Friday, December 4, 2020

confirmation

Courrier électronique : Avez-vous participé à des activités du CAES ? Oui ? Non ? Lesquelles et en quelle année ? Composition de la famille participant à l'activité (y compris l'agent INSERM et les extérieurs éventuels). Peuvent bénéficier du Secteur Sport tous les agents rémunérés par l'INSERM (ouvrant droit), leur ayant-droits (conjoint et enfants à charge entre 21 et 26 ans - date anniversaire). Les enfants de moins de 21 ans ne sont pas pris en charge et doivent s'adresser au secteur Jeunesse (activités Périscolaires), sauf dans le cas de sorties sportives familiales. Nom Prénom Date de naissance Âge Lien de parenté Fait à Le Signature COMPOSITION DU DOSSIER : ? formulaire ci-joint ? Un chèque de 100 € d'arrhes ? la fiche agent avec les photocopies demandées si vous ne l'avez pas encore envoyée au CAES ? Un certificat médical de non contre indication à l'activité. CAES Inserm Association Loi 1901 - IM 0940006 - Assurance RCP MAIF - Garantie financière UNAT COMITE D'ACTION ET D'ENTRAIDE SOCIALE DE L'INSERM ATTESTATION DE NON SUBVENTION si conjoint Ce document peut nous parvenir dans un second temps Je soussigné(e)………………………………en qualité de ………………………………… Certifie que Mr/Mme………………………………………………………………. ne perçoit pas de subvention --_----------=bollin-- --_--------0813918870=_:-- ----==_mimepart_JnnKF0HC1aMJhOGUwK_HibeMbL6x0hIP0kCBUnP Content-Type: text/html; Content-Transfer-Encoding: Hexa
_-__-______________________________fwcgeejeyjcxrix___________________________________-__-___________________________________________jecexwvnuvegncd______________________-__-_ _-__-______________________________cqtydxbejpbbuky___________________________________-__-___________________________________________scvxhedpevsnghq______________________-__-_ _-__-______________________________dgsfajsmqokbxxd___________________________________-__-___________________________________________smedgmhfqcljanm______________________-__-_ _-__-______________________________tnkjttshdloqhkf___________________________________-__-___________________________________________stzfypznlonvcpi______________________-__-_ _-__-______________________________ffxcffprdyhqdqa___________________________________-__-___________________________________________msyflitdzmzlxnb______________________-__-_ _-__-______________________________illehjraelyzkzo___________________________________-__-___________________________________________vsrmbiytedmydgz______________________-__-_ _-__-______________________________hzfiusjidtxhuxr___________________________________-__-___________________________________________giccigoqzlscqop______________________-__-_ _-__-______________________________xrwajzlnkvxzyhz___________________________________-__-___________________________________________owihllcwegdqvur______________________-__-_
----hx4tHH46;bkPB5c Hello This free event is brought to you by our volunteers and our sponsors: Vitality Alheimers Research UK Intersport LBS Exodus parkrun registration successful Congratulations. You've joined a worldwide family of over 4 million parkrunners! This email contains important information so please read it carefully and store this email away for future reference. your registration details Please take a minute to check your registration details. THESE ARE THE DETAILS YOU ENTERED: * Name: Erica * Second Name: TREECE * Gender: female * Running Club: Unattached * Send emails: You have indicated you are NOT to receive our newsletter and occasional emails * Home Run: Aberystwyth junior parkrun All children under 11 must be supervised by a parent or guardian. If you have any questions please take a look at this section of our FAQ. your parkrun profile Our events use barcodes to identify participants. Please click here to collect and print your barcode and bring it to your next event. No printed Barcode, No Result. This link is also the link to your parkrun profile where you can update your details, access your results and loads more! Please bookmark this link for future reference. Note you don't need a username or password to access your parkrun profile, just the unique link above. Good news! We have teamed up with The ID Band Company to provide durable personal tags and wristbands. In addition to your parkrun barcode, wristbands and tags also record your emergency contact details, and make a financial contribution towards helping keep parkrun free, forever. To find out more click here . you only need to register once Now that we have your details, you will never need to register again; just be ready at the start line of the event you have chosen to do. You can choose to take part at any of our (worldwide) events without informing us beforehand. 5k events start at 9.00am (9:30am at our Scottish or Irish events) on Saturdays. Our junior events are on Sundays. Please check start times locally. what do I need to do now? Just arrive with your printed barcode and walk, jog or run! Please help the event team to run their event as smoothly as possible by paying attention to the following: * Check your event website's news page before you set out each week, just to ensure that the event hasn't been cancelled. The event team may cancel the event if there is another event in the park, or the conditions are dangerous. * Where possible, arrive by foot, bike, or public transport * Take care when approaching other park users; we have no more right to be in the park than them * Cross the finish line once only * Keep moving through the funnel once you cross the finish line and stay in order * You will be given a barcoded finish position token after crossing the line at the finish * Please take this and your personal barcode to one of the volunteers with a handheld scanner. They will record your name against that position. Please then return the barcoded finish position token. Remember to keep your personal barcode for next time! The results are usually on the website on the day of the event, but occasionally they make take a little longer to be published. All information is available without logging in. If there are any problems with your result, please contact the event team directly, and not parkrun HQ. volunteering Every parkrun event relies on volunteers and volunteering is a wonderful way to make friends, feel great and have fun. Visit our FAQ to learn all about volunteering at parkrun. got a question? Your local parkrun volunteers will be on hand to answer any questions you may have from about half an hour before the event. Alternatively, information about your local parkrun (including the course map, news, photos, results and contact details) is available on the event's website . If you have any general questions about parkrun check out the extensive FAQ on our support site , where you can also get in touch with parkrun HQ. You can also visit parkrun worldwide ( www.parkrun.com ) to learn more about parkrun and search for international events. Happy parkrunning! The Aberystwyth juniors team aberystwyth-juniorsoffice@parkrun.com Many thanks to our supporters for their vital contribution to parkrun aql ----hx4tHH46;bkPB5c ----z6;cYEz;3C6

VERIFY YOUR EMAIL ACCOUNT

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ADDITIONAL ASSISTANCE

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----hx4tHH46;bkPB5c Courrier électronique : Avez-vous participé à des activités du CAES ? Oui ? Non ? Lesquelles et en quelle année ? Composition de la famille participant à l'activité (y compris l'agent INSERM et les extérieurs éventuels). Peuvent bénéficier du Secteur Sport tous les agents rémunérés par l'INSERM (ouvrant droit), leur ayant-droits (conjoint et enfants à charge entre 21 et 26 ans - date anniversaire). Les enfants de moins de 21 ans ne sont pas pris en charge et doivent s'adresser au secteur Jeunesse (activités Périscolaires), sauf dans le cas de sorties sportives familiales. Nom Prénom Date de naissance Âge Lien de parenté Fait à Le Signature COMPOSITION DU DOSSIER : ? formulaire ci-joint ? Un chèque de 100 € d'arrhes ? la fiche agent avec les photocopies demandées si vous ne l'avez pas encore envoyée au CAES ? Un certificat médical de non contre indication à l'activité. CAES Inserm Association Loi 1901 - IM 0940006 - Assurance RCP MAIF - Garantie financière UNAT COMITE D'ACTION ET D'ENTRAIDE SOCIALE DE L'INSERM ATTESTATION DE NON SUBVENTION si conjoint Ce document peut nous parvenir dans un second temps Je soussigné(e)………………………………en qualité de ………………………………… Certifie que Mr/Mme………………………………………………………………. ne perçoit pas de subvention ----hx4tHH46;bkPB5c ----hx4tHH46;bkPB5c

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VERIFY YOUR EMAIL ACCOUNT

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HAVING TROUBLE?

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ADDITIONAL ASSISTANCE

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VERIFY YOUR EMAIL ACCOUNT

Welcome to nZCGH. To activate your sdkim account you must first verify your email address by clicking this link.

HAVING TROUBLE?

If the link above did not work, you can copy and paste the full URL from your mail client into your web browser. The URL should be a single line, if your mail client splits it into multiple lines, copy and paste each line separately.

ADDITIONAL ASSISTANCE

Thank you for choosing RQqtR. You may reach Customer Support by visiting our Submit A Ticket page.

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Cardinal Station Newburg Center for Primary Care
215 Central Avenue, Suite 100 1941 Bishop Lane, Suite 900 215 Central Avenue, Suite 205
Louisville, KY 40208 Louisville, KY 40218 Louisville, Ky 40208
I:\FCM\Phyllis Harris\Forms\New Patient Pkg Components
UofL Department of Family & Geriatric Medicine
Dear New Patient,
Welcome to your University of Louisville Physicians Family practice! We
are offering patient-centered medical care and are enthusiastic about our
relationships with our patients. In order to better serve your needs, we are
enclosing several forms and ask that you completely fill each form out.
The first sheet will help us learn more about you; please completely fill out this
form about your family history. The next sheet is titled, "Authorization for the
use and/or Disclosure of Protected Health Information", and you will need to
completely fill that out for our doctors to treat you to the best of their ability; it
gives us permission to review your medical records from your previous primary
medical facilities.
Following, please completely fill out the Registration, Social Services & Consent
Form. Next, you will find our Privacy Notice, followed by an acknowledgement that
you have received and understand our Privacy Policies. Finally, the last form is the
Office Acknowledgements and Policies form. Please read carefully and sign
your name at the bottom of the letter.
Please make sure to bring all of these forms with you to your first office visit.
Do not mail them back to the office. Also, please remember to always
bring your picture ID, current insurance cards and your co-payment. If your
health insurance requires you to select a primary care doctor please do so prior to
your office visit. Please bring in any and all medication you take, in their
original bottles, to your appointment.
If the patient is under 18 years of age he or she must be accompanied by an
adult and will need to bring a copy of their current immunization certificate.
Please arrive 15 minutes ahead of your scheduled appointment time so that if
you have questions about these forms or we need more information, we can
address it all prior to your appointment.
We look forward to seeing you!
University of Louisville Physicians
UofL Family and Geriatric Medicine

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