№ lp_2_3_22481
File format: docx
Character count: 1989
File size: 62 KB
Administrative medical referral form used by healthcare practitioners to submit details of a deceased person for Medical Examiner review and confirmation of the cause of death prior to registration.
Document Type:
Medical referral form
Subject:
Death notification and review
Related Process:
Medical Examiner review and death certification
Institution:
Medical Examiner Service
Associated Document:
Medical Certificate of Cause of Death (MCCD)
Submission Email:
[email protected]
Required Attachments:
Patient consultation records; past medical history; current medications; secondary care correspondence
Information Collected:
Deceased personal details; suggested cause of death; coroner referral status; attending practitioner details; surgical history; hazardous implants
Intended Users:
General Practitioners; Attending Practitioners; Medical Examiner Officers
Purpose:
Review and agreement of cause of death prior to registration
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.
The file will be delivered to the email address provided at checkout within 12 hours.
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The product description is provided for reference. Actual content and formatting may differ slightly.
Source:
Examiner Resource Center, National Institute of Standards and Technology (NIST)
Platform:
Baldrige Online Scoring System (BOSS)
Document type:
User guidance and help topics
Audience:
Examiners, Team Leaders, BOSS Administrators
System requirements:
Windows Edge, Internet Explorer 10+, Google Chrome, Safari
Functional scope:
Scoring, review, feedback, time logging, document output
Session timeout:
60 minutes
Editing permissions:
Role-based (Lead, Team Leader)
Output formats:
On-screen view, printable content, Word file export
Note:
Year
Note:
Year
Note:
Year
Region / City:
Anoka County
Subject:
Legal Application for Possessory Title Registration
Document Type:
Application
Organization / Institution:
Minnesota State
Contextual description:
Legal application form for registering possessory title to land in Anoka County, Minnesota, under the provisions of Minnesota Statutes, Chapter 508A.
Note:
Institute
Year:
2024/25
Document Type:
Agreement
Note:
Year
Organization / Institution:
UCL
Target Audience:
Supervisors, Departmental Graduate Tutors, Faculty Graduate Tutors
Year:
2026
Region / City:
United Kingdom and Ireland
Subject:
Medical Examination
Document Type:
Application Form
Institution:
Royal Colleges of Surgeons
Author:
Royal Colleges of Surgeons of the United Kingdom and Ireland
Target Audience:
Applicants for MRCS Lay Examiner role
Effective Period:
Ongoing
Approval Date:
Not specified
Amendment Date:
Not specified
Year:
2021
Region / City:
Global
Topic:
IB Examiner recruitment
Document Type:
Policy
Organization:
International Baccalaureate (IB)
Author:
International Baccalaureate Organization
Target Audience:
IB Examiner applicants
Effective Period:
Not specified
Approval Date:
01/07/21
Date of Changes:
None
Year:
2022
Region / City:
Indiana
Theme:
Healthcare, Sexual Assault, Forensic Nursing
Document Type:
Funding Announcement
Author:
Indiana Department of Health
Target Audience:
Healthcare facilities, medical organizations, and community partners in Indiana
Effective Period:
January 3, 2022 – May 31, 2023
Approval Date:
N/A
Amendment Date:
N/A
Note:
Year
Contextual description:
Endoscopic medical examination guide with details on esophageal conditions, diagnostic criteria, risk factors, and treatment protocols for various diseases including Barrett’s esophagus and esophageal cancers.
Document Title:
External Examiner Report
Institution:
Aston University
Related Regulatory Body:
Office for Students
Document Type:
Annual external examiner report form
Purpose:
Reporting on academic standards, assessment processes, and programme quality
Submission Method:
Electronic submission via email
Submission Deadline:
Within one month of the relevant Board of Examiners meeting
Fee Payment Terms:
Within 2 months of reports received by the 25th of the month
Confidentiality Requirement:
Compliance with Data Protection Policies
Sections Included:
Examiner details; Programme and module information; Experience of role; Board of Examiners meeting; Curriculum; Academic standards; Information received; Assessment; End Point Assessment (if applicable)
Applicable Programmes:
Example 1; Example 2; Example 3
Programme Awards and Codes:
BSC EXAM1; BSC EXAM2; BSC EXAM3
Modules Listed:
Example Module 1; Example Module 2; Example Module 3
Partner Institution:
Teaching Partner Institution
Examiner Name:
Dr AN Examiner
Examiner Affiliation:
Another University
Jurisdiction:
United Kingdom Higher Education
Year:
2024
Region / City:
Virtual
Topic:
NC-SNAP Certification
Document Type:
Training Schedule
Organization / Institution:
North Carolina Department of Health and Human Services
Author:
Jeffery Kearney, Lauren Spencer
Target Audience:
Professional ID/DD staff
Period of Validity:
2024
Approval Date:
N/A
Amendment Date:
N/A
Contextual Description:
A training schedule for NC-SNAP examiner certification sessions conducted virtually via Microsoft Teams for 2024.
Year:
2023
Agency:
U.S. Department of Justice, Office of Justice Programs, Bureau of Justice Statistics
Author:
RTI International
Target Audience:
Medical examiners, coroners, law enforcement agencies
Period of Validity:
N/A
Approval Expiration:
2023
Date of Issue:
N/A
Date of Modification:
N/A
Type of Document:
Survey Form
Region/City:
United States
Subject:
Medical examiner and coroner office data collection
Method of Submission:
Online, Email, Fax, Mail
Contact Information:
RTI International, [email protected]
Burden Estimate:
90 minutes per response
Legal Authority:
Omnibus Crime Control and Safe Streets Act of 1968
Description:
Survey for the 2023 census of medical examiner and coroner offices to collect data on their operations, including procedures for handling sudden infant deaths, race/ethnicity data collection, and unclaimed remains.
Institution:
University College London (UCL)
Department:
Student and Registry Services
Unit:
Research Degrees
Document Type:
Guidance Notes and Expense Claim Form
Subject:
External Examiner Expenses for Research Degree Viva Examinations
Eligible Claimants:
External Examiners not employed by UCL
Geographical Scope:
United Kingdom and Overseas
Expense Categories:
Travel, Air Travel, Private Transport, Subsistence, Hotel Accommodation, Miscellaneous
Maximum Reimbursement:
£400
Subsistence Limit:
£37.00 per day
Mileage Rates:
45p per mile (car); 24p per mile (motorcycle); 20p per mile (bicycle)
Hotel Limit:
One night (UK/EU); Two nights (outside UK/EU)
Payment Method:
BACS
Contact Email:
[email protected]
Policy Reference:
UCL Examiner Expenses Policy
Administrative Process:
IDT submission for departmental bookings
Year:
2023
Region / City:
Penn Yan, NY
Topic:
Mental Health Services, Housing Assistance
Document Type:
Referral Form
Organization:
Yates County Adult SPOA
Author:
Yates County Mental Health Services
Target Audience:
Health and social service providers, individuals with mental health concerns
Effective Period:
Ongoing
Approval Date:
Not specified
Date of Changes:
Not specified
Contextual Description:
A referral form for supportive housing, ACT services, and non-Medicaid care management for individuals with mental health diagnoses in Yates County.
Year:
2023
Region / City:
North Central London
Topic:
Healthcare Referral Form
Document Type:
Referral Form
Organization / Institution:
North Central London
Author:
N/A
Target Audience:
Healthcare professionals
Period of Validity:
N/A
Approval Date:
N/A
Amendment Date:
N/A
Year:
2020
Region / City:
United States
Theme:
Emergency Housing Assistance, COVID-19 Response
Document Type:
Referral Form
Author:
SSVF
Target Audience:
Veterans, SSVF Grantees, Community Stakeholders
Action Period:
During COVID-19 Pandemic
Approval Date:
N/A
Date of Changes:
N/A
Context:
A referral form used for Emergency Housing Assistance under the SSVF program during the COVID-19 crisis, outlining eligibility and procedures for providing temporary housing to at-risk Veterans.
Year:
20XX
Region / City:
Illinois
Topic:
Affordable Housing
Document Type:
Agreement
Organization / Institution:
Illinois Housing Development Authority
Author:
Not specified
Target Audience:
Property Managers, Housing Authorities, Service Providers
Effective Period:
Not specified
Approval Date:
Not specified
Amendment Date:
Not specified