document outlines the management process for coordinating pre-hospital stabilization transfers in the Department Operation Center of North Dakota. It provides guidance and procedures for ensuring efficient and effective transfer of patients to appropriate medical facilities.

This form is used for rapidly triaging and transferring patients with potential communicable diseases in North Dakota.

This form is used for requesting a permit, license, or certificate of occupancy in the City of Philadelphia, Pennsylvania.