Wanda Whitten Shurney MD CEO / Medical Director

Size: px
Start display at page:

Download "Wanda Whitten Shurney MD CEO / Medical Director"

Transcription

1 Wanda Whitten Shurney MD CEO / Medical Director Sickle Cell Disease Association of America Michigan Chapter

2

3 OUR MISSION TO MAXIMIZE THE QUALITY LIFE OF INDIVIDUALS LIVING WITH SCD TO ENABLE INDIVIDUALS WITH SICKLE CELL TRAIT TO MAKE INFORMED DECISIONS THAT THEY BELIEVE ARE IN THEIR BEST INTEREST WITH RESPECT TO FAMILY PLANNING TO PROVIDE EDUCATION, TESTING AND INFORMATION FOR THE GENERAL PUBLIC SERVE AS THE COODINATING CENTER FOR THE NEWBORN HEMOGLOBINOPATHY SCREENING PROGRAM FOR THE MDHHS

4 SCDAA MI Patient Advocates/Community Health Workers SERVICES Ann Arbor Benton Harbor Detroit Flint CARE COORDINATION SUPPORT SERVICES Basic needs Emergency financial support Grand Rapids Jackson Kalamazoo Lansing Muskegon Pontiac Saginaw Muskegon Grand Rapids Lansing Jackson Kalamazoo Saginaw Flint Pontiac Detroit Ann Arbor EDUCATION Patient Community CAREER COUNCELING FREE TESTING SUMMER CAMP PROGRAM Benton Harbor

5 AWARENESS AND EDUCATION Annual Walks TV/ Radio Coverage Lauren Lake Paternity Court Last Fiscal Year 48 Presentations 36 Exhibits 34 Health Fairs

6 Treatment Demonstration Grant Increase # of physicians caring for patients with SCD Increase # of physicians prescribing hydroxyurea Newborn Screening Grant Community Health Health Workers (CHWs) Locate inactive patients Medical home placement Care coordination Dr. Donnell Ivy, MD, MPH Medical Officer, Genetics Services Branch

7 TRANSITION Transition begins at birth Encouraging independence Greater focus on patient Education Standardized transition program ( Got Transition ) HRSA Quality Improvement initiative

8 MEDICATION ADHERANCE Hydroxyurea brochure/workshops

9 MENTAL HEALTH FT Clinical Psychologist CHM PT Mental Health Professional Adult Clinic Patient Advocates - referrals

10 CME Dinners Detroit Saginaw Kalamazoo Lunch and Learns: FQHC Detroit Pontiac Grand Rapids PROVIDER SHORTAGE Adult Sickle Cell Clinic Detroit Medical Center

11

12 NHLBI Guidelines ASH Brochures TeleECHO

13

14 ABOUT REFLEXOLOGY Reflexology is the application of pressure to areas on the feet, hands and ears. Reflexology is generally relaxing and may be an effective way to alleviate stress. The theory behind reflexology is that these areas correspond to organs and systems of the body. Proponents believe that pressure applied to these areas affects the organs and benefits the person's health. Reflexologists use foot charts to guide them as they apply pressure to specific areas. Sometimes these practitioners use items, such as rubber balls, rubber bands and sticks of wood, to assist in their work. Practitioners of reflexology include chiropractors, physical therapists and massage therapists, among others. Several studies funded by the National Cancer Institute and the National Institutes of Health indicate that reflexology may reduce pain and psychological symptoms, such as anxiety and depression, and enhance relaxation and sleep. Studies also show that reflexology may have benefits in palliative care of people with cancer. Reflexologists claim that reflexology also can treat a wide variety of medical conditions, such as asthma, diabetes and cancer. However, scientific evidence is lacking to support these claims. Reflexology is generally considered safe, although very vigorous pressure may cause discomfort for some people.

15

16 Type of sickle cell SS SC Sbeta thal zero Sbeta thal plus Usual Hemoglobin level Blood Type Allergies: Medication Dose Reason Frequency (times per day) to Date Time Purpose Doctor Phone Appointment Kept? Y Y Y N N N Date # of Units Hemoglobin level pre transfusion Hemoglobin level post transfusion Pre-Medication?

17

18 Current Practice: Managing Complications Managing wellness: Keeping Patients Well

19

A Public Health Plan to Address Sickle Cell Disease Across the Lifespan 2015 ~ 2018

A Public Health Plan to Address Sickle Cell Disease Across the Lifespan 2015 ~ 2018 A Public Health Plan to Address Sickle Cell Disease Across the Lifespan 2015 ~ 2018 Michigan Department of Health and Human Services (MDHHS) Lifecourse Epidemiology & Genomics Division (LEGD) Hemoglobinopathy

More information

MI Newborn Screening Program: An Overview of Follow-up & Case Management for Sickle Cell Conditions

MI Newborn Screening Program: An Overview of Follow-up & Case Management for Sickle Cell Conditions Michigan Department of Community Health MI Newborn Screening Program: An Overview of Follow-up & Case Management for Sickle Cell Conditions Dominic Smith, MSA - Linda Carter, BSW - Ben Frazier, BSW - Ruth

More information

April 25, Edward Donnell Ivy, MD, MPH

April 25, Edward Donnell Ivy, MD, MPH HRSA Hemoglobinopathies Programs: Sickle Cell Disease Newborn Screening Follow-Up Program(SCDNBSP) and Sickle Cell Disease Treatment Demonstration Regional Collaboratives Program (SCDTDP) April 25, 2017

More information

Sickle Cell Disease Integrated Care Models: Outpatient and Inpatient National Minority Quality Forum April 2017

Sickle Cell Disease Integrated Care Models: Outpatient and Inpatient National Minority Quality Forum April 2017 Sickle Cell Disease Integrated Care Models: Outpatient and Inpatient National Minority Quality Forum April 2017 Kim Smith-Whitley, MD Director Comprehensive Sickle Cell Center The Children s Hospital of

More information

SICKLE CELL BROCHURE

SICKLE CELL BROCHURE SICKLE CELL BROCHURE SICKLE CELL DIESEASE According to CDC, Sickle cell disease (SCD) is a group of inherited red blood cell disorders. Healthy red blood cells are round and SCD C -shaped farm tool called

More information

UNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM. Community Health Workers Support Sickle Cell Health Maintenance

UNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM. Community Health Workers Support Sickle Cell Health Maintenance UNIVERSITY OF ILLINOIS HOSPITAL & HEALTH SCIENCES SYSTEM Community Health Workers Support Sickle Cell Health Maintenance October 2017 Lewis Hsu, MD, PhD Director, Pediatric Sickle Cell UI Health Sickle

More information

A Comprehensive Hemoglobinopathy Surveillance System as Statewide Long term Follow up across Life Span Michigan Experience

A Comprehensive Hemoglobinopathy Surveillance System as Statewide Long term Follow up across Life Span Michigan Experience A Comprehensive Hemoglobinopathy Surveillance System as Statewide Long term Follow up across Life Span Michigan Experience Violanda Grigorescu, MD, MSPH Director, Division of Genomics, Perinatal Health

More information

Newborn Screening and Followup for Hemoglobinopathies

Newborn Screening and Followup for Hemoglobinopathies Newborn Screening and Followup for Hemoglobinopathies October 4, 2012 Monica Hulbert, MD Director, Sickle Cell Disease Program Washington University School of Medicine St. Louis Children s Hospital Disclosures

More information

Meaningful Use Overview

Meaningful Use Overview Eligibility Providers may be eligible for incentives from either Medicare or Medicaid, but not both. In addition, providers may not be hospital based. Medicare: A Medicare Eligible Professional (EP) is

More information

Tranquility Massage Therapy & Reiki, LLC

Tranquility Massage Therapy & Reiki, LLC Client Contact Information Tranquility Massage Therapy & Reiki, LLC Client Name: Date: Date of Birth: Gender: Address: Phone: Email: Referred by: Emergency contact: Phone: Physician/Health-care Provider

More information

Hydroxyurea. for Sickle Cell Disease. A Guide for Starting Treatment. Hydroxyurea is a medicine proven to prevent pain from sickle cell disease.

Hydroxyurea. for Sickle Cell Disease. A Guide for Starting Treatment. Hydroxyurea is a medicine proven to prevent pain from sickle cell disease. Hydroxyurea for Sickle Cell Disease A Guide for Starting Treatment Hydroxyurea is a medicine proven to prevent pain from sickle cell disease. This handbook was created to help answer common questions about

More information

Sickle Cell Disease: Myths and Realities. Marsha Treadwell, PhD Wanda Payton Williams, MS 6 August 2014

Sickle Cell Disease: Myths and Realities. Marsha Treadwell, PhD Wanda Payton Williams, MS 6 August 2014 Sickle Cell Disease: Myths and Realities Marsha Treadwell, PhD Wanda Payton Williams, MS 6 August 2014 Outline Who we are Sickle cell disease pathophysiology Sickle cell trait versus sickle cell disease

More information

MI Communicator. An Introduction! By Denise Farrand, Director. We Need You!!!!

MI Communicator. An Introduction! By Denise Farrand, Director. We Need You!!!! Spring 2011 Volume 5, Issue 1 MI Communicator An Introduction! By Denise Farrand, Director INSIDE THIS ISSUE: An Introduction 1 We need You! 1 HLAA- Walk 4 Hearing 2 Hearing Aid Loaner Program 2 Hello!

More information

New Client Intake. First Name Last Name. Address. City State Zipcode Date of Birth. Home Phone Mobile Phone. Relationship to you Phone

New Client Intake. First Name Last Name. Address. City State Zipcode Date of Birth. Home Phone Mobile Phone. Relationship to you Phone 1 New Client Intake Address City State Zipcode Date of Birth Home Phone Mobile Phone Emergency Contact: Relationship to you Phone Please explain the pain you are experiencing and its origin story: https://docs.google.com/document/d/1q0tns8lwtefzbbj1n9jyt2onopvy2abs9s1ofr07zai/edit

More information

SCD Advocacy Talking Points!

SCD Advocacy Talking Points! "#$!%&'()*)+!,!-././-1!! SCD Advocacy Talking Points! * 23!4*'3!53*673&!84*8!#*59:(679*!#495&637;!9

More information

Reflexology. A true therapy?

Reflexology. A true therapy? Reflexology A true therapy? What is Zone Therapy? It is based off of an ancient Chinese system of Acupuncture Energy Meridians There are 10 zones in the body Manipulation of reflex points could enhance

More information

Striving for better health

Striving for better health MACHNIK SICKLE CELL FOUNDATION UGANDA LIMITED Striving for better health In i About us Machnik Sickle Cell Foundation Uganda Limited (MSF) was established in December 2016 by Mr. and Mrs. Machnik who came

More information

Asthma Information Review Course. Referral & Professional Networking

Asthma Information Review Course. Referral & Professional Networking Asthma Information Review Course Referral & Professional Networking Referral & Professional Networking 7 key areas in this section Ranging from community resources to appropriate referrals for clients

More information

ESSENTIAL ELEMENT Massage & Bodywork

ESSENTIAL ELEMENT Massage & Bodywork Health Information Alchemy s ESSENTIAL ELEMENT Massage & Bodywork Client Contact Information Client Name: Date of Birth: Gender: M or F (circle one) Address: Email: Occupation: Referred by: Emergency contact:

More information

Your Goals and Expectations:

Your Goals and Expectations: New Member Information: Aligned Health Chiropractic Dr. Jennifer Carauddo, D.C. 987 University Avenue, Suite 28 Los Gatos, CA 95032 (408) 371-6003 Fax (408) 371-6009 Today s Date / / Name Birth Date /

More information

Primary Medical Associates. Patient Information Sheet:" Patient Name Date of Birth " Mailing Address: " City State Zip " Phone# (H) SS# "

Primary Medical Associates. Patient Information Sheet: Patient Name Date of Birth  Mailing Address:  City State Zip  Phone# (H) SS# 1 of 10 Patient Information Sheet: Patient Name Date of Birth Mailing Address: City State Zip Phone# (H) SS# Patient s Employer Phone# ==================================================================

More information

5 th Annual. August 18, 2018 SPONSOR PROSPECTUS

5 th Annual. August 18, 2018 SPONSOR PROSPECTUS 5 th Annual August 18, 2018 SPONSOR PROSPECTUS The National Sickle Cell Walk With The Stars & Move-a-thon is one of the most visible events of the Sickle Cell Disease Association of America, Inc. s community.

More information

Third Visit Posttest

Third Visit Posttest Test code 03C Patient s name: Third Visit Posttest Patient s birth date: Your name and relationship to patient: Today s date: Please mark only one answer for each of the following questions: 1. Which one

More information

The Evidence is in. CHWs are Chronic Disease Health Brokers. Michigan Community Health Workers Association Annual Meeting, April 28, 2017

The Evidence is in. CHWs are Chronic Disease Health Brokers. Michigan Community Health Workers Association Annual Meeting, April 28, 2017 The Evidence is in. CHWs are Chronic Disease Health Brokers. Michigan Community Health Workers Association Annual Meeting, April 28, 2017 Beth Jabin Lauren Neely William Jackson Octavia Smith Structure

More information

REFLEXOLOGY By INGE DOUGANS READ ONLINE

REFLEXOLOGY By INGE DOUGANS READ ONLINE REFLEXOLOGY By INGE DOUGANS READ ONLINE 1/24/2014 This programme has been designed to give you an insight into this very valuable health care option, not only explaining how it works, but also We take

More information

Bridging the Gap: Improving Sickle Cell Disease Transition from Pediatric- to Adult-Focused Care ASFA 2017 Annual Meeting

Bridging the Gap: Improving Sickle Cell Disease Transition from Pediatric- to Adult-Focused Care ASFA 2017 Annual Meeting Bridging the Gap: Improving Sickle Cell Disease Transition from Pediatric- to Adult-Focused Care ASFA 2017 Annual Meeting Kim Smith-Whitley, MD Director Comprehensive Sickle Cell Center The Children s

More information

Your sickle cell disease story

Your sickle cell disease story YOUR STORY Not actual patients. Your sickle cell disease story From the very beginning of sickle cell disease (SCD) to your role in the next chapter Visit GenSickleCell.com to get involved with the movement.

More information

CLINICAL ISSUES IN THE CARE OF OLDER ADULTS - PALLIATIVE CARE

CLINICAL ISSUES IN THE CARE OF OLDER ADULTS - PALLIATIVE CARE CLINICAL ISSUES IN THE CARE OF OLDER ADULTS - PALLIATIVE CARE Thank you to our 2017 U-M Continuing Medical Education (CME) Sponsor Geriatric Research, Education and Clinical Center VISN 11: Veterans in

More information

MI MOM S MOUTH. Examining a Multifaceted Michigan Initiative and the Critical Role of FQHC s in Delivering Interprofessional Care

MI MOM S MOUTH. Examining a Multifaceted Michigan Initiative and the Critical Role of FQHC s in Delivering Interprofessional Care MI MOM S MOUTH Examining a Multifaceted Michigan Initiative and the Critical Role of FQHC s in Delivering Interprofessional Care TODAY S OBJECTIVES Learning Objective 1: Develop an understanding of Michigan

More information

Sickle Cell Advisory Committee

Sickle Cell Advisory Committee Sickle Cell Advisory Committee As Required by 25 Texas Administrative Code 37.420 With Support from the Texas Department of State Health Services December 2017 Table of Contents Executive Summary... 1

More information

Pediatric Intake Paperwork. Personal History

Pediatric Intake Paperwork. Personal History Pediatric Intake Paperwork Child s Name: Date: Address: City: Zip: Cell Phone: Work Phone: Email: Date of Birth: Social Security Number: Your occupation: Your employer: Whom to contact in case of emergency?

More information

Touch Therapies in Palliative Care: Enhancing the Patient Experience

Touch Therapies in Palliative Care: Enhancing the Patient Experience Touch Therapies in Palliative Care: Enhancing the Patient Experience It makes you feel that you are not just a thing - you are a Person Leila Kozak PhD Clinical Champion, Office of Patient-Centered Care

More information

Health & Community Services Department. Promoting Health For All. The STD Problem in Kalamazoo County: Status Update

Health & Community Services Department. Promoting Health For All. The STD Problem in Kalamazoo County: Status Update Health & Community Services Department The STD Problem in Kalamazoo County: Status Update March 3, 2016 STD Incidence Rates per 100,000 (2015 End of Year) Chlamydia Gonorrhea Michigan 485 112 Region 5

More information

Education and Training

Education and Training Thomas Aaron O Neil, MD Clinical Lecturer Medical School thomasao@med.umich.edu Education and Training 2/2014 Essential Skills for Successful Leadership Faculty Career Development 7/2011-6/2012 Hospice

More information

Hearing and Vision Services for Children: Efforts to Ensure Broad Implementation Through Medicaid

Hearing and Vision Services for Children: Efforts to Ensure Broad Implementation Through Medicaid Public Health Law Series Webinar Hearing and Vision Services for Children: Efforts to Ensure Broad Implementation Through Medicaid May 14, 2015 How to Use Webex Audio: If you can hear us through your computer,

More information

*P roject S E.N.S.O.R.

*P roject S E.N.S.O.R. *P roject S E.N.S.O.R. Volume 10, No. 3 Summer 1999 Highlights from the 1998 Annual Reports on Occupational Diseases in Michigan Five annual reports were released this Spring: Occupational Noise-Induced

More information

The Tevis Center for Wellness. Complementary Health. Services

The Tevis Center for Wellness. Complementary Health. Services The Tevis Center for Wellness Complementary Health Services Complementary Health Services Acupuncture Acupuncture is based on the natural laws that describe the movement of life energy, or Qi, in nature

More information

What s New. Don t Forget! There are 2 different influenza vaccines available. Flu Vaccine. Michigan Newsletter Fall 2009

What s New. Don t Forget! There are 2 different influenza vaccines available. Flu Vaccine. Michigan Newsletter Fall 2009 What s New Michigan Newsletter Fall 2009 Flu Vaccine Don t Forget! There are 2 different influenza vaccines available this year (one for seasonal flu and one for Novel H1N1 or swine flu). Both vaccines

More information

NEWBORN SCREENING FOR SICKLE CELL DISEASE Progress Towards Improved Outcomes for Children and Families

NEWBORN SCREENING FOR SICKLE CELL DISEASE Progress Towards Improved Outcomes for Children and Families NEWBORN SCREENING FOR SICKLE CELL DISEASE Progress Towards Improved Outcomes for Children and Families Peter A. Lane, MD Department of Pediatrics Emory University School of Medicine Atlanta, GA U.S. NEONATAL

More information

Together we can make a difference.

Together we can make a difference. Together we can make a difference. We re working together to create a community. LAKE TRUST FOUNDATION A Grassroots Movement The Lake Trust Foundation is a 501(c)(3) organization that was established

More information

Maternal and Child Health Initiatives in Sickle Cell Disease

Maternal and Child Health Initiatives in Sickle Cell Disease Health Resources and Services Administration (HRSA) Maternal and Child Health Bureau (MCHB) Maternal and Child Health Initiatives in Sickle Cell Disease American Public Health Association Annual Meeting

More information

Providers: How to Generate & Retrieve Adolescent AFIX Reports in Michigan

Providers: How to Generate & Retrieve Adolescent AFIX Reports in Michigan This document provides general information on how to generate and retrieve adolescent AFIX reports using the Michigan Care Improvement Registry (MCIR). Specific questions about how to utilize the AFIX

More information

Exhibitor/Vendor Prospectus

Exhibitor/Vendor Prospectus Sickle Cell Disease Association of America, Inc. 5th Annual National Sickle Cell Walk with the Stars & Move-a-thon Canton Waterfront Park, Baltimore, MD August 18, 2018 Exhibitor/Vendor Prospectus SCDAA

More information

Complementary therapies for cancer patients and their carers

Complementary therapies for cancer patients and their carers Complementary therapies for cancer patients and their carers What are complementary therapies? Complementary therapies are supportive therapies offered alongside medical treatments. Many people with cancer

More information

SEEDS OF HOPE FAMILY CHIROPRACTIC HEALTH HISTORY

SEEDS OF HOPE FAMILY CHIROPRACTIC HEALTH HISTORY SEEDS OF HOPE FAMILY CHIROPRACTIC HEALTH HISTORY Welcome! PLEASE PRINT CLEARLY PERSONAL DATA Today s Date First name MI: Last name: Nickname Gender M F Age Date of Birth SS# (optional) Current address

More information

Legionellosis Outbreak-Genesee County, June, 2014 March, Summary Analysis

Legionellosis Outbreak-Genesee County, June, 2014 March, Summary Analysis Legionellosis Outbreak-Genesee County, June, 2014 March, 2015 Summary Analysis Michigan Department of Health and Human Services Genesee County Health Department (This report was edited on January 15, 2016

More information

Appointment of Chiropractor

Appointment of Chiropractor Appointment of Chiropractor Who we are We are a renowned and award-winning Practice, where our aim is to provide the very best in professional health care by our dynamic team at a unique setting. We have

More information

Family First Chiropractic

Family First Chiropractic Family First Chiropractic Personal Information Title: (Check one) Mr. Mrs. Ms. Miss Other First Name Middle Initial Last Name Street City State Zip Code Email Home Phone ( ) - Cell Phone ( ) - Date of

More information

Primary Care Workshop Agenda

Primary Care Workshop Agenda Alzheimer s Tennessee, Inc. Presents Strategies for Managing in Primary Care A Primary Care Workshop of The 26 th Annual Alzheimer s Disease Symposium December 9, 2011 Jubilee Banquet Center 6700 Jubilee

More information

Running head: OVERSEAS PLACEMENT SUMMARY REPORT: CSC, MI, USA 1. Overseas Placement Summary Report:

Running head: OVERSEAS PLACEMENT SUMMARY REPORT: CSC, MI, USA 1. Overseas Placement Summary Report: Running head: OVERSEAS PLACEMENT SUMMARY REPORT: CSC, MI, USA 1 Overseas Placement Summary Report: Cancer Support Community of Greater Ann Arbor, Michigan, USA Ka Lui Ng (MSWFT) The University of Hong

More information

PLEASE BRING COMPLETED PACKET TO APPOINTMENT ALONG WITH YOUR FILMS

PLEASE BRING COMPLETED PACKET TO APPOINTMENT ALONG WITH YOUR FILMS PLEASE BRING COMPLETED PACKET TO APPOINTMENT ALONG WITH YOUR FILMS Advanced Spine Associates, P.A. NEW PATIENT MEDICAL HISTORY QUESTIONNAIRE Name Address City State Zip Age Date of Birth Sex M F Phone

More information

Does Reflexology Improve the Quality of Life for Lung Cancer Patients?

Does Reflexology Improve the Quality of Life for Lung Cancer Patients? Does Reflexology Improve the Quality of Life for Lung Cancer Patients? Subject's Age: 70 Subject's Occupation: retired bank executive Therapist: Carol Mulvihill Credentials: certified reflexologist, licensed

More information

Psychotropic Medication

Psychotropic Medication FOM 802-1 1 of 10 OVERVIEW The use of psychotropic medication as part of a child s comprehensive mental health treatment plan may be beneficial and should include consideration of all alternative interventions.

More information

PATIENT INFORMATION FORM

PATIENT INFORMATION FORM PATIENT INFORMATION FORM First Name MI Last Preferred Name Date of Birth / / Age Gender Patient/Guarantor SS# - - Email Address Martial Status Single Married Other Street Address City State Zip Code Profession

More information

7 TH ANNUAL NATIONAL SEMINAR. Beyond the Mom. Reframing the Approach to Maternal Care. October 14, am 4:30pm Detroit, MI

7 TH ANNUAL NATIONAL SEMINAR. Beyond the Mom. Reframing the Approach to Maternal Care. October 14, am 4:30pm Detroit, MI 7 TH ANNUAL NATIONAL SEMINAR Beyond the Mom Reframing the Approach to Maternal Care October 14, 2016 8am 4:30pm Detroit, MI 2 AGENDA Time Speaker Presentation 7:00 Registration/Continental Breakfast 8:00

More information

Address City State Zip. Home Phone Cell Work. (For SHPT use only) Emergency Contact Phone

Address City State Zip. Home Phone Cell Work.  (For SHPT use only) Emergency Contact Phone Somerset Hills Physical Therapy, PC 180 Mount Airy Road, Suite 103 Basking Ridge, NJ 07920 Phone (908) 766-1407 Fax (908) 953-8454 wwwsomersethillsptcom Patient Information: Name Sex M F Date of Birth

More information

Identification of Birth Defects in Michigan Infants with Sickle Cell Disease and Sickle Cell Trait: MI NBS and MBDR Data,

Identification of Birth Defects in Michigan Infants with Sickle Cell Disease and Sickle Cell Trait: MI NBS and MBDR Data, Identification of Birth Defects in Michigan Infants with Sickle Cell Disease and Sickle Cell Trait: MI NBS and MBDR Data, 2004-2006 Bethany Reimink, MPH Birth Defects/EHDI Epidemiologist Division of Genomics,

More information

Welcome to Lone Lake Physical Therapy!

Welcome to Lone Lake Physical Therapy! Welcome to Lone Lake Physical Therapy! **Please arrive 5-10 min prior to your appointment time for your first session. Your appointment will last approximately 55-60 min What you should know before your

More information

The UW Pain Treatment and Research Center takes a holistic approach to your pain care.

The UW Pain Treatment and Research Center takes a holistic approach to your pain care. Pain Treatment and Research Center 5249 East Terrace Drive Madison, WI 53718 Phone: (608) 263-9550 Dear Patient: The UW Pain Treatment and Research Center takes a holistic approach to your pain care. You

More information

Personal Information. Client Questionnaire. Basic Information. Date of Birth. Male Female Other Not Specified. Contact Information

Personal Information. Client Questionnaire. Basic Information. Date of Birth. Male Female Other Not Specified. Contact Information Client Questionnaire Personal Information Basic Information First Name Last Name Date of Birth Male Female Other Not Specified Contact Information Email Preferred Phone Cell Address City State Zip Emergency

More information

Sleep Disorders Diagnostic Center 9733 Healthway Drive, Berlin, MD , ext. 5118

Sleep Disorders Diagnostic Center 9733 Healthway Drive, Berlin, MD , ext. 5118 Sleep Questionnaire *Please complete the following as accurate as possible. Please bring your completed questionnaire, insurance card, photo ID, Pre-Authorization and/or Insurance referral form, and all

More information

Superbill For Massage Therapy

Superbill For Massage Therapy Superbill For Massage Free PDF ebook Download: Superbill For Download or Read Online ebook superbill for massage therapy in PDF Format From The Best User Guide Database ejacobsmassage@. The Center (Saturday

More information

Seven Principles of Integration By Bill Flocco

Seven Principles of Integration By Bill Flocco Seven Principles of Integration By Bill Flocco The Seven Principles of Integration are an ongoing series of discoveries about the use of Foot Reflexology, Hand Reflexology, and Ear Reflexology for better

More information

Contracted Project Coordinator March 2010 April 2012 October, 2006 December, 2007 Interim Director November, 2008 March, 2009 Executive Director

Contracted Project Coordinator March 2010 April 2012 October, 2006 December, 2007 Interim Director November, 2008 March, 2009 Executive Director Lynn M. Nee 317 E. State St. Corunna, MI 48817 Phone: 517-282-9501 / e-mail: lynnmnee71@gmail.com Michigan Social Work License: Macro Specialty Competencies Strategic planning Program development Coalition

More information

Stark County Safety Council Presentation: Opioid & Anti-Anxiety Medication Use Among Ohio s Injured Workers

Stark County Safety Council Presentation: Opioid & Anti-Anxiety Medication Use Among Ohio s Injured Workers Stark County Safety Council Presentation: Opioid & Anti-Anxiety Medication Use Among Ohio s Injured Workers June 11, 2015 John Hanna, R.Ph. BWC, Pharmacy Director 6/24/2015 BWC Pharmacy Program Overview

More information

2016 Physician Quality Reporting System Data Collection Form: Sleep Apnea (for patients aged 18 and older)

2016 Physician Quality Reporting System Data Collection Form: Sleep Apnea (for patients aged 18 and older) 2016 Physician Quality Reporting System Data Collection Form: Sleep Apnea (for patients aged 18 and older) IMPORTANT: Any measure with a 0% performance rate (100% for inverse measures) is not considered

More information

Samantha A. Carlson, LMSW OSW-C Director of Social Services Kalamazoo, MI

Samantha A. Carlson, LMSW OSW-C Director of Social Services Kalamazoo, MI Samantha A. Carlson, LMSW OSW-C Director of Social Services Kalamazoo, MI Value of Survivorship Clinics: What they are, why the are being created, and supporting data and research Comprehensive Survivor

More information

Date: Can we leave messages on voice mail at home/work/cell? Yes No. Sex: Male Female SS#: If yes, what type? Auto Work Other.

Date: Can we leave messages on voice mail at home/work/cell? Yes No. Sex: Male Female SS#: If yes, what type? Auto Work Other. 1 Patient Information : Name: Last First MI Email address: Mailing Address: Phone # (H) (W) (Other) Can we call you at work? Yes No of Birth: Can we leave messages on voice mail at home/work/cell? Yes

More information

World Reflexology Week Information Pack September 2010

World Reflexology Week Information Pack September 2010 World Reflexology Week Information Pack 19-25 September 2010 Promoting Reflexology. Promoting Reflexologists. World Reflexology Week is your opportunity to promote your business as a reflexologist whilst

More information

Neck Class. Kaiser Permanente Fremont Physical Therapy

Neck Class. Kaiser Permanente Fremont Physical Therapy Kaiser Permanente Fremont How Body Reacts to Injury and Pain Postural Muscles (Core) become Weak. Deep Neck Muscles Shoulder Blade Muscles Movement Muscles become Tight. Long Neck Muscles Sub-occipital

More information

Cleveland County Asthma Coalition - Strategic Plan

Cleveland County Asthma Coalition - Strategic Plan Cleveland County - Strategic Plan 2006-07 MISSION: INCREASE COMMUNITY AWARENESS OF ASTHMA IN CLEVELAND COUNTY THROUGH A COMPREHENSIVE PUBLIC HEALTH APPROACH. OBJECTIVE: Expand opportunities for parents,

More information

SLEEP SCREENING QUESTIONNAIRE

SLEEP SCREENING QUESTIONNAIRE SLEEP SCREENING QUESTIONNAIRE Please answer each question accurately and to the best of your knowledge, to help us obtain an accurate picture of your health and sleep issues, only this way will we be able

More information

NOW CANADA SOCIETY TUTT STREET KELOWNA, BC V1Y 8Z5 TELEPHONE (250) FAX (250)

NOW CANADA SOCIETY TUTT STREET KELOWNA, BC V1Y 8Z5 TELEPHONE (250) FAX (250) NOW CANADA SOCIETY 2970 TUTT STREET KELOWNA, BC V1Y 8Z5 TELEPHONE (250) 763-3876 FAX (250) 868-3876 EMAIL support@nowcanada.ca RESIDENTIAL / DAY PROGRAM REFERRAL PACKAGE THE NOW CANADA SOCIETY MISSION

More information

PATIENT REGISTRATION FORM

PATIENT REGISTRATION FORM PATIENT REGISTRATION FORM B S M R W A G KS MAC Z GR SO ZA L Please tell us about yourself so we can help you make the best decisions about your care. Date: Social Security #: E-mail: Name: MR / MRS / MS

More information

Enhancing the Health of Our Communities Alisahah Cole, MD & Chief Community Impact Officer. December 2018

Enhancing the Health of Our Communities Alisahah Cole, MD & Chief Community Impact Officer. December 2018 Enhancing the Health of Our Communities Alisahah Cole, MD & Chief Community Impact Officer December 2018 Goals GET INFORMED GET INSPIRED GET UNCOMFORTABLE GET ACTIVATED Carolinas HealthCare System Is Our

More information

The Wellness Lounge Staff

The Wellness Lounge Staff Chiropractic Massage Acupuncture Nutrition Yoga Treatment Welcome, We would like to take a moment to welcome you to the wellness lounge. Whether you are here for a one-time visit, or are looking for a

More information

Teaching NHS Trust. My Health Record. keyworker. Learning Disability Service

Teaching NHS Trust. My Health Record. keyworker. Learning Disability Service Leeds Mental Health Teaching NHS Trust My Health Record keyworker Learning Disability Service Introduction This booklet is about my health. It gives information that will be helpful to people who do not

More information

LAWS OF ALASKA AN ACT

LAWS OF ALASKA AN ACT LAWS OF ALASKA 01 Source HCS SB (RLS) am H Chapter No. AN ACT Requiring insurance coverage for autism spectrum disorders, describing the method for establishing a covered treatment plan for those disorders,

More information

Tobacco Free Hospitals

Tobacco Free Hospitals Tobacco Free Hospitals Improving the Health of the Community Tom Peterson, M.D. Disclosure Tom Peterson, MD, is on the speaker s bureau of Pfizer, Inc. Learning Objectives Define a smoke-free hospital

More information

Application for Patient

Application for Patient Application for Patient First Name: M.I.: Last Name: Date: Address: City: State: Zip: SS#: - - Age: DOB: / / Male / Female Email: Home #: Cell # Work # Primary Care Physician: Do we have permission to

More information

SICKLE CELL DISEASE TREATMENT DEMONSTRATION PROGRAM. CONGRESSIONAL REPORT Executive Summary

SICKLE CELL DISEASE TREATMENT DEMONSTRATION PROGRAM. CONGRESSIONAL REPORT Executive Summary SICKLE CELL DISEASE TREATMENT DEMONSTRATION PROGRAM CONGRESSIONAL REPORT Executive Summary OCTOBER 2014 The National Coordinating Center for the Sickle Cell Disease Treatment Demonstration Program was

More information

MSCVPR INTERNSHIP OPPORTUNITIES

MSCVPR INTERNSHIP OPPORTUNITIES MSCVPR INTERNSHIP OPPORTUNITIES NORTHERN REGION INTERNSHIP SITE CONTACT and INFO PHONE or EMAIL Alpena Regional Medical Alpena, MI Shannon Woloszyk Typically 1 intern for rotation, cardiac rehab and stress

More information

Thai Massage Health History Questionnaire

Thai Massage Health History Questionnaire Name: Date: Thai Massage Health History Questionnaire Mobile Work Home Email Birthday Address Emergency Contact Name Relationship number Occupation How did you find me? When was your last massage? Where?

More information

to:

to: Welcome Pack The Holistic Boot Camp would like to congratulate you for choosing to make positive changes in your life by attending our retreat to transform your mind, body and soul. To make sure that you

More information

Family First Chiropractic

Family First Chiropractic Personal Information Title: (Check one) Mr. Mrs. Ms. Miss Other First Name Middle Initial Last Name Street City State Zip Code Email Home Phone ( ) - Cell Phone ( ) - Date of Birth / / Sex: Male Female

More information

Partnering for Immunizations 3011 W Grand Blvd# 200 Detroit, MI Monday, April 16, Dear Healthcare Provider,

Partnering for Immunizations 3011 W Grand Blvd# 200 Detroit, MI Monday, April 16, Dear Healthcare Provider, Partnering for Immunizations 3011 W Grand Blvd# 200 Detroit, MI 48202, April 16, 2018 Dear Healthcare Provider, Michigan is experiencing the largest outbreak in the U.S. Your help is critical to stop the

More information

F.A.L.L.S. Rapid Fire Presentations

F.A.L.L.S. Rapid Fire Presentations SMIFS F.A.L.L.S. Rapid Fire Presentations Sept 13, 2016 End Falls This Fall - Casino Rama BUILDING BALANCE: Exercise-Based Fall Prevention Program for Community-Dwelling Seniors (Collingwood & Wasaga Beach)

More information

The Therapeutic Taping Method: Genuine Value-Added Therapy

The Therapeutic Taping Method: Genuine Value-Added Therapy The Therapeutic Taping Method: Genuine Value-Added Therapy By Tracy Barnes, DC, DICCP, CKTI Elastic therapeutic taping was developed by Kenzo Kase, DC, in Japan for use with his own patients. From the

More information

The University of Michigan

The University of Michigan Tryout Directions and Information: The University of Michigan This packet contains the following forms that must be completed before your tryout can begin: Tryout clearance form You only need to fill out

More information

Benna Lun BSc(Hons) ND Naturopathic Doctor

Benna Lun BSc(Hons) ND Naturopathic Doctor Today s Date: WHO IS FILLING OUT THIS FORM? Name (Please print) Relationship to child PATIENT INFORMATION Name: First name Middle name Last name How would you like us to address the child? Date of Birth

More information

Family Planning Coordinator s Meeting 2018

Family Planning Coordinator s Meeting 2018 Family Planning Coordinator s Meeting 2018 DEANNA CHAREST MANAGER, REPRODUCTIVE AND PRECONCEPTION HEALTH CHARESTD@MICHIGAN.GOV 517-335-8861 State Title X Update 30 Local Agencies 93 Clinic Locations 28

More information

Variation in Interventional Cardiac Care in Michigan

Variation in Interventional Cardiac Care in Michigan CENTER FOR HEALTHCARE RESEARCH & TRANSFORMATION Variation in Interventional Care in Michigan Issue Brief April 2012 An extensive body of research has identified and examined the wide geographic variation

More information

Recuperate Massage Intake Form

Recuperate Massage Intake Form Recuperate Massage Intake Form Name Phone ( ) DOB Address City State Zip E-mail: Referred by/how did you hear about R.M : Phone ( ) Emergency Contact: Phone ( ) Occupation ( ) Male ( ) Female Physician

More information

Elliot Senior Specialty Services. in Greater Manchester. 138 Webster Street Manchester NH

Elliot Senior Specialty Services. in Greater Manchester. 138 Webster Street Manchester NH Elliot Senior Specialty Services in Greater Manchester 138 Webster Street Manchester NH 03104 603-663-7000 Dedicated to helping seniors achieve their maximum quality of life ELLIOT SENIOR SPECIALTY SERVICES

More information

Inter Professional Team Based Training in SHCN Across the Lifespan

Inter Professional Team Based Training in SHCN Across the Lifespan Inter Professional Team Based Training in SHCN Across the Lifespan National Oral Health Conference April 2017 Holly Barone, RDH, MHA Eastman Institute for Oral Health RESEARCH EDUCATION COMMUNITY SERVICE

More information

3 Flr Scotia Centre, Calgary, AB T2P 2W3 DR. KATHRYN DOYLE, ND! Phone: Fax: !!!!! Naturopathic Doctor! Adult Intake Form!

3 Flr Scotia Centre, Calgary, AB T2P 2W3 DR. KATHRYN DOYLE, ND! Phone: Fax: !!!!! Naturopathic Doctor! Adult Intake Form! 3 Flr Scotia Centre, Calgary, AB T2P 2W3 DR. KATHRYN DOYLE, ND Phone: 403-237-6000 Fax: 403-263-0646 Naturopathic Doctor Today s date: Adult Intake Form Name: Age: Birth date: M F Address: Postal Code:

More information

Massage Office Policies

Massage Office Policies Massage Office Policies 1. All appointments are scheduled in advance. 2. Clients are expected to pay for all services at the time they are rendered. We accept cash and debit/credit cards for payment. 3.

More information

Detecting and Reporting Alpha Thalassemia In Newborns

Detecting and Reporting Alpha Thalassemia In Newborns Detecting and Reporting Alpha Thalassemia In Newborns T. Davis, C. Moore, L. Nayak, M.C. Dorley, M. del Pilar Aguinaga, M. Chan, J. Ubaike, C. Yusuf Alpha Thalassemia Screening Status in the US Clinical

More information