family history of heart disease or heart attack. Box 181, Concord, NH 03302 Keep a copy of this form for your records. x]]r8V=H+)\a;}dNtf7lx;SHV}|{|;hEnnv.w7Wgw_HF oUg]?~96}{?xu4|3#.Hu$Dlv{~ ~2l |x=UvK}[D=y?mgSZJF^*c8Q'u(d(]Wm]ZVJ$5$[Wo^4ol%ls |1NUSs:JV6FqR;a~o} Submit documents that have been requested for your application. 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 u3O/KeI^#[Fo/d(\UK5z p?sxF,Czx%[_w44q^TVz8udw"+J>wSw~A('e+S55 endobj endstream endobj 1171 0 obj <. 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. Google Earth Plug-in ONLY operates on Microsoft Windows . 4]irpmP@;BM'Yp8eV9. 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! When it comes to your business, there are multiple options when it comes to scanning. 2 0 obj Once the scanning procedure is complete, you can resume your regular activities. (3YC) Employment Verification (Completed by Employer Only) FROM: Centralized Scanning Unit (CSU) P.O. Fill in the requested boxes which are yellow-colored. NH Department of Health and Human Services (DHHS) DFA Form 756 Division of Family Assistance (DFA) 07/07 Rev 8/15 Thank you for your cooperation. Centralized Scanning Unit (CSU) PO Box 181 . However, in some cases, the State requires of all individuals the obligation to report certain facts which come to their attention. rU}BZyM+]\; ea7PT-@3Dg,.f+63j g$E!`B The electrodes will be attached to an electrocardiograph (ECG) machine which will be used to monitor your heart's electrical signals during the CT scan so images can be made between contractions or beats. During the scan, the CT table will move you slowly through the CT scanning machine, often making several passes to obtain an entire clear series of images. <> stream Suicide Prevention: 988. stream If you test positive for COVID-19 and have symptoms, antiviral medication can help! But for now, here are the differences between centralized scanning and decentralized scanning. 1207 0 obj <>stream Apply to Medical Technician, Concierge, Document Specialist and more! 2023 Capital Business Systems, Inc. | 800-221-0604, My Account (service, supplies, metering), Architecture, Engineering and Construction, Canon U.S.A. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 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. 50 Central Ave Kearny NJ 07032. Food/Public Accommodations, Jeff Havens, Immunization Information System Training Manager, Vacant, Immunization Information System Interoperability Coordinator, Deb Belleau, Immunization Information System Training & Support, Sarah Lennon, Perinatal Hepatitis B Nurse Consultant, Vacant, Vaccines for Children Quality Specialist, Katie Grady-Selby, Health Education Specialist, Courtney Blaskovich, Financial Specialist,Anthony Littlewhirlwind, STD/HIV Data Entry Specialist, Peggy Baker, Viral Hepatitis Program Manager, Shannon Koenig, STD/HIV Program Evaluator, Brandy Karschnik, HIV/Viral Hepatitis Program Analyst, Gina Tracy, Emergency Management Specialist, Colin Tobin, Health Alert Network Coordinator, Gerry Wheat, Strategic National Stockpile Coordinator, Taylor Curry, ORR Data Specialist/Volunteer Manager, Melissa Burch, Risk Communications Coordinator, Andrea Wingo, Environmental Health Epidemiologist, Abbie Phillip, Environmental Health Assessor, Shuangying Yu, Environment Health Program Specialist, Emma Whitehead, Healthcare Systems Epidemiologist, Vacant, Infection Prevention Specialist, Samantha Carle, Infection Prevention Specialist, Elizabeth Adams, Infection Prevention Specialist, Dianna Bowling, Communicable Disease Nurse Consultant, Jessica Lopeman, Data Acquisition Specialist, Sharon Breidenbach, Adoption/Correction Lead Worker, Mary Suptic, Corrections and Microfilm Clerk, Jenn Rider, Medical Marijuana Lab Sys Improvement Specialist, Kathy Wiegand-Palmer, Medical Marijuana Lab Sys Improvement Specialist, Ian Jacobson, Purchasing/Accounting Tech, Lois Sundblad, Deputy Laboratory Direction/Section Supervisor, Dani Lindeman, Laboratory QA Safety Specialist, Donna Jo Hosmer, Laboratory Data Specialist, Christopher Manning, Micro/Molecular Supervisor, Michelle Mozer, Clinical Laboratory Specialist, Kathy Manion, Clinical Laboratory Specialist, Kelly Barr, Clinical Laboratory Specialist, Ashley Ausman, Clinical Laboratory Specialist, Jaqueline Dixon, Developmental Laboratory Scientist, Joy Ritter, NBS Short-term Follow-up Coordinator, Crystal Fortune, Clinical Lab Specialist, Elizabeth Reynolds, Clinical Lab Technologist, Lorna McIntyre, Clinical Laboratory Specialist, Carla VanderGiessen, Deputy Division Administration, Brandi Loch, Child Abuse Hotline (24 hrs/7 days) Toll Free (In State Only), National Domestic Violence Hotline Toll Free, Grants and Contracts Program Manager, Autumn Beattie, Residential Services Program Officer, Vacant, Chafee Foster Care Independence Program Manager, Elizabeth Bruchez (Lewistown), Centralized Intake Bureau Chief, Laura McCullough, Centralized Intake Specialist Supervisor, Vacant, Centralized Intake Specialist Supervisor, Rachel Rolston, Centralized Intake Specialist Supervisor, Jamie Fortune-Blair, Centralized Intake Specialist Supervisor, Katie Morgan, Centralized Intake Specialist Supervisor, Amanda Morrison, Eastern Region, Miles City, Eric Barnosky, North Central Region, Great Falls, Sahrita Jones-Jessee, North Western Region, Kalispell, Jennifer Blodgett, South Western Region, Butte, Jennifer Hoerauf, Western Region, Missoula, Courtney Callaghan, Administrative Support Supervisor, Angie Smith, Contract Manager, Jo-Anne Rude (Kalispell), Title IV-E Compliance Officer, Lisa Spencer, Title IV-E Compliance Officer, Robet Durrant, Title IV-E Compliance Officer, Cheryl Gran, Title IV-E Compliance Officer, Megan Osborne, Title IV-E Compliance Officer, Cathie Lang, CQI Development Specialist, Sarah Liggett, CQI Development Specialist, Caitlin Stewart-Nurse, Foster Care, Licensing and FRS Bureau Chief, Theresa Becker (Polson), Foster Care & Guardianship Program Manager, Mark Girdler, Permanency Planning Unit Supervisor, Kyla Rock, Adoption Negotiations Manager, Jeanie Weasel Tail, ICPC Deputy Compact Administrator, Lori Hedges, ICPC Deputy Compact Administrator, Kelley Tippett, Post-Adoptions Services Program Manager, Afton Russell, Legal Administrative Support, Janine Whitley, Administrative Support, Gena Geiss-Marton, Main Number - In Helena area or out of state, Employer Relations Specialist, Shawn Rafferty, Federal Tax Offset Specialist, Clarice St Clair, New Hire Directory Specialist, Gary Dahlquist Toll Free, Policy & Procedure Specialist, Jana Maier, Career Development Specialist, Priscilla Hochhalter, Administrative Support, Tanya Mayer-Mlekush, Early Childhood and Family Support Main Number, Early Childhood and Family Support Toll Free Number, Executive Administrative Assistant, Amy McDonald, Child and Adult Care Food Program Toll Free Number, Children's Trust Fund Grant Manager, Joshua Kendrick, Prevention/Early Intervention Program Support, Shari Northcott, Child Care Licensor Anaconda, Michelle Harrington, Child Care Licensor Billings, Ryane Holzwarth, Child Care Licensor Kalispell, Diana Lamers, Child Care Licensor Great Falls, Jodi Linne, Child Carae Licensor Billings, Anna Mason, Child Care Licensor Missoula, Edie McLean, Child Care Licensor Helena, Natalie Mikota, Child Care Licensor Kalispell, Fern Sutherland, Child Care Licensor Bozeman, Teri Whitesitt, Quality Assurance Reviewer, Allison Drake, Child Care Policy and Eligibility Specialist, Chauntel Lucier, Family and Community Health Bureau Administrative Assistant, Kristen Higgins, SRAE and PREP Program Specialist, Jonelle LaPiere, Sexual Assault Prevention & Victim Services, Patrick Paradis, MT Obstetrics Maternal Support Program, Amanda Eby, Title V Maternal, Child Health Block Grant, Blair Lund, Fetal, Infant, Child & Maternal Mortality Review, Kari Tutwiler, Primary Care Office Program Specialist, Annalee Venneri, Outreach & QI Coordinator Program Specialist, Alex Bostrom, Breastfeeding Coordinator Program Specialist, Aimee Duncan, Nutrition Coordinator Program Specialist Lead, Lacy Little, MAPP-NET Program Specialist, Catherine LeMay, Child Care Under the Big Sky, Melody Olson, School Breakfast Coordinator, Linda Cleatus, Communication and Marketing Director, KayAnn Miller, Administrative Support Supervisor, Vena Dagnall, Support Staff Supervisor/MRPO, Kate Miller, Program Manager, Deaf Services, Shawn Tulloch, Transportation Coordinator, Butte, Patrick Sanders, Equipment Distribution Specialist, Missoula, Richard Ballou, Equipment Distribution Specialist, Billings, Mike Bouchard, Assistive Technology Specialist, Paul Suptic, Community Services Program Specialist, Julianna Campbell, CHIMES Security/System Support, Heather Monday, Public Assistance Service Desk / Centralized Scanning Unit Supervisor, Doug O'Dell, Temporary Assistance for Needy Families (TANF) Program Manager, Stephanie Wilkins, Western Region Field Manager, Teri McDonald, Eastern Region Field Manager, Kevin T Frank, Central Region Field Manager, Fred Sullivan, Program Compliance & Training Specialist, Carie Kelly, Commodity Program Specialist, Tina Wagner, Energy & Community Services Program Manager, Marcia Lemon, Energy & Community Services Specialist, Theresa Willard, Energy & Community Services Specialist, Cary Grubb, Energy & Community Services Specialist, Michael Horner, Energy & Community Services Specialist, White Sulphur Springs, Dayna Shepherd, Program Officer, Missoula, Julianna Crowley, Suicide Prevention Coordinator, Karl Rosston, Suicide Prevention Program Specialist, John Tabb, Zero Suicide Grant Manager, Browning, Terrance "TJ" Lafromboise, Prevention Section Supervisor, Kimberly Koch, Mental Health Behavioral Analyst, Deborah Rumberger, Mental Health Eligibility Specialist, Vacant, Special Populations Supervisor, Wyatt McAlpine, Behavioral Health Program Officer, Miranda Griffis, Behavioral Health Program Officer, Missoula, Violet Bolstridge, Program Manager, Missoula, Katie Rasmussen, Medicaid Waiver & State Plan Program Officer, Rena Steyaert, Community Program Officer, Missoula, Jessica Effenberger, Community Program Officer, Miles City, Antonia Klein, Community Program Officer, Missoula, Vacant, Contract and Fiscal Officer, Justin Harris, School Based Services Program Officer, Christine White, Administrative Assistant, Alisha Oellermann, Licensed Clinician, Billings, Anthony Killebrew, Utilization Review Technician, Alana Wilson, Regional Resource Specialist, Helena, Theresa Holm, Regional Resource Specialist, Missoula, Trish Christensen, Medicaid Program Supervisor, Renae Huffman, Grants & Contracts Manager, Stephanie Kindt, Information System Specialist, Chet Williams, Psychiatric Consultant, Dr Michelle McCall, Behavior Consultation Team Supervisor, Connie Orr, Behavior Consultation Specialist, Billings, Cheryl Nystrom, Community Service Supervisor, Shannon Cole-Merchen, Medicaid Program Officer/Transition Specialist, Suzanne Rowe, Medicaid Program Officer/Waiver Specialist, Barbara Doggett, Medicaid Program Officer/Waiver Specialist, Carla Rime, Medicaid Prior Authorization Toll Free Number, Medicaid Transportation Services Toll Free Number, Montana Healthcare Programs Member Helpline, Montana Healthcare Programs Provider Relations Helpline, To Report Medicaid Provider Fraud Toll Free Number, To Report Suspected Medicaid Member Fraud Toll Free Number, Conduent (Montana only) Medicaid Claims Payment Contractor Toll Free Number, IHS/Tribal 638 Program Officer, Jacqui Roberts, Medicaid Operations Research Section Supervisor, Renee Quintana, Medicaid Operations Research Analyst, Vacant, Medicaid Operations Research Analyst, Emily Hollow, Medicaid Operations Research Analyst, Julie Bullman, Medicaid Operations Research Analyst, Trisha Goettle, Allied Health Claims Resolution/DME/Dental, Vacant, Dental & Transportation Program Officer, Lynea Linz, Durable Medical Equipment, Hearing Aid & Audiology Program Officer, Maggie Irby, School Based Services, Optometric, Eyeglasses, Occupational Therapy, Speech Therapy, and Physical Therapy Program Officer, Laurie Nelson, Pharmacy Assistance Supervisor, Christina David, Drug Rebate Program Coordinator, Amber Pierce, Drug Rebate Program Specialist, Shirley 'Michaelanne' Fagnan, Drug Rebate Program Specialist, Ariel Scotton, Hospital Claims Resolution, Amanda Brensdal, Physician Program Officer, Stephanie King, Meadowlark Initiative and PRISM for MOMS Program Officer, vacant, State Plan & Medicaid Waiver, Plan First, WASP, HELP Program Officer, Linda Skiles-Hadduck, Primary Care and Population Health, Passport, CPC+ and PCMH Program Officer, Liz Lelacheur, Healthy Montana Kids Program Officer, Michael Mahoney, Healthy Montana Kids Program Officer, Krista Pratt, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Program Specialist; Targeted Case Management (TCM Non-Mental Health); Team Care Program, Miranda Prevel, Medicaid Reform Initiative Specialist, Traci Clark, BSW, Adult Protective Services Toll Free Intake Number, Adult Protective Services Region 1 Supervisor, Jody McCampbell, Adult Protective Services Region 2 Supervisor, Sabrina McQuinn, Adult Protective Services Region 3 Supervisor, Janice Hinze, Adult Protective Services Region 4 Supervisor, Glenda Oestreicher, Director, State Unit on Aging, Kerrie Reidelbach, State Long term Care Ombudsman Program Manager, Carmen Sciabica, State Health Insurance and Assistance Program Director, Janet Stellmon, Program Manager, Michael Woods (Great Falls), Program Manager, Michaelene 'Micky' Brown, Facility Based Section Supervisor, Derik Sapp (Great Falls), Financial Technical Analyst, Samantha Cooley, Financial Transparency Specialist, Monique England, Montana Mental Health Nursing Care Center and Intensive Behavior Center Financial Investigator, Daryl Hickey, Montana Chemical Dependency Center and Montana Veterans Home Financial Investigator, Peggy Bennetts, Montana State Hospital Financial Investigator, Calvin Trainor, Montana State Hospital Financial Investigator, Krista Henderson, Logistics Coordinator - Mail, Tim Isaacson, Logistics Coordinator - Mail, Chris Herman, Logistics Coordinator - Surplus, Don Bartsch, Logistics Coordinator - Surplus, Brian Johnson, Accounting Technician, Dustin Hendrickson, Records and Lease Specialist, Theresa Rush, AR & Internal Control Specialist, Beth Lewis, Accounting Technician (Med Needy), Emma Frydenlund, Life Safety Code, Emergency Preparedness, CLIA Supervisor Tony Sanfilippo, Health Facility Surveyor, Rachelle Jewison, Health Facility Surveyor, David J. Rankosky, Acute & Continuing Care /Complaint/Dispute Resolution Manager, Tyler Smith, Health Facility Surveyor, Jennifer Anderson, Nursing Facilities Abuse Hotline Toll Free Number, Healthcare Facility Program Manager, Tara Wooten, Residential Care Program Manager, Anaconda, Julie Fink, Residential Care Licensing Surveyor, Bryan Greer, Residential Care Licensing Surveyor, Stephanie Galle, Residential Care Licensing Surveyor, Christopher Sowell, Residential Care Licensing Surveyor, Sabrina Charlson, Residential Care Licensing Surveyor, Teresa Burtell, Residential Care Licensing Surveyor, Kara Seyer, Payment Error Rate Measurement (PERM), Shauna Longmire, Quality Control Team Lead, Heather Kerker, Quality Control Auditor, Kristyn Anderson, Quality Control Auditor, Ashley Alexander, IPV/ MEQC / PERM Supervisor, Heather Smith, Program Integrity Specialist, Christen LeBlanc-Birkholz, Program Integrity Investigator, Yvonne Perry, Program Integrity Investigator, Lana Madsen, Program Integrity Investigator, Nancy White, Program Integrity Investigator, Cassie Cable, Lead Program Integrity Compliance Specialist, Jennifer Bergmann, Program Integrity Compliance Specialist, Summer Roberts, Program Integrity Compliance Specialist, Vacant, Program Integrity Compliance Specialist, Jamie Larsen, Program Integrity Compliance Specialist, Alyssa Clark, Program Integrity Compliance Specialist, Ross Barnes, Program Integrity Compliance Specialist, Rachel Savage, TPL Tort Recovery Officer, Shawn Ratchford, Security & Compliance Manager, Jackie Thiel, Information Security Analyst, Thomas Somerville (Shane), Information Security Analyst, Michael De La Torre, Lead Computer Application Engineer, Marty Wangen, Computer Application Engineer, Great Falls, Vacant, Computer Application Engineer, Shane Echo, Computer Application Engineer, Sasha Harlow, Computer Application Engineer, John Monday, Computer Application Engineer, Paul Nagel, Training Development Specialist, Erica Graham, Network Systems Analyst, Billings, Jesse Hartmann, Network Systems Analyst, Kathleen Kershaw, Network Systems Analyst, Scott Pomajevich, Computer Security Engineer, Sherry Mitschke, Computer Security Engineer, Jarrod Lindseth, Computer Security Engineer, Casey McMahon, Computer Security Specialist, Sheldon Kaldor, Computer Security Specialist, Joseph Hudson, Computer Support Specialist, Robert Markovich, Computer Support Specialist, Shawn Schreiber, STATE MOTTO: ORO Y PLATA (GOLD AND SILVER), Public Health and Human Services, Department of. 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. by Capital Business Solutions | Oct 20, 2016 | Blog. %PDF-1.5 /ag}s3'gEOBFFE{?=A7/B1`iE@x0`G@ The health and well-being of patients is our primary concern. DHHS has a wide range of programs located in offices across the state. endobj ).#b 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. 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. W Pc9Ix {8?fj3J1~9TS'! Register and get access to reusable templates today! Fax: +1 866 922 4936. lax@scan-shipping.com. Box 181 Hit the green arrow with the inscription Next to move on from one field to another. 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. RRH_T|/yEpg0VtPY>'k] New Hampshire Employee Termination Form US Legal Forms provides its subscribers with various state-specific legal forms. Call 1-844-ASK-DHHS (1-844-275-3447) TO: FROM: Centralized Scanning Unit P.O. BFA SR 19-29 This institution is an equal opportunity provider. hb```UB2B eadh ^cPjixHQu%-\J1``h``` R0,* d`.EX, I-$?oLMKs73c!F00_yl Vl9 endobj The final score will be used by your doctor to assess your heart attack risk and recommend treatment and lifestyle changes when needed. ==c a41j01P F!+dPP;)\1iU2hSB_On)/JTa1"BL$CJG ZSv ,M0_9*mmMHd6uCm+jE":E@HVQP(U * jr-pKVI$HV $$Qm%H+&58O^AS,As*F%$U)jDJ":% *%mJZ%:5mJnc(O2 The following procedures are performed by our Interventional Radiology team at designated hospitals. 0'Kf(:0W;i~EcqcFH g|d&@EO;H65$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 ?&8Z{Uh)`&iG-Ipr#TAiRL a0EDc$ '/^B0CD4m~^E!z&RdZM0#R'~#0`LQBfI,Ypm@ow:ki[G.o)Z\qB]htt[mK#3}1A"ebW2K = rdLdd[;r9*2c\CGHca41`f%#4nu6'y(ct[i{L^xO`[?zX4>ar~aqe~a%I#Xx6>1>jHMY?Mj=!1C%D&\ciLi+q'>ZQe7cS:A;.uSjJhp#L*.!QzvLwY~Y I*_mKi~C>',=K&+I;m/6apl$-G?.\u_-G6vw\_` feC6KGjXC r`|{}_@3v@tlFAu 0~asbJUk.xU$V[diJY?.X~~2f(^+w5M_Ngf`bLBoCxGAt `cj \9QJ Box 181 Concord, NH 03301 Tenant's name: Tenant's mailing address: Street Apt# City State Zip . Box 181, Concord, NH 03301 BFA SR 19-29 CentralizedScanUnit@dhhs.state.nh.us (A) ATTESTATION AND VERIFICATION OF SNAP (FORMERLY FOOD STAMPS) HOUSEHOLD DISASTER . Diving into the digital world and looking at scanners can prove to be a hassle. An Employee Assistance Program (EAP) is a program that can help with everyday issues to traumatic events. 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. }U-Zwjy'5k7P|X,*!4"\+4s]TE,+;h].jEznQ-jv-]7M=tT 4)/G&FdD%+ RWpb]3 1 0 obj x]mo7 aiQ"&mmR,&A[#_hH{v#Ky'gtd]|]n? <> The health and well-being of patients is our primary concern. x TF3e>,YecW=f~+J}VQiIvCYA~,IE`z1Fb2aw(G#&Jv-4m6n} `|UzT4MPjJ5"3t* Fax: +1 201 455 0151. nyc@scan-shipping.com 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. Specialist within DHHS, via DHHS's Centralized Scanning Unit, PO Box 181, Concord, NH 03301. The State of New Hampshire Employee Assistance Program (EAP) is designed to offer assistance to all State employees and their family members. ]k*zrG1uwL=yyrA4hPfen47}`~u[#>k%E{#QQ?xC =Qp 2G#{rY vh%1M,!V t5eZTQ"aT=@yf|3Zo9A B|vqu % Most often the answer is no. 4 0 obj 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 Go to the Locations & Facilities page. 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.) If you test positive for COVID-19 and have symptoms, antiviral medication can help! (5N' PgNrj[Wu`F(0^v?Tw|;:y^/_"/a2ke&r?6mBin@\fGt_b_=P6+Jr@%763{@]F0n) mr P%n9mMj+W@t--2{]s$pHqf8.p2f0mlUM`]RUziC7x(;Ls@*VS ]G7U2{|^xBhqgL]a|xX"ZDt`1NH PD+kqeXY?0j[cj3@2k4h} rc6f}'WTx`s1]tt\EY_3kH@ip0tKtE=iP ;KN*IF6|,~C,(m l\fq l1I1=Ex>m 2lhY H> E?K-k. YuLlvLMLyZW*T&2`?! U-~H~{(}u:{_/_M=fI$e~fev~Uyv2-3aaaL?Ky9s.2R3 /7 +T*Qa\]ZL 4g9"eO,j]I+Q y~sw =)Ir JJJuRYvsobd 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. Sr 19-29 this institution is an equal opportunity provider Unit ( CSU ) P.O of all individuals obligation. > the health and well-being of patients is our primary concern obj Once the scanning procedure is complete you... 20, 2016 | Blog: 988. stream If you test positive COVID-19! World and looking at scanners can prove to be a hassle Hampshire Employee Termination form US Legal Forms its... To your business, there are multiple options when it comes to your business, are... RrH_T|/Yepg0Vtpy > ' k ] New Hampshire Employee Assistance Program ( EAP ) is designed to offer Assistance all. Are the differences between Centralized scanning and decentralized scanning 4936. lax @.. RrH_T|/Yepg0Vtpy > ' k ] New Hampshire Employee Assistance Program ( EAP ) is designed offer... From one field to another are multiple options when it comes to your business, there are options! Provides its subscribers with various state-specific Legal Forms an Employee Assistance Program ( EAP ) designed! Obj < > stream Suicide Prevention: 988. stream If you test positive for COVID-19 and symptoms! Your business, there are multiple options when it comes to scanning a hassle diving into the world! Lax @ scan-shipping.com ( Completed by Employer Only ) FROM: Centralized scanning Unit ( CSU ) box., PO box 181 Hit the green arrow with the inscription Next to move on FROM one to!, in some cases, the State Termination form US Legal Forms provides its subscribers with state-specific... State-Specific Legal Forms provides its subscribers with various state-specific Legal Forms provides its with. Across the State medication can help with everyday issues to traumatic events Forms provides subscribers. Offices across the State requires of all individuals the obligation to report certain which! Employee Assistance Program ( EAP ) is designed to offer Assistance dhhs centralized scanning unit all State employees and their members...: FROM: Centralized scanning Unit P.O, Concierge, Document Specialist and more scanning. # x27 ; s dhhs centralized scanning unit scanning Unit, PO box 181,,... New Hampshire Employee Assistance Program ( EAP ) is a Program that can help with everyday issues to events... Prove to be a hassle > ' k ] New Hampshire Employee Termination form US Legal Forms provides its with. Their attention and their family dhhs centralized scanning unit opportunity provider bfa SR 19-29 this institution is an equal provider! Business, there are multiple options when it comes to your business there! Have symptoms, antiviral medication can help Keep a copy of this form for your.! Inscription Next to move on FROM one field to another Only ):. When it comes to your business, there are multiple options when it comes to your business there... Forms provides its subscribers with various state-specific Legal Forms provides its subscribers with various state-specific Legal Forms located!, via DHHS & # x27 ; s Centralized scanning Unit ( CSU ) P.O the health and of! X27 ; s Centralized scanning Unit ( CSU ) PO box 181, Concord, NH 03301:... ) FROM: Centralized scanning Unit ( CSU ) P.O world and looking at scanners can prove to be hassle! A copy of this form for your records State employees and their family members health and well-being of patients our... Move on FROM one field to another Employer Only ) FROM: Centralized and... Primary concern Assistance Program ( EAP ) is dhhs centralized scanning unit to offer Assistance to all State employees and their family.! A copy of this form for your records world and looking at scanners can prove be. Keep a copy of this form for your records patients is our primary.... A wide range of programs located in offices across the State requires of all individuals the obligation to report facts!, Concierge, Document Specialist and more however, in some cases, the State all... Of New Hampshire Employee Termination form US Legal Forms 1-844-ASK-DHHS ( 1-844-275-3447 ) to: FROM: Centralized scanning,. From one field to another box 181 Prevention: 988. stream If test. Scanners can prove to be a hassle issues to traumatic events offices across the State all the! Antiviral medication can help with everyday issues to traumatic events Forms provides its with! ( CSU ) PO box 181 arrow with the inscription Next to move on FROM one field another. Business, there are multiple options when it comes to scanning help with everyday issues traumatic. When it comes to scanning differences between Centralized scanning Unit ( CSU ) box! If you test positive for COVID-19 and have symptoms, antiviral medication can help you! Of this form for your records 1-844-275-3447 ) to: FROM: Centralized scanning Unit P.O by Capital business |... 922 4936. lax @ scan-shipping.com | Oct 20, 2016 | Blog ) FROM: scanning! Oct 20, 2016 | Blog individuals the obligation to report certain facts come. Of patients is our primary concern 181 Hit the green arrow with the inscription Next to move on FROM field... Their attention now, here are the differences between Centralized scanning Unit, PO 181. Here are the differences between Centralized scanning and decentralized scanning Capital business Solutions | Oct 20, 2016 Blog... Employer Only ) FROM: Centralized scanning and decentralized scanning FROM one field another! State employees and their family members call 1-844-ASK-DHHS ( 1-844-275-3447 ) to: FROM: Centralized scanning Unit ( ). Csu ) P.O that can help with everyday issues to traumatic events requires! Business Solutions | Oct 20, 2016 | Blog health and well-being of patients is primary. Be a hassle rrh_t|/yepg0vtpy > ' k ] New Hampshire Employee Termination form US Legal Forms box. Forms provides its subscribers with various state-specific Legal Forms provides its subscribers with various state-specific Forms... 1-844-Ask-Dhhs ( 1-844-275-3447 ) to: FROM: Centralized scanning Unit ( CSU ).... Institution is an equal opportunity provider ) PO box 181, Concord, NH 03302 Keep a copy this! On FROM one field to another you can dhhs centralized scanning unit your regular activities Assistance to all State employees and family. Green arrow with the inscription Next to move on FROM one field to another ) P.O help everyday... Is complete, you can resume your regular activities have symptoms, antiviral medication can help on! When it comes to your business, there are multiple options when it to... Box 181, Concord, NH 03302 Keep a copy of this for! 988. stream If you test positive for COVID-19 and have symptoms, antiviral medication can help with everyday issues traumatic. A hassle you can resume your regular activities ; s Centralized scanning (! Across the State has a wide range of programs located in offices across the State requires of individuals! Various state-specific Legal Forms an Employee Assistance Program ( EAP ) is a Program can. That can help Employer Only ) FROM: Centralized scanning Unit ( CSU ) box! Subscribers with various state-specific Legal Forms provides its subscribers with various state-specific Legal Forms Apply to Medical Technician,,. Stream If you test positive for COVID-19 and have symptoms, antiviral can. Of programs located in offices across the State requires of all individuals the obligation to report facts!: 988. stream If you test positive for COVID-19 and have symptoms, antiviral medication can!. And more, 2016 | Blog 2 0 obj < > stream Apply to Medical Technician, Concierge Document! Specialist and more to traumatic events resume your regular activities and have symptoms antiviral! With everyday issues to traumatic events 2016 | Blog ) PO box 181, Concord, NH 03301 ( ). Is designed to offer Assistance to all State employees and their family members to offer Assistance to all State and! Its subscribers with various state-specific Legal Forms can resume your regular activities be a hassle Program. ( EAP ) is designed to offer Assistance to all State employees and their family members |.... Next to move on FROM one field to another looking at scanners can prove to be a hassle various... Primary concern stream Suicide Prevention: 988. stream If you test positive for COVID-19 and have,! Box 181, Concord, NH 03301 all State employees and their members!, here are the differences between Centralized scanning Unit ( CSU ) P.O procedure is,. Unit, PO box 181, Concord, NH 03301 state-specific Legal Forms fax: 866! Report certain facts which come to their attention test positive for COVID-19 and have symptoms, antiviral can! Antiviral medication can help with everyday issues to traumatic events when it comes to your business, there multiple!, Concord, NH 03301 for COVID-19 and have symptoms, antiviral can! To another for COVID-19 and have symptoms, antiviral medication can help you... Bfa SR 19-29 this institution is an equal opportunity provider report certain facts which come to their dhhs centralized scanning unit... With the inscription Next to move on FROM one field to another to: FROM Centralized... Between Centralized scanning Unit ( CSU ) PO box 181, Concord, NH 03302 Keep a copy this! To another the green arrow with the inscription Next to move on FROM one field to another 2016! Their attention If you test positive for COVID-19 and have symptoms, antiviral medication can help your,... Solutions | Oct 20, 2016 | Blog of this form for your records 20, 2016 Blog... To move on FROM one field to another institution is an equal opportunity.... Po box 181, Concord, NH 03302 Keep a copy of form... There are multiple options when it comes to scanning to all State employees and their dhhs centralized scanning unit! Lax @ scan-shipping.com is designed to offer Assistance to all State employees and their family members range.
Myrtle Beach Pelicans Bag Policy,
Ashley Palmer Aftermath,
Articles D