CLEAR Dementia Care Training for Carers: Understanding Behaviour
|
|
- James Taylor
- 5 years ago
- Views:
Transcription
1 CLEAR Dementia Care Training for Carers: Understanding Behaviour Dr Frances Duffy Consultant Clinical Psychologist Marc Harvey Team Leader / Approved Social Worker
2 Agenda CLEAR Dementia Care Training for Care Staff Train the Trainer Programme
3 Dementia Home Support Team (DHST) DHST accept referrals for people with a diagnosis of dementia who present with behaviours that carers may find difficult to understand.
4 What is behaviour? Aggression Agitation Sexually disinhibited behaviour is this distress? is this lack of purposeful activity? is this misunderstanding?
5 Behaviour of any kind is a form of communication and is often driven by need Northern Health & Social Care Trust 2017.
6 Mrs Jones 64-year old diagnosed with Alzheimer-type dementia Referral stated: Inappropriate toileting Pacing and attempts to exit building Verbal aggression
7 CLEAR Dementia Care Northern Health & Social Care Trust 2017
8 Behaviour Record Charts Northern Health & Social Care Trust 2017.
9 Behaviour Record Chart I Incontinence P Pacing A Aggression C Content S Sleeping Time/Day Mon Tues Wed Thurs Fri Sat Sun
10 Pre - chart I Incontinence P Pacing A Aggression C Content S Sleeping Time/Day Mon Tues Wed Thurs Fri Sat Sun 8-9 A A A I A A C A 9-10 C C C C C C I A C I C C P C C I A P C C P C C P A C C C P C P P I P C I P P I I I A A P C P A A C C A A P C C P A P C P A P C P P P A P P P A P A P P P A P P P A P I P P A P P P P P A P A A P A P A P P P S S A S S S S S S S S S S S S S S S S S S S S S S S S 00-1 S S S S S S S 1-2 I P A S S S S S S 2-3 S S S S S S S 3-4 S S S S S S S 4-5 S S S S S S C 5-6 S S P S S S C 6-7 A S P S S S I P A 7-8 A S P S S S P A
11 Pre - chart I Incontinence P Pacing A Aggression C Content S Sleeping Time/Day Mon Tues Wed Thurs Fri Sat Sun 8-9 A A A I A A C A 9-10 C C C C C C I A C I C C P C C I A P C C P C C P A C C C P C P P I P C I P P I I I A A P C P A A C C A A P C C P A P C P A P C P P P A P P P A P A P P P A P P P A P I P P A P P P P P A P A A P A P A P P P S S A S S S S S S S S S S S S S S S S S S S S S S S S 00-1 S S S S S S S 1-2 I P A S S S S S S 2-3 S S S S S S S 3-4 S S S S S S S 4-5 S S S S S S C 5-6 S S P S S S C 6-7 A S P S S S I P A 7-8 A S P S S S P A
12 Pre - chart I Incontinence P Pacing A Aggression C Content S Sleeping Time/Day Mon Tues Wed Thurs Fri Sat Sun 8-9 A A A I A A C A 9-10 C C C C C C I A C I C C P C C I A P C C P C C P A C C C P C P P I P C I P P I I I A A P C P A A C C A A P C C P A P C P A P C P P P A P P P A P A P P P A P P P A P I P P A P P P P P A P A A P A P A P P P S S A S S S S S S S S S S S S S S S S S S S S S S S S 00-1 S S S S S S S 1-2 I P A S S S S S S 2-3 S S S S S S S 3-4 S S S S S S S 4-5 S S S S S S C 5-6 S S P S S S C 6-7 A S P S S S I P A 7-8 A S P S S S P A
13 Pre - chart I Incontinence P Pacing A Aggression C Content S Sleeping Time/Day Mon Tues Wed Thurs Fri Sat Sun 8-9 A A A I A A C A 9-10 C C C C C C I A C I C C P C C I A P C C P C C P A C C C P C P P I P C I P P I I I A A P C P A A C C A A P C C P A P C P A P C P P P A P P P A P A P P P A P P P A P I P P A P P P P P A P A A P A P A P P P S S A S S S S S S S S S S S S S S S S S S S S S S S S 00-1 S S S S S S S 1-2 I P A S S S S S S 2-3 S S S S S S S 3-4 S S S S S S S 4-5 S S S S S S C 5-6 S S P S S S C 6-7 A S P S S S I P A 7-8 A S P S S S P A
14 Pre - chart I Incontinence P Pacing A Aggression C Content S Sleeping Time/Day Mon Tues Wed Thurs Fri Sat Sun 8-9 A A A I A A C A 9-10 C C C C C C I A C I C C P C C I A P C C P C C P A C C C P C P P I P C I P P I I I A A P C P A A C C A A P C C P A P C P A P C P P P A P P P A P A P P P A P P P A P I P P A P P P P P A P A A P A P A P P P S S A S S S S S S S S S S S S S S S S S S S S S S S S 00-1 S S S S S S S 1-2 I P A S S S S S S 2-3 S S S S S S S 3-4 S S S S S S S 4-5 S S S S S S C 5-6 S S P S S S C 6-7 A S P S S S I P A 7-8 A S P S S S P A
15 Behaviour and what might help Activity Mrs Jones always liked to be busy. Appropriate meaningful activity is important for all of us. A member of staff to accompany Mrs Jones to the local shop each afternoon to purchase a newspaper. Mrs Jones to assist staff with folding laundry every afternoon.
16 Understanding Mrs Jones Reason for referral Life story Behaviours and what might help
17 Outcomes Change in staff approach Placement maintained Mrs Jones less isolated. Presented as more content within the care home.
18 Pre - chart I Incontinence P Pacing A Aggression C Content S Sleeping Time/Day Mon Tues Wed Thurs Fri Sat Sun 8-9 A A A I A A C A 9-10 C C C C C C I A C I C C P C C I A P C C P C C P A C C C P C P P C C C C C C C C P A A C C A A P C C P A P C P A P C P P P A P P P A P A P P P A P P P A P I P P A P P P P P A P A A P A P A P P P S S A S S S S S S S S S S S S S S S S S S S S S S S S 00-1 S S S S S S S 1-2 I P A S S S S S S 2-3 S S S S S S S 3-4 S S S S S S S 4-5 S S S S S S C 5-6 S S P S S S C 6-7 A S P S S S I P A 7-8 A S P S S S P A
19 Post - chart I Incontinence P Pacing A Aggression C Content S Sleeping Time/Day Mon Tues Wed Thurs Fri Sat Sun 8-9 C C C C C C A 9-10 C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C P A C C C A C C C C C C P C C C C C C C C P C C C C C C C C P C C C P C C C C C C C C C S S C S S S S S S S S S S S S S S S S S S S S S S S S 00-1 S S S S S S S 1-2 S S S S S S S 2-3 S S S S S S S 3-4 S S S S S S S 4-5 S S S S S S S 5-6 S S S S S S S 6-7 S S S C S S S 7-8 S C S C S S S
20 CLEAR Dementia Care Documentation Process Flow Chart Referral Form Checklist for assessment of the 5 domains of the model Aide Memoire to support assessment Initial Contact Form Review Form Medication Record Chart Northern Health & Social Care Trust Behaviour Record Chart Pain Checklist Understanding document Discharge Summary Manual with detailed complex case examples
21 Outcomes for CLEAR Dementia Care Clinical effectiveness Clinical efficiency Waiting times Cost savings - 100,000 in community Reduced hospital admissions savings to be calculated Service User Experience
22
23 CLEAR Dementia Care Training for Care Staff 3 Hour Session Types of dementia Symptoms of dementia Understanding behaviour
24 CLEAR Dementia Care Training for Care Staff The importance of perspectives Experiential learning Video - Powerpoint - Case studies
25 Who attended training? All categories of care home staff 59 care homes 623 staff
26 Outcomes Northern Health & Social Care Trust 2017.
27 Your awareness of different symptoms of dementia Before After Sample 563 staff Self rated Good or Very Good 20 0 Percentage
28 Your awareness of different symptoms of dementia Before After Sample 563 staff Self rated Good or Very Good 20 0 Percentage
29 Your overall knowledge of behaviour in dementia Sample 563 staff Before After Self rated Good or Very Good Percentage
30 Your overall knowledge of behaviour in dementia Sample 563 staff Before After Self rated Good or Very Good Percentage
31 Evaluations
32 Interest in CLEAR Dementia Care from other organisations
33 CLEAR Dementia Care Train the Trainer Programme Comprehensive 2 day programme Enables staff to implement CLEAR Dementia Care within their organisation
34 Who attended training? 194 staff from all Health and Social Care (HSC) Trusts in Northern Ireland. All categories of HSC staff (psychology, psychiatry, social work, nursing, occupational therapy, support workers...)
35 Outcomes Northern Health & Social Care Trust 2017.
36 Do you think the training will benefit your practice? Sample Not at all A little Somewhat A great deal
37 Do you think the training improved your knowledge of behaviour in dementia? Sample Not at all A little Somewhat A great deal
38 Following the training, do you feel more able to engage with care staff and help them to support people with dementia? Sample Not at all A little Somewhat A great deal
39
40 Acknowledgements Reference Duffy, F (2016) Look at all of me a Clear model for dementia care. The Journal of Dementia Care, 22(3), Northern Health & Social Care Trust 2017.
CLEAR Dementia Care. Look at all of me. Dr Frances Duffy Lead Consultant Clinical Psychologist Psychology of Older People Service
CLEAR Dementia Care Look at all of me Dr Frances Duffy Lead Consultant Clinical Psychologist Psychology of Older People Service Dementia Home Support Team (DHST) DHST accept referrals for people with a
More information2/13. Project: Gantt Chart (5) Date: Tue 3/27/18. Page 1. Task Name Duration Start Finish. Mode
ID Mode Name Duration Start Finish 1 Assignment #2 9 days Thu 2/1/18 Tue 2/13/18 2 Lessons and Activity Track 9 days Thu 2/1/18 Tue 2/13/18 3 Generate Problem Statement 3 days Thu 2/1/18 Mon 2/5/18 4 Begin
More informationPeterborough City Council Application for a premises licence under the Gambling Act 2005 (vessel) PLEASE READ THE FOLLOWING INSTRUCTIONS FIRST
Peterborough City Council Application for a premises licence under the Gambling Act 2005 (vessel) PLEASE READ THE FOLLOWING INSTRUCTIONS FIRST If you are completing this form by hand, please write legibly
More informationATLANTIC COUNTY GOVERNMENT Division of Human Resources 1333 Atlantic Avenue, Atlantic City, NJ
(PLEASE PRINT OR TYPE) ATLANTIC COUNTY GOVERNMENT Division of Human Resources 1333 Atlantic Avenue, Atlantic City, NJ 08401 www.aclink.org VOLUNTEER/INTERN/SPECIAL APPLICATION PERSONAL DATA NAME LAST FIRST
More informationPatient Name: Last First Middle Address: Marital Status: (circle one) Single Married Divorced Widowed Other Gender: Female Male
Patient Information Patient Name: Last First Middle Address: City: State: Zip Code: Home Phone: ( ) - Work Phone: ( ) - Cell Phone: ( ) - Email Address: of Birth: / / Social Security #: - - Marital Status:
More informationSun 9/4/16 8/29/16. 5 days Thu 9/1/16 Wed 9/7/16. 8 days Thu 9/1/16 Sun 9/11/16. 4 days Thu 9/8/16 Tue 9/13/16. Sat 9/17/16
ID % Complete Name Duration Start Finish 1 100% Figure out what to use the heat for 6 days Mon 8/29/16 Sun 9/4/16 2 100% Read and understand the 6 days Mon Sat 9/3/16 recommended actions from last year
More informationThe following information is attached and required in order to begin volunteering at Saint John s:
Thank you for your interest in volunteering at Saint John s Program for Real Change. Volunteers are the lifeblood of our organization, giving hundreds of hours each month so we may continue our mission
More informationLong term care insurance Attending physician s statement
Long term care insurance Attending physician s statement PLEASE PRINT 1 Personal information Sections 1 and 2 are to be completed by the patient (insured person) Please complete the first page and then
More informationEMPLOYMENT APPLICATION
PLEASE COMPLETE ALL PAGES DATE Name Last First Middle Maiden Present address Number Street City State Zip How long Home Telephone ( ) - Social Security No. Mobile Telephone Are you authorized to work in
More informationCatastrophic injury How bad can it get?
Catastrophic injury How bad can it get? The era of 100 million plus personal injury claims is upon us. The cost of catastrophic injury claims continues to rise, and the impact of the reduced discount rate
More informationMedical Information Sheet
Please use this guide as a tool to identify where you want to head with your recovery and identify areas or pieces that may be missing in your wellness. Simply check the answers that best apply to you
More informationAPPLICATION FOR EMPLOYMENT
985.580.3040 - Houma, LA 512.770.4505 - Austin, TX Email: cnm@comple tenetwork.com NAME (Please Print) POSITION APPLIED FOR DATE APPLICATION FOR EMPLOYMENT Conditions of employment are stated at the end
More informationEMPLOYEE RIGHTS AND RESPONSIBILITIES UNDER THE FAMILY AND MEDICAL LEAVE ACT
EMPLOYEE RIGHTS AND RESPONSIBILITIES UNDER THE FAMILY AND MEDICAL LEAVE ACT EMPLOYEE ENTITLEMENT An eligible employee may take up to twelve weeks (26 weeks to care for a covered servicemember with a serious
More informationINDIVIDUAL INSURANCE. DISABILITY CLAIM FORM Initial assessment
INDIVIDUAL INSURANCE DISABILITY CLAIM FORM Initial assessment In order to ensure confidentiality of personal information, Humania Assurance will establish a claim file in which information concerning all
More informationBanco de México Monetary Regulation Bonds
Banco de México Monetary Regulation Bonds BANCO DE MÉXICO TECHNICAL DESCRIPTION OF BANCO DE MÉXICO MONETARY REGULATION BONDS 1. INTRODUCTION Based on article 7 paragraph VI, 17 and 46 paragraph VI of Banco
More informationC R E A T I V E W O R K B O O K / / J U N E / / S E T Y O U R G O A L S A N D A C H I E V E T H E M!
C R E A T I V E W O R K B O O K / / J U N E 2 0 1 8 / / O IT prioritize your life S E T Y O U R G O A L S A N D A C H I E V E T H E M! How to prioritize your life in 3 simple steps. 1. Plan a life you
More informationGSA Federal Supply Service. Citibank Best Practices for Payments and Delinquency Management in Your Purchase Card Program
GSA Federal Supply Service Citibank Best Practices for Payments and Delinquency Management in Your Purchase Card Program Citibank Best Practices for Payments and Delinquency Management in Your Purchase
More informationDisability Claim Form
Disability Claim Form Instructions for Filing a Claim SUBMITTING AN APPLICATION All sections of this application must be completed and sent to If the claim form is not completed in full, processing of
More informationOmbudsman s Determination
Ombudsman s Determination Applicant Scheme Respondents Mrs L Asda Group Pension Scheme (the Scheme) The Trustees of the Scheme (the Trustees) Outcome 1. I do not uphold Mrs L s complaint and no further
More informationDogwood Village of Orange County. Health and Rehab. Application for Admission. Applicant s Name: Personal Information: Social Security #
Dogwood Village of Orange County Health and Rehab Application for Admission Applicant s Name: Date Received: Phone # Person to contact when Appropriate Bed is ready: Phone # Personal Information: Social
More informationAdult Intake Questionnaire
Psychological and Life Skills Associates, PC 13885 Hedgewood Drive, Suite 245, Woodbridge, VA 22193 2217 Princess Anne Street, Suite B1, Fredericksburg, VA 22401 (703) 490-0336 Adult Intake Questionnaire
More informationQ EARNINGS PRESENTATION FEBRUARY 14, AM EST
Q4 2017 EARNINGS PRESENTATION FEBRUARY 14, 2018 9 AM EST FORWARD LOOKING STATEMENTS 2 This presentation contains certain "forward-looking statements" within the meaning of the Private Securities Litigation
More informationQ Earnings Presentation 20 FEBRUARY AM EST
Q4 2018 Earnings Presentation 20 FEBRUARY 2019 9AM EST Forward Looking Statements This presentation contains certain "forward-looking statements" within the meaning of the Private Securities Litigation
More information12. U-Parent Deprivation
CalWORKs Handbook page 12-1 12. 12.1 Definitions [41-440.1] 12.1.1 Unemployed Parent Program (U-Parent) A child is considered deprived of parental support and care when the principal earner parent is unemployed
More informationHow Revenue Management Will Improve your Hotel Budget
How Revenue Management Will Improve your Hotel Budget WHITEPAPER duettocloud.com How Revenue Management Will Improve your Hotel Budget One essential aspect of a revenue manager s role is creating the framework
More informationCLAIMANT RIGHTS AND RESPONSIBILITIES RULES FOR FILING A CLAIM AND APPEAL RIGHTS
DETACH THIS PAGE AND KEEP FOR YOUR RECORDS CLAIMANT RIGHTS AND RESPONSIBILITIES RULES FOR FILING A CLAIM AND APPEAL RIGHTS 1. It is your responsibility to file this claim form promptly after you stop working
More informationLocal SIF Reimbursements and Expenses
Local SIF Reimbursements and Expenses 1. Lost wages will be reimbursed to the local unless otherwise arranged. Copies of checks paid by the Local, along with copies of lost-time and expense vouchers must
More informationRD Physical Therapy & Wellness, LLC
RD Physical Therapy & Wellness, LLC Tel: 443-253-4603 Fax: 410-720-2690 Clinic Location : 3450 Ellicott Center Dr., Suite 105 Ellicott City, MD 21043 Patient information: Registration Form Last name: First
More informationCalendar. Financial Work. Contact us: Regions:
2016 Calendar Financial Wellness @ Work Start 2016 on a Prosperous Note January 2016 1 New Year s Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Implement a positive
More informationInstructions for Completing this Long Term Care Claim Form
A Brief Overview of a Long Term Care Policy Claim eligibility under a Long Term Care insurance policy is based on a loss of Activities of Daily Living (ADLs) or the presence of a Cognitive Impairment which
More informationWhy choose Income Protection+?
Retirement Investments Insurance Health Why choose Income Protection+? Please note: This guide provides brief summaries of the cover and options available. For full details you must read the policy summary
More informationMEMORANDUM. The University of Findlay Community. Business Manager, Director of Human Resources. Self-Insured Workers Compensation Policy
MEMORANDUM TO: FROM: RE: The University of Findlay Community Robert Link Business Manager, Director of Human Resources Self-Insured Workers Compensation Policy DATE: January 8, 2019 The University of Findlay
More informationCLINIC POLICIES and PROCEDURES
CLINIC POLICIES and PROCEDURES Thank you for choosing Dr. James E. Wilson and Dr. Jay Kiokemeister, Interventional Pain Specialists, and Dr. J. Preston Harley, Pain Management Psychologist. The Clinic
More informationInstructions for Completing this Long Term Care Claim Form
A Brief Overview of a Long Term Care Policy Claim eligibility under a Long Term Care insurance policy is based on a loss of Activities of Daily Living (ADLs) or the presence of a Cognitive Impairment which
More informationYes No. To: (Mo./Yr.) (Mo./Yr.) Other Education Training (including business, trade, or military service schools, etc.)
APPLICATION FOR EMPLOYMENT/INDEPENDENT CONTRACTOR 7761 Garden Grove Blvd. Garden Grove, CA 92841 Phone: (714) 898-8888 Fax: (714) 908-8097 Nhan Hoa Comprehensive Health Care Clinic ( Nhan Hoa ) provides
More informationThink Pair Share: For each of the terms above, think of a situation when you would need to use them. Write it down, then share with a partner.
Vocab: Exchange rate: the price of one country s currency in terms of another nation s currency. Selling rate: the rate at which a bank or travel agency will sell foreign currency Buying rate: the rate
More informationPersonal Educational Plan
Personal Educational Plan Developed By: Date: School: Major: Degree/Certification Objective: TABLE OF CONTENTS Current Status Summary Mission Statement Personal Profile Immediate Goals and Priorities Study
More informationIn addition there are several aspects of your disability claim that you should be aware of:
Dear Colleague: American Airlines has partnered with Harvey Watt and Company as the Claim Administrator for the Pilot Long Term Disability Plan (the Plan). We have enclosed the Claim Application along
More informationGROUP DISABILITY CLAIM APPLICATION SEND TO:
GROUP DISABILITY CLAIM APPLICATION SM Short Term Disability (STD) SEND TO: P.O. BOX 9461 PORTLAND, ME 04104-5056 TEL: (888) 234-2641 FAX: (800) 293-4781 Long Term Disability (LTD) SEND TO: P.O. BOX 9461
More informationNEW YORK STATE BAR ASSOCIATION. LEGALEase. Long-Term Care Insurance
NEW YORK STATE BAR ASSOCIATION LEGALEase Long-Term Care Insurance What is long-term care? Long-term care is ongoing custodial or skilled care for persons in need of assistance in caring for themselves.
More informationTri-Shark Triathlon Beginner Training Plan Brought to you by Path Performance Coaching
Congratulations for taking the leap and signing up for the Tri-Shark Triathlon! Triathlon is a healthy, fun and addictive sport that welcomes people of all ages and abilities. No matter if your goal is
More informationWHAT DOES UNDER OCCUPATION DEDUCTION MEAN TO ME?
WHAT DOES UNDER OCCUPATION DEDUCTION MEAN TO ME? DEVELOPING HOMES AND CREATING OPPORTUNITIES FOR PEOPLE WITHIN WEST NORFOLK Disclaimer : The information provided in this booklet is sourced from DWP regulations
More informationIMPORTANT NOTICES
Prior Authorization Code Matrix 9581162 IMPORTANT NOTICES IMPORTANT NOTE: This document is updated quarterly. Codes requiring prior authorization may be added or deleted. Please check this document prior
More informationGroup Total and Permanent Disablement (TPD) A. Disability Details. Scheme Name or Employer (Business) Name
Group Total and Permanent Disablement (TPD) Claim Form MLC Limited ABN 90 000 000 402 AFSL 230694 Please fully complete this claim form (pages 1 to 6). If there is insufficient space to fully answer a
More informationVanpool Alliance Participation Agreement
Vanpool Alliance Participation Agreement Terms and Conditions This agreement sets forth the terms, conditions, and responsibilities of the program participants in the Vanpool Alliance program. The Program
More informationEMPLOYEE RESOURCE SYSTEMS, INC. Affiliate Application
Affiliate Application Date: Website: Applicant Name: Email: Group Name: Tax ID#: Checks Payable to (corresponds with Tax ID#): Billing Address: City: State: Zip: Primary Clinical Office Address: City:
More informationBehavioral Health FAQs
Behavioral Health FAQs Authorizations & Notifications Q: The behavioral health prior authorization forms do not indicate what documentation to submit. What clinical information should I send with a prior
More informationJuniper Residential Application Form. for Permanent Accommodation and Care
Juniper Residential Application Form for Permanent Accommodation and Care Introduction Thank you for your interest in considering placement with Juniper Residential Care. To assist us with timely waitlisting
More informationJuniper Residential Application Form. for Permanent Accommodation and Care
Juniper Residential Application Form for Permanent Accommodation and Care Introduction Thank you for your interest in considering placement with Juniper Residential Care. To assist us with timely waitlisting
More informationCONTACT INFORMATION Please Print
Donna Noland, Ph.D. Licensed Clinical Psychologist 4870 S Lewis Ave, Suite 230 Tulsa, OK 74105 918.938.9111 Date: CONTACT INFORMATION Please Print Name: Address: Phone Number: Birth date: Is it permissible
More informationCERTIFICATE OF INSURANCE
CERTIFICATE OF INSURANCE Issued By HEALTH NET LIFE INSURANCE COMPANY Woodland Hills, California (Hereinafter referred to as We, Us, Our, HNL or the Company) EMPLOYER: Maricopa County Community College
More informationProduction Planning. Basic Inventory Model Workforce Scheduling. Enhance Modeling Skills Dynamic Models Spring 03 Vande Vate 1
Production Planning Basic Inventory Model Workforce Scheduling Enhance Modeling Skills Dynamic Models 15.057 Spring 03 Vande Vate 1 Dynamic Inventory Model Modeling Time Modeling Inventory Unusual Network
More informationWelcome to the NDIS. John Walsh, David Bowen, Liz Cairns, Sarah Johnson, Peter Martin
Welcome to the NDIS John Walsh, David Bowen, Liz Cairns, Sarah Johnson, Peter Martin Overview John Walsh setting the scene David Bowen principles and pillars Liz Cairns how it works - some early case studies
More informationCAR 8-2 TRAVEL and BUSINESS RELATED EXPENSES CAR 8-2
CAR 8-2 TRAVEL and BUSINESS RELATED EXPENSES CAR 8-2 OPR: Financial Services 3/85 (Revised 10/08) Policy Statement Section I Meal Expenses Section VI Responsibility II Other Expenses VII Trip Authorization
More informationCity of Manassas, Virginia City Council Meeting AGENDA. City Council Special Meeting
City of Manassas, Virginia City Council Meeting AGENDA City Council Special Meeting 9027 Center Street Manassas, VA 20110 Second Floor Conference Room Wednesday, November 08, 2017 Call to Order - 5:30
More informationGROUP DISABILITY CLAIM APPLICATION
GROUP DISABILITY CLAIM APPLICATION SM Short Term Disability (STD) SEND TO: P.O. BOX 9461 PORTLAND, ME 04104-5056 TEL: (888) 234-2641 FAX: (800) 293-4781 Long Term Disability (LTD) SEND TO: P.O. BOX 9461
More informationShort Term Disability Claim Application
Claim Application To file an application for Short Term Disability benefits, please follow the instructions below to avoid unnecessary delays. Any cost for completion of this form will be at the insured
More informationWHAT WOULD YOU DO IF YOUR SALARY STOPPED?
INCOME PROTECTION THE BASICS WHAT WOULD YOU DO IF YOUR SALARY STOPPED? Being unable to work due to long term illness or injury is a frightening prospect. On top of everything else, could you cope financially?
More information33/ Summary. 1. Introduction Futures. International. Total Return. Return Index. Index. Trading
NYSE LIFFE U. S. NOTICE No. 33/20100 ISSUE DATE: December 27, 20100 EFFECTIVE DATE: January 1, 2011 NYSE Liffe U.S.- 2011 Exchange Holiday Calendar. Summary This Notice announces the trading days and Exchange
More informationNAME OF PATIENT DATE OF BIRTH DATE ADDRESS PHONE (HOME) PHONE (CELL) INSURANCE INSURANCE INSURANCE NAME ID# GROUP#
Michael Rosen, MD Board Certified American Board of Psychology and Neurology American Board of Medicine 2801 Buford Highway, Suite 505 Atlanta, GA 30329 404-450-0338(phone) * 631-824-9162(fax) NAME OF
More informationDisability claim Attending physician s statement of disability
To avoid any delays in the assessment of this claim, the Claimant s statement and the Employer s statement must be submitted. Any cost for information to support your claim will be the policy owner s responsibility.
More informationNATIONAL COPPER & SMELTING, CO. Application for Employment
NATIONAL COPPER & SMELTING, CO. Application for Employment This application form is considered current for 6 months. At the end of this period, if you are still interested in employment, it will be necessary
More informationGROUP DISABILITY CLAIM APPLICATION
GROUP DISABILITY CLAIM APPLICATION Return original claim forms to: Bay Bridge Administrators, LLC P.O. Box 161690 Austin, TX 78716 Short Term Disability (STD) TEL: (800) 845-7519 FAX: (512) 275-9350 Long
More informationNew Client Information Sheet
New Client Information Sheet PSY Family Services Please complete ALL questions 301 W. Rosedale, Fort Worth, TX 76104 1. Client Demographics Patient Name: Last: First: Middle: Sex: ( )M ( )F DOB: Age: School
More informationFor use with policies issued by the following UnumProvident Corporation [ UnumProvident ] subsidiaries:
CLAIM FOR INCOME PROTECTION BENEFITS Chattanooga Customer Care Center, P.O. Box 12030, Phone: 800.633.7479 Fax: 423.755.3009 For use with policies issued by the following UnumProvident Corporation [ UnumProvident
More informationFactsheet 10 Paying for permanent residential care
Factsheet 10 Paying for permanent residential care April 2018 About this factsheet This factsheet provides information about the financial help that may be available from your local authority if you need
More informationORDER OF THE LIEUTENANT GOVERNOR IN COUNCIL
PROVINCE OF BRITISH COLUMBIA ORDER OF THE LIEUTENANT GOVERNOR IN COUNCIL Order in Council No. 595, Approved and Ordered November 9, 2018 Executive Council Chambers, Victoria On the recommendation of the
More informationOmbudsman s Determination
PO-4834 Ombudsman s Determination Applicant Mr E Pratt Scheme Armed Forces Pension Scheme 1975 (AFPS 75) Respondent(s) Veterans UK Complaint summary Mr Pratt has complained that his application for the
More informationAUTHORIZATION TO USE, DISCLOSE, & RELEASE PROTECTED HEALTH INFORMATION
AUTHORIZATION TO USE, DISCLOSE, & RELEASE PROTECTED HEALTH INFORMATION I understand the following: I have the right to refuse to sign this form for authorization to disclose or release my protected health
More informationLegal & General Critical Illness Cover
1 Contents Critical Illness Cover Page 3 What is a critical illness? Page 4 Could it happen to me? Page 5 How can Critical Illness Cover help? Page 6-7 Legal & General Nurse Support Services Page 8-9 Legal
More informationBranch Closure Impact Analysis Kirkham Branch. October 2015
Branch Closure Impact Analysis Branch October 2015 Introduction This document provides a summary of the impact assessment for the closure of branch based on internal analysis and local community engagement.
More informationPLEASE RETURN THIS PAGE WITH YOUR PAYMENT AND REFERENCE THE INVOICE NUMBER ON YOUR CHECK
Page: REMITTANCE BILL TO : MENTZER MEDIA SERVICES INC Attn: BETH BEALL 600 FAIRMOUNT AVE STE 306 TOWSON, MD 21286 Invoice Number AE Name Agency Number Agency NCC WASHINGTON ME062 MENTZER MEDIA SERVICES
More informationTITLE XVI HEALTH CENTER LOAN GUARANTEE PROGRAM APPLICATION
TITLE XVI HEALTH CENTER LOAN GUARANTEE PROGRAM APPLICATION Please answer all questions as completely and accurately as possible and provide all requested attachments. Only shaded/starred items are required
More informationThank you for your interest in applying for residential accommodation within Resthaven Inc.
Dear Applicant Thank you for your interest in applying for residential accommodation within Resthaven Inc. Please find enclosed the Resthaven forms which will need to be completed and returned: Application
More informationCheer Tumbling Registration Form. (Please complete all fields and understand all information stated below) Student Information
Signature of Parent/or Legal Guardian Cheer Tumbling Registration Form (Please complete all fields and understand all information stated below) How did you hear about us? Referral Name: Student Information
More informationPre-Purchase Information Healthcare Insurance Group
Pre-Purchase Information Healthcare Insurance Group This is a brief overview of the insurance and information that you as the consumer are entitled by law to receive. You will find the full terms and conditions
More informationDILIP TAPADIYA, M.D. INC. Demographic Form
Demographic Form 1. PATIENT Name Soc Sec No: City: State: Zip: Birthdate: Driver s License No: Sex: Home Phone: ( ) Cell Phone: ( ) Marital Status: Occupation: 2. RESPONSIBLE PARTY Name: Soc Sec No: City:
More informationARIZONA EMPLOYER. We are pleased to have the opportunity to serve you.
ARIZONA EMPLOYER Dear American Liberty Insurance Policyholder: Thank you for placing your workers compensation coverage with American Liberty Insurance. We greatly appreciate your business and look forward
More informationAlberta Health. Superseded. Alberta Aids to Daily Living Medical-Surgical Benefits Policy & Procedures Manual. September 1, Revised May 7, 2018
Alberta Health Alberta Aids to Daily Living Medical-Surgical Benefits Policy & Procedures Manual September 1, 2017 Revised May 7, 2018 Revision History Description Policy M-02 and Policy M-07 clarification
More informationPUBLIC HEALTH PROGRAMME GUIDANCE SCOPE
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE PUBLIC HEALTH PROGRAMME GUIDANCE SCOPE 1 Guidance title Guidance for primary care services and employers on the management of long-term sickness and
More informationTAMESIDE AND GLOSSOP SINGLE COMMISSIONING BOARD. 11 April 2017
TAMESIDE AND GLOSSOP SINGLE COMMISSIONING BOARD 11 April 2017 Commenced: 3.00 pm Terminated: 4.20 pm PRESENT: IN ATTENDANCE: Alan Dow (Chair) Tameside and Glossop CCG Steven Pleasant Tameside Council Chief
More information4601 Spicewood Springs Rd., Office (512) Austin, Texas Fax (512) DOCTOR-CLIENT SERVICES AGREEMENT
MATTHEW W. TURNER, PH.D., ABPP / FAACP Board certified in Clinical Psychology, American Board of Professional Psychology Fellow of the American Academy of Clinical Psychology Clinical & Forensic Psychology
More informationNew Client Package. Attached, please find a Veterinary Practice Questionnaire, as well as a New Client Document Request List.
New Client Package Thank you for considering Gatto McFerson, CPAs. We have over thirty-five years of experience providing financial guidance to the veterinary industry. Gatto McFerson, CPAs is Accredited
More informationJanuary Contacts Josh Fear, Mental Health Council of Australia
Submission by the Mental Health Council of Australia and beyondblue to the Senate Inquiry into the Exposure Draft of the Human Rights and Anti- Discrimination Bill 2012 January 2013 Contacts Josh Fear,
More informationBACKGROUND. Section 4.27 defines "violence" for purpose of the violence in the workplace provisions.
Policy Item R4.25-1 RE: General Conditions - Workplace Conduct - Prohibition of Improper Activity or Behaviour Section 4.25 prohibits "improper activity or behaviour" in the workplace that may create an
More information2015 N ARISO OMP C PLANS
2015 BENEFITS Maximum coverage per person Unlimited US$5,000,000 US$2,000,000 per Policy Year Age limit to apply 75 75 75 Waiting Period 30 days 30 days 30 days HOSPITALIZATION BENEFITS Coverage outside
More informationSynapse Brokerage Program Guidelines
Synapse Brokerage Program Guidelines Overview: The New South Wales (NSW) Department of Family and Community Services - Ageing, Disability and Home Care (ADHC) has provided funds to Synapse for a Brokerage
More informationMILDURA CAMPUS FACILITIES AGREEMENT For booking/hire of University buildings & facilities
MILDURA CAMPUS FACILITIES AGREEMENT For booking/hire of University buildings & facilities 471 Benetook Avenue, Mildura PO Box 4095, Mildura Victoria 3502 Australia T +61 3 5051 4000 F +61 3 5022 0043 E
More informationNHS Pensions - Consideration of entitlement to ill health retirement benefits (AW33E) Important: Please complete this form in BLACK INK
SD / EA Ref EA Code NHS Pensions - Consideration of entitlement to ill health retirement benefits (AW33E) Important: Please complete this form in BLACK INK NHS Pensions PO Box 2269 Bolton BL6 9JS www.nhsbsa.nhs.uk/nhs-pensions
More informationNew Contact for Benefits Administration
New Contact for Benefits Administration Effective July 24, 2015, Pacific Gas and Electric Company (PG&E) introduced a new partner for benefits administration. The following print version of content from
More informationSTAFF ABSENCE (SUPPORT) POLICY
GLOUCESTERSHIRE ALTERNATIVE PROVISION SCHOOL STAFF ABSENCE (SUPPORT) POLICY Date Approved: Jun 17 Date of Review: Jun 18 MONITORING, REVIEW & EVALUATION Staffing & Finance Gloucestershire AP School Staff
More informationPERSONAL INDEPENDENCE PAYMENT OVERVIEW
PERSONAL INDEPENDENCE PAYMENT OVERVIEW WHAT IS A PERSONAL INDEPENDENCE PAYMENT? About the new benefit Personal independence payment (PIP) is a new benefit for people who need help taking part in everyday
More informationFree and really useful information and advice
Free and really useful information and advice Information and advice you need to help you love later life. We re Age UK and our goal is to enable older people across the UK to love later life. We are passionate
More informationKEY FEATURES. Helping you to keep your lifestyle safe when your income isn t.
LIFESTYLE COVER INSURANCE LIFESTYLE COVER INSURANCE POLICY SUMMARY 1 KEY FEATURES. Helping you to keep your lifestyle safe when your income isn t. USEFUL PHONE NUMBERS. GENERAL ENQUIRIES: 0370 900 3119
More information2002 PRACTICE AND PROCEDURE (60 Minutes)
2002 PRACTICE AND PROCEDURE (60 Minutes) Question P-1 (2 minute/s) Taxpayer has received an Internal Revenue Service ( IRS ) notice of deficiency with respect to income tax for 2001. Taxpayer timely files
More information- My 4 Favorite Trades - Essential Trades of a Professional Trader
presented by Thomas Wood MicroQuant SM Divergence Trading Workshop Day One - My 4 Favorite Trades - Essential Trades of a Professional Trader Risk Disclaimer Trading or investing carries a high level of
More informationContinuing Education for Advisors
Continuing Education for Advisors knowledge continuing training educate online awareness participate Long term care insurance An overview Learning objectives By the end of this course you will be able
More informationwww.onlineexamhelp.com www.onlineexamhelp.com UNIVERSITY OF CAMBRIDGE INTERNATIONAL EXAMINATIONS General Certificate of Education Ordinary Level *0526765961* COMMERCIAL STUDIES 7101/02 Paper 2 Arithmetic
More informationAUTHORIZATION FOR TREATMENT
Thank you for choosing ARIZONA MANUAL THERAPY CENTERS. Please read each section below carefully, sign and date, and return to the front office personnel. If you have any questions or concerns, please ask
More informationMoney Management Calendar
Money Management Calendar 2017 A Financial Management Tool for You and Your Family Learn to reach financial goals by planning your expenses. Keep spending records for financial decision-making and taxes.
More information