The health and well-being of patients is our primary concern. These scanning can range from personal desktop scanners to production scanners. <> endobj | gZ&)wI,H&-`~YbZ'G~ o+XwH Y_\Ljs. Box 181 Concord, NH 03301 Tenant's name: Tenant's mailing address: Street Apt# City State Zip . G e8-'hfgJitS\;V:}[|XK[_. {Mi{: {9){E^V-m:RLz#ibY5c0)ysWU5 e5[]y|;[.u7\hit_2f}8|f( oA[i4p28:+;]`lFekVIHh+Z3mS)|IA snZcwh~y['vW! For information on available treatment in NH, go to www.covid19.nh.gov/resources/treatment-resources, Or look for an answer in our Frequently Asked Questions. 4]irpmP@;BM'Yp8eV9. 1 0 obj Securing the data left on that old printer. endobj Submit documents that have been requested for your application. 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. ] The EAP provides a number of unique services. Most communications are protected by federal and state laws which assure that whatever information is given, orally or in writing, to any member of the EAP staff will not be revealed. 2023 Capital Business Systems, Inc. | 800-221-0604, My Account (service, supplies, metering), Architecture, Engineering and Construction, Canon U.S.A. 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. Once the exam begins, you'll lie flat on the CT exam table and sticky electrodes will be adhered to your chest. x TF3e>,YecW=f~+J}VQiIvCYA~,IE`z1Fb2aw(G#&Jv-4m6n} `|UzT4MPjJ5"3t* <> Medicaid Assistance: (855) 632-7633. more.. iServe Nebraska . <> <>>> Box 181 Concord, NH 03301 DFA SR 07-05 (3YC) Employment Verification (Completed by Employer Only) FROM: Centralized Scanning Unit (CSU) P.O. '[:?&g=$m (DGP@);]+yFyY|yx3OV <>>> 2 0 obj It is best that you check with your individual insurance plan before scheduling the exam. An Employee Assistance Program (EAP) is a program that can help with everyday issues to traumatic events. %PDF-1.5 We are proud to offer this exam for the everyday price of $79. [j T*[oD? Fax: +1 201 455 0151. nyc@scan-shipping.com 2023 State of New Hampshire All rights reserved, An official NEW HAMPSHIRE government website, www.covid19.nh.gov/resources/treatment-resources, Communication Access & Language Assistance, Alcohol, Tobacco & Other Substance Misuse, Resources for DHHS Providers, Small Business & Nonprofits, Search for programs in the main contact directory. u3O/KeI^#[Fo/d(\UK5z p?sxF,Czx%[_w44q^TVz8udw"+J>wSw~A('e+S55 Specialist within DHHS, via DHHS's Centralized Scanning Unit, PO Box 181, Concord, NH 03301. In our free Buyers Guide to Document Management, the other types of scanning can be found. 1 0 obj Box 181, Concord, NH 03301 DFA SR 11-43 (A) REIMBURSEMENT AGREEMENT AND ACKNOWLEDGMENT Applicant Name: Spouse: Name: (Please print) (Please print) . Concord, NH 03301 rU}BZyM+]\; ea7PT-@3Dg,.f+63j g$E!`B The CIT & Authorization mission is to promote and protect public health by: Managing Centralized Intern Training for new agents of the state to become authorized to enforce state sanitation laws and rules. Most scans take less than 15 minutes. 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 The final score will be used by your doctor to assess your heart attack risk and recommend treatment and lifestyle changes when needed. 2 0 obj q^.I7khxGF:F@u~V(l^yZVo h|-('- ?L)8h^x3aBGN xQAmdcW2q H_K~Dn~"v6 j_O9V) <>>> Before the exam, you'll need to remove any jewelry or metal objects including eyeglasses, and you may be asked to put on a hospital gown. h!aYL\>x"LEzX^GR4*{,:B L%H}39S?|J>}^K%i^ _gt3|4\~LN>?_+4OWdT2\&+N;9P%h,@"j{9648oGL ~juV$y$7kX`4#{%?'fvazwr&yy?oc17k Dx/c1l R4]E fAZ>_'9qk5'?:%P2IwU?!0 l$}Mi|0=,Q0t}ns=6\N9J\ u7KGAD]NE6n v-%,#M(T40yJU +SOpG`04TJ*)-L,+o:"[p9aB V=k`0vyiBQn&+Bgj=kXpc>I V94X/50f v@C' LYn.b19 7"Gy4! %PDF-1.5 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 . DHHS has a wide range of programs located in offices across the state. Tel: +1 201 455 0150. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> The EAP liberally defines family member to include significant people in the lives of employees. V[$&Bb5F$|zt Explore and apply for benefits. Also, looking into a maintenance agreement on the scanner can ensure that your scanner will run at . <> x]mo7 aiQ"&mmR,&A[#_hH{v#Ky'gtd]|]n? Claim this business. x][s8~OU!nJ*If8]S[yPbl"e9_P T;]i Click on each procedure to learn more. If you test positive for COVID-19 and have symptoms, antiviral medication can help! 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 Centralized Intake Unit 111 N Last Chance Gulch, Helena, MT 59601-6282 PO Box 8005, Helena, MT 59604-8005. Q\z15b>='w23\K|&6`.lo]2VdITi2-'\NOJL6'o3?nZ. But for now, here are the differences between centralized scanning and decentralized scanning. 5m!$N@or:F&x'ni/@Fs3[4 7g ~K_x 0|O^}Epq|B?~A(Ty`++E IR 2 0 obj While this directory is intended to provide contact information to related programs, it doesn't not include contact information for all DHHS staff members. Tel: +1 310 634 0130. endobj \@ 9x i~u endobj (3YC) Employment Verification (Completed by Employer Only) FROM: Centralized Scanning Unit (CSU) P.O. endobj <> Register and get access to reusable templates today! 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. 111 North Sanders Helena, MT 59601-4520 PO Box 4210 Helena, MT 59604-4210, 1400 Broadway, Rm C314, Helena, MT 59601-5231, Asthma and Diabetes Prevention and Control Programs, Nutritional and Physical Activity Program, 1400 Broadway, Room C202 Helena, MT 59601-5231 TOP, 1400 Broadway, Room B102 Helena, MT 59620, 1400 Broadway, Room C216 Helena, MT 69601-5231, 1400 Broadway, Room C216 Helena, MT 59601, Program Planning Unit 111 N Last Chance Gulch, Helena, MT 59601-6282 PO Box 8005, Helena, MT 59604-8005 TOP, Centralized Intake Unit 111 N Last Chance Gulch, Helena, MT 59601-6282 PO Box 8005, Helena, MT 59604-8005, 1625 11th Ave, Helena MT 59601 PO Box 4210, Helena MT 59620, 1625 11th Ave, Helena MT 59601 PO Box 4210, Helena MT 59620 TOP, Food Distribution/Commodity Warehouse Program 1400 Carter Drive, Helena, MT 59601-6400 PO Box 202956, Helena MT 59620-2956 TOP, Energy & Community Services Program (LIEAP & Weatherization) 1400 Carter Drive, Helena, MT 59601-6400 PO Box 202956, Helena, MT 59620-2956 TOP, Medicaid & Healthy Montana Kids Drug Rebate Program, 1400 Broadway, Room A104 Helena, MT 59601-5231, Audit Bureau 2401 Colonial Dr, 3rd Floor Helena, MT 59601-4909, Administrative Support Supervisor,Afrah Al Asadi, Administrative Assistant,Andrew Erickson, 1100 N. Last Chance Gulch, 2 nd Floor, Helena, MT 59601 TOP, State Information Technology Services Division PO Box 200113 Helena, MT 59620-0113 CONTACT US, STD DIS Program Specialist, Miranda Reddig, U.S. BUREAU OF LABOR STATISTICS FOR MONTANA, MONTANA OFFICE OF TOURISM AND BUSINESS DEVELOPMENT, MONTANA HISTORICAL SOCIETY RESEARCH CENTER, Behavioral Health and Developmental Disabilities, Office of Inspector General (formerly Quality Assurance), State Information Technology Services Division, Economic Security Services Executive Director, Erica Johnston, Medicaid and Health ServicesExecutive Director, Mike Randol, Medicaid and CHIP State Plan Amendment and Waiver Coor., Mary Eve Kulawik, Strategic Planning, Research andAnalysis, Eric Higginbotham, Operations Revenue Forecasting Specialist, Jamie Bartole, Office of Inspector General, Michelle Truax (Interim), State Medical Officer, Dr. Maggie Cook-Shimanek, Office of Health and Human Services Innovation, CIO, Marie Matthews, Legislative and Regulatory Affairs, Brenton Craggs, Communications Specialist, Herbert Council, Program Analyst/Technical Writer, Megan Grotzke, Faith and Community Based Services, Tracy Moseman, American Indian Health Director, Stephanie Iron Shooter, Chief Human Resources Officer, Karol Anne Davis, Deputy Human Resources Officer, Ciarra Krantz, Civil Rights and EEO Officer , Lloyd Sparks, Senior Human Resource Partner/Employee & Labor Relations, Sarah Green, Senior Human Resource Partner/Facility Liaison, Vacant, Human Resources Office Coordinator, Sam Askin, Risk Management and Safety Officer, Joe McAnally, Occupational Health and Safety Officer, Tawni Jo Carmody, Deputy Chief Legal Counsel, Chad G. Parker, Attorney, HIPAA Program Officer, Theran Fries, Office Manager / Administrative Rule Specialist, Valerie St. Clair, Administrative Rule Specialist, Kassie Thompson, Administrative Legal Assistant, Bailey Yuhas, Medicaid Systems Operations Manager, Shellie McCann, State MedicalDirector, Dr. Maggie Cook-Shimanek, MD, Local & Tribal Support Coordinator, Kerry Pride, DVM, System Improvement Coordinator, Terry Ray, Public Health Accreditation Coordinator, Vacant, Workforce Development Coordinator, Neva Loney, Performance Management and Information Systems Coordinator, Marilyn Trevino, State Refugee Coordinator, Kathe Quittenton, Epidemiology Program Manager, Heather Zimmerman, Office Manager/Financial Specialist, Jodee Prevel, Disability Health Education Specialist, Mackenzie Jones, Office Manager/Financial Specialist, Susan Day, Administrative Specialist, Carolyn Linden, Determinates of Health Program Manager, Margaret Mullins, Secondary Prevention Specialist, Mike McNamara, Quality Improvement Coordinator, Callan Brick, Asthma Control Program Manager, BJ Biskupiak, EMS Licensing and PI Specialist, Francine Janik, Cardiac Ready Program Manager, Janet Trethewey, Community Integrated Health Program Specialist, Kelly Little, Trauma System Manager, Alyssa Johnson, RN, BSN, Violent Death Registry Program Manager, William "Buck" Herron, Injury Prevention Coordinator, Maureen Ward, Health Education Specialist, Alivia Winters, Administrative Support/Licensing, Sandra Tirrell, Body Art/Trailer Court Camp Grounds/ Cottage Food/ Farmers Markets, Mark Hall, Wholesale Mfg. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Calcium scoring is a diagnostic imaging system that uses CT (computed tomography) scans of the coronary arteries to detect the presence of calcified plaque, a substance that builds up inside the artery walls and hardens, making it difficult for oxygen-rich blood to reach the heart. "3NOVU7GRd3]: 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. endobj Employees and departments participating in the Employee Assistance Program may be concerned about the matter of confidentiality. 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 NH Department of Health and Human Services (DHHS) BFA Form 756 Bureau of Family Assistance (BFA) 10/19 Thank you for your cooperation. 2 0 obj 4 0 obj <>>> Need Help Applying? 1 0 obj %U$ 1~fh~n Uv~ @| F?/Ho1zyE@&~^ F?+ygxV 1170 0 obj <> endobj Once the scanning procedure is complete, you can resume your regular activities. <> NH Department of Health & Human Services (DHHS) DDU Form 177 Bureau of Family Assistance (BFA) - Disability Determination Unit (DDU) rev 12/22 Page: 1 of 9 . By law, the EAP staff must notify appropriate agencies of: We are committed to the principle that any information or material we receive, other than that required by law to be reported to authorities will not be communicated to anyone without your permission. 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. 3 0 obj 7/2OPcMTvsoDZ)jYJle^VzYdJ]UyU:U%W_U.JQubFMPs0. New Hampshire Employment Verification Letter for Social Security If finding legal forms online looks like a problem, use US Legal Forms. 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