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  1. MMS and Alliance Charitable Foundation: 2005-2006 Grants (pdf)

    5/23/2006

    Teen Voices project-a project focusing on the rising community health epidemic of teen dating

  2. Medicare Part D Troubleshooting Checklist (pdf)

    1/12/2006

    Identifying Information: Name Telephone Address & zip code Date of Birth Advocate: Name & Telephone …. ________________________________________________________ Medicare effective dates for Part A _________ for Part B __________ Prescription Advantage …

  3. MMS & Alliance Charitable Foundation 2006 Annual Report (pdf)

    10/14/2005

    Program — $10,000 to support outreach of dating violence recognition and prevention programs to include … community health epidemic of teen dating violence Southbridge Interfaith Hospitality Network — $10,000 …

  4. PHS Annual Report 2005 (pdf)

    10/11/2005

    _____________________________________ Exp. Date ______ /______ Signature __________________________________________________________ … 8 and 9, 2005. 36 37      Date of Request …: _______________________________________________________ Name of Organization: _________________________________________________ Requested Date

  5. Grant Application - doc (doc)

    5/16/2005

    and received by 4:00 p.m. on September 15 . Date: ________________________________ Name …: Email: Dates of participation in program: ____________ to ____________ Program cost … ___________ Signature of Medical Student or Resident Date Page 1 of 4 …

  6. PHS Donation Form (pdf)

    5/2/2005

    Card # ____________________________ Exp. Date ____/_____ Signature …

  7. Submission of Required Documentation and Fees

    3/10/2005

    by the mandatory due date in order to maintain CME accreditation.  If the submission of the required documentation …

  8. PHS Annual Report 2004 (pdf)

    2/28/2005

    —There Are Strategies That Can Help Vital Signs 25 www.physicianhealth.org DATE …: _________________________________________________________________________________________________ REQUESTED DATE FOR PRESENTATION: ________________ SECOND CHOICE: ________________ THIRD CHOICE …

  9. Youth Violence Booklet for Physicians

    2/6/2005

    . . . . . . . . . . . . . . . . . . . . . . . 13 Clinical Suggestions: Violence-Related History . . . . . . . . . . . . . . 13 Dating Violence … . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 TIP CARD: Teen Dating Violence . . . . . . . . . . . . . . . . . . . . . . 17 PREVENTION … or resolving interpersonal conflicts with friends and peers as well as what constitutes a safe dating

  10. MMS and Alliance Charitable Foundation: 2004-2005 Grants

    11/2/2004

    Educational Program - $20,000 to expand dating violence recognition and prevention programs to students …

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