№ lp_2_2_06123
File format: docx
Character count: 2725
File size: 60 KB
This document is an authorization form allowing a consumer to permit Family Ties, Inc. to release or receive medical, psychological, and drug-related information in compliance with federal and state regulations.
Year:
1900
Region / City:
Atlanta, GA
Subject:
Medical and Psychological Information Release
Document Type:
Authorization Form
Organization / Institution:
Family Ties, Inc.
Author:
Family Ties, Inc.
Target Audience:
Consumers seeking release/receipt of medical and psychological information
Duration:
1 year or specific date
Approval Date:
[Date unspecified]
Amendment Date:
[Date unspecified]
Price: 8 / 10 USD
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The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
2025
Region / City:
South Carolina
Topic:
Military Recognition
Document Type:
Resolution
Organization / Institution:
South Carolina House of Representatives
Author:
South Carolina House of Representatives
Target Audience:
U.S. Marine Corps personnel, South Carolina residents
Period of Action:
2025
Approval Date:
June 18, 2025
Year:
2025
Region / City:
Jersey
Subject:
Employment law, employee rights
Document type:
Contract, legal terms
Institution:
Employment Tribunal, JACS
Author:
Unknown
Target audience:
Employers, employees in Jersey
Period of validity:
Indefinite
Approval date:
September 2025
Amendment date:
None
Year:
YYYY
Region / city:
N/A
Subject:
Pregnancy care, mental health support
Document type:
Medical report
Organization / institution:
Pregnancy Support Program
Author:
Shelley Northridge, CNM
Target audience:
Healthcare professionals
Period of validity:
N/A
Approval date:
N/A
Date of changes:
N/A
Year:
2015
Region / city:
UK
Topic:
NHS 111 Messaging, ITK, EMIS Web
Document type:
Guide
Organization / institution:
NHS
Author:
Dr. Shanker Vijayadeva
Target audience:
GP Practices, NHS Staff
Period of action:
N/A
Approval date:
25/09/2015
Date of changes:
N/A
Year:
2025
Region / City:
Hanover
Topic:
Property Revaluation
Document Type:
FAQ
Institution:
Town of Hanover
Author:
N/A
Target Audience:
Property owners in Hanover
Effective Period:
From April 1, 2025
Approval Date:
N/A
Date of Last Change:
N/A
Year:
2025
Region / City:
Rice County, MN
Theme:
Influenza Vaccination
Document Type:
Consent Form
Organization:
Rice County Public Health
Author:
Rice County Public Health
Target Audience:
Residents of Rice County, individuals seeking influenza vaccination
Effective Period:
2025 / 2026 flu season
Approval Date:
Not specified
Modification Date:
Not specified
Contextual Description:
A consent form for receiving the influenza vaccine, including details on eligibility, payment information, and health history questions.
Year:
2025
Region / City:
Miami, FL
Topic:
Film, Awards
Document Type:
Press Release
Organization:
Variety, Miami Dade College
Author:
Not specified
Target Audience:
General public, film enthusiasts
Start Date:
November 2, 2025
End Date:
November 5, 2025
Approval Date:
September 10, 2025
Context:
Press release announcing Ethan Hawke’s upcoming award and participation in the 12th Miami Film Festival GEMS, highlighting his career and upcoming projects.
Year:
2019
Region / City:
Pennsylvania
Topic:
Licensing, Training, Regulations
Document Type:
Webinar Q&A
Agency / Organization:
Pennsylvania Department of Human Services (DHS)
Author:
Unknown
Target Audience:
Licensed providers, DHS program staff
Period of validity:
Not specified
Approval Date:
Not specified
Modification Date:
Not specified
Year:
2020
Region / City:
New Zealand
Theme:
Privacy and Information Security
Document Type:
Information Sheet
Organization:
ACC
Audience:
ACC customers
Period of Validity:
N/A
Approval Date:
N/A
Modification Date:
N/A
Year:
2020
Region / City:
Pittsburgh, Malvern, New Mexico
Topic:
Mobile Network, Rail Transportation
Document Type:
Press Release
Organization:
Wabtec Corporation, Rajant Corporation
Author:
N/A
Target Audience:
Industry professionals, stakeholders in rail and mobile network sectors
Period of Action:
N/A
Approval Date:
September 23, 2020
Date of Changes:
N/A
Context:
Press release announcing a partnership between Wabtec and Rajant to upgrade the wireless network for New Mexico Rail Runner Express.
Note:
Year
Institution:
University of Cambridge
Target Audience:
Students of the University of Cambridge
Year:
2022
Region / City:
Georgia
Topic:
Adapted sports for students with physical disabilities
Document Type:
Grant application
Organization:
American Association of Adapted Sports Programs, Inc. (AAASP)
Author:
American Association of Adapted Sports Programs, Inc. (AAASP)
Target Audience:
Georgia school districts, education professionals, and community partners
Duration:
FY22 (Fiscal Year 2022)
Approval Date:
2022
Modification Date:
Not specified
Jurisdiction:
State of Montana
Country:
United States
Issuing Authority:
Department of Administration
Related Law:
Section 2-18-412, Montana Code Annotated (MCA)
Document Type:
Legal designation form
Subject:
Authorization for payment of state warrants upon employee’s death
Applicable To:
Employees of Montana State Agencies
Beneficiary:
Designated individual named by employee
Validity Period:
During employment until revoked in writing or upon final payment
Revocation:
By written notice or filing of new designation
Processing Office:
DOA Accounting Office
Year:
2021
Region / City:
Not specified
Theme:
Spiritual practices, Fasting
Document Type:
Instruction
Author:
Not specified
Target Audience:
Individuals seeking spiritual reinforcement through fasting
Start Date:
August 22, 2021
End Date:
September 4, 2021
Fasting Options:
Difficult, Medium, Easy
Dietary Restrictions:
No Pork, No Soft Drinks, No Desserts
Prayer Frequency:
Three times a day
Social Media Restrictions:
Limited
Biblical References:
Matthew 4:1-11, Acts 1:1-5, Daniel 10:1-14
Anointing Oil:
Daily use recommended
Communion:
Daily, Corporate on Saturday mornings at 6:00 am
Dry Fasting:
Recommended during fasting hours
Time for Personal Communion:
Before sunrise or near midnight
Break of Fast:
Prayer of thanksgiving
Daily Confession:
To be recited before and after fasting
Scriptures for Meditation:
Matthew 4:1-11, Daniel 10:1-14, Matthew 12:43-45, Joshua 1:5-9
Context:
A 7-day fasting plan designed to be completed over 14 days, combining prayer, spiritual reflection, and intermittent fasting to seek spiritual reinforcement for what God is restoring.
Year:
2019
Region / City:
Indiana
Topic:
Education, Tax Credits
Document Type:
Email
Sender:
[email protected]
Target Audience:
Potential donors, Brebeuf Jesuit supporters
Period of Validity:
2019-2020 academic year
Approval Date:
July 7, 2019
Amendment Date:
Not specified
Note:
Year
Organization / Institution:
U.S. Department of Labor, Office of Workers’ Compensation Programs, Division of Energy Employees Occupational Illness Compensation
Year:
2023
Region / City:
United States
Topic:
Medical authorization and billing
Document type:
Official form
Organization / Institution:
Department of Veterans Affairs
Author:
Department of Veterans Affairs
Target audience:
Healthcare providers, Veterans
Period of validity:
From date of issue
Date of approval:
Not specified
Date of amendments:
Not specified
Year:
2023
Region / City:
Iowa, Des Moines
Subject:
Proposal Certification and Authorization to Release Information
Document Type:
Certification Letter
Issuing Organization:
Iowa Workforce Development
Author:
Michael Drottz
Target Audience:
Respondents to RFP 309MD24001
Period of Validity:
N/A
Approval Date:
N/A
Date of Revision:
N/A
Note:
Year
Organization / Institution:
Minnesota Department of Education
Target Audience:
School District Superintendents, Early Education Staff
Year:
2023
Region / City:
United States
Topic:
Personnel vetting, security clearance
Document Type:
Questionnaire, Authorization Form
Agency:
Federal Government
Author:
Unknown
Target Audience:
Individuals undergoing personnel vetting
Period of Validity:
Until termination of affiliation with the Federal Government or position requirement
Approval Date:
Not specified
Amendment Date:
Not specified