8 hours ago Dshs.texas.gov Show details . You need to complete a separate form to authorize disclosure of psychotherapy notes (45 CFR 164.508(b) (3) (ii)). Please direct questions about the following TDH legacy forms to the Accounting Section, Claims Processing Unit, phone (512) 776-7435. The company's data & technology platform matches and connects consumers seeking to purchase insurance with relevant options from the company's broad direct network of insurance providers, saving consumers and providers time and money. Individuals may ((request this form from DSHS, Forms and Records Management Services, P.O. I am not guaranteed services on the basis of this Authorization. 1 hours ago Free Washington POLST Form PDF 156KB 2 Page(s) Page 2. 4 hours ago Dshs.wa.gov Show details . Found inside – Page 63The best disclosure forms clearly explain services , fees , conditions of move in and move out , the individualized assessment process ... Washington Disclosure of Services , DSHS 10-351 , www.dshs.wa.gov/pdf/ms/forms/10 351.pdf . www.wahealthplanfinder.org, by calling, 5 hours ago Dshs.texas.gov Law. The advanced tools of the editor will lead you through the editable PDF template. As noted in the sections below, many Medicaid and CHIP flexibilities have been extended through November 30, 2021. The client will then need to take the form to DOL, along with required evidence of identity as requested by DOL, and $5 to apply for the Identicard. Submit a Hotline Complaint. 908, Sec. Updated 5/2014.Form #B-13A (77 KB, XLS format), Form #GC-4a (269a), Financial Status ReportPurpose: To report on a periodic basis, current and cumulative financial information (i.e., expenditures, program income, etc.) 6, eff. Olympia, WA 98504-7865. This is the first time tobacco data on young adults as a discrete population have been explored in detail. The report also highlights successful strategies to prevent young people from using tobacco. 05/2015 Page 1 of 4 If needed the home may provide assistance with eating as follows 2. (2) not subject to disclosure under Chapter 552, Government Code; and (3) subject to the same confidentiality and disclosure requirements to which a report, information, or record of a medical peer review committee under Section 160.007, Occupations Code, is subject. Syphilis Email HIV, STD, Hepatitis C, and TB data requests to the Program – This email can be used to request data and statistics on HIV, STDs, Hepatitis C, and TB in Texas. Download Printable Dshs Form 27-094 In Pdf - The Latest Version Applicable For 2021. The Government Affairs team is hard, Posted in: Insurance Law, Form LawShow details. Past Week Initial, Renewal, or Change of Ownership - including legal entity (EF23-10853) (PDF, 502 KB) Minor Amendment Change - Name, Address (EF23-12981) (PDF, 496 KB) Food Warehouse Operators. Your permission expires 180 days after Contact your licensing board or program Internet Policy. Responses Due: December 1, 2021 by 10:30 a.m. Central Time . How do I report non-acute HIV or AIDS cases among adults or adolescents ages 13 and older? This section covers records relating to the background check services provided by the Background Check Central Unit (BCCU). 2.2.3 What are the support service limits? Found inside – Page 43062Type of Information Collection Health Resources and Services Administration ( HCFA ) , Department of Request : Reinstatement ... Form No .: HCFA - 276 ; Comment Request Use : These forms are needed to establish invited to send comments ... All rights reserved. Email data requests to the TB Program DSHS - CSD Customer Service Center PO Box 11699 Tacoma, WA 98411-6699. DSHS 10-351 (REV. A provider may use both the DSHS consent form for the ECT and the Panel's Disclosure and Consent---Medical and Surgical Procedures form and Disclosure and Consent for Anesthesia and/or Perioperative Pain . You may download some DSHS forms. DSHS forms are available for electronic completion in different software; however, all DSHS forms below are available as Adobe Acrobat PDF files. The lists This means you can open, view, and print each form. Medical records. Form #GC-11, Nonexpendable Personal Property, Purpose: To report on an annual basis equipment purchased through DSHS contracts.Form #GC-11, In-Kind (Volunteer) Professional Services (Pro-Forma Invoice), Purpose: Form for backup documentation to support in-kind contributions.In-Kind (Volunteer) Professional Services (Pro-Forma Invoice) (68 KB, Word format). To make sure the hospital reviews your application and documents in a timely manner, you should: Posted in: Form Law, Document LawShow details. local reporting authority. Found inside – Page 25( ii ) Requiring the individual to complete and sign a DSHS background authorization form prior to the individual ... all background check authorization forms to the department's : ( A ) Aging and disability services administration with ... Texas Birth Certificate Application (PDF) Spanish Application (PDF) or Order Online 24/7 *. (2) Ther e is a substantial change in the person ’ s health status, or. Posted in: Dshs provider formsShow details, 888-338-74102 hours ago www.dshs.wa.gov for locations. services. By asking for an appeal, you will be scheduled an . Such challenges are manageable when following the best practices outlined in this book, which illustrates how to conduct mental health services via videoconferencing and other technologies. If known, patient's six digit DOC number: or DSHS State Hospital Medical Record number: Requested Information to be released by Mental Health Service Provider per RCW 71.05. All content is viewable but it will not display as intended. We've compiled the list of DFPS forms below to make finding forms easier. 1 These courses serve to meet the training requirements set forth in Texas Health and Safety Code, Ch. To subscribe to the Funding Alert and other services, please complete the online, Posted in: Form Law, Services LawShow details. Minimum DSHS Computer Specifications (03/2009) – Suggested Minimum computer equipment specifications required for computer equipment purchases approved by the Department of State Health Services. Forms are ordered by their number, then alphabetically. The book takes a friendly-mentor approach to communication in areas such as: Logistics for administrators: Clinical videoconferencing infrastructures and technologies Policy development, procedures and tools for responsible and compliant ... Records exempt from public disclosure are listed under chapter 42.56 RCW, WAC 388-01-120 , and other federal and state laws applicable to DSHS. Phone: (512) 776-7676, Posted in: Services Law, Sea LawShow details, 3 hours ago DSHS has developed a one-page document that summarizes the long-term care benefit, including the premium assessment. 4 Background Check Authorization Forms and Results for Employed Individuals (Originating DSHS Office) Gender of individual listed on record. Section 1557 is the nondiscrimination provision of the Affordable Care Act (ACA). This brief guide explains Section 1557 in more detail and what your practice needs to do to meet the requirements of this federal law. sent form and disclosure form. This page contains Texas Department of Health (TDH) legacy forms that are used to maintain client services grant contracts. Read the instructions to find out which details you need to give. Execute Disclosure And Consent Medical And Surgical Procedures English - Dshs Texas in just a couple of moments by using the guidelines below: Pick the template you want from the library of legal forms. Please provide me with exemption affidavit forms for the individuals listed below (maximum 5 forms per individual). 4 hours ago Home and Community-Based Services Spending Plan. Vendor Certification for Computer Equipment Purchased by DSHS Contractor (03/2009) – This vendor certification may be completed by the vendor and attached to the vendor's computer equipment quote and specifications. For information about appeals for DSHS programs, you may contact DSHS Customer Service Contact Center at 1-877-501-2233 or visit your local Community Services Office. CY 863 - Verbal Request for Release of Child. DSHS Constituent Services 1-(800)-737-0617 Other places to go for help. 8 hours ago The parent / guardian can complete, sign, and mail the completed form to the DSHS address listed on the form at any time. Send forms to: Central Child Care Unit 1305 E Walnut St Des Moines, IA 50319-0114 Facilities. power of attorney or you have signed a consent form authorizing the disclosure of this informa tion. Ensure that a complete and current DSHS form 17-211 (Authorization for SSI Facilitation Records) is on file. P. O. This FSR workbook is fully functional WITHOUT the use of macros.Form #GC-4a (269a) (254 KB, Excel format), Instructions for Form #GC-10 (270), Request for Advance or ReimbursementPurpose: This financial status report is usually required annually for contracts paid on a fee-for-service basis. 8 hours ago •as Law requires the test for Tex your baby. Adjustment Request Individual 12/2017. 3 hours ago DSHS forms are available for electronic completion in different software; however, all DSHS forms below are available as Adobe Acrobat PDF files. 2.2.4 What is the Transportation Initiative pilot (SFY21-22)? DSHS public assistance clients will need to get a “Request for Identicard form” completed by DSHS to take to DOL. This report form should be completed for the following: Syphilis test results should be submitted within three (3) working days and all other reportable STD (including HIV) test results should be submitted within seven (7) calendar days. Mail the complete application form to DCYF, PO Box 11346, Tacoma, WA 98411-9903, or fax to 877-309-9747. 09/2014) The home's provider or entity representative must live in the home, or employ or have a contract with a resident Filter Type: All Time however, services to be paid for by any third party are conditioned upon my signing this Authorization for disclosure to the third party when Authorization is required by law or for payment purposes. Address Correction Form for Providers 04/2017. 833-986-19199 hours ago Complete - Dshs Texas online with US Legal Forms. DFPS - DFPS Forms. DISPOSITION AUTHORITY NUMBER (DAN) DESCRIPTION OF RECORDS RETENTION AND DISPOSITION ACTION DESIGNATION 10-04-62157 Rev. Response: DSHS agrees and revises the informed consent form forms from DSHS or Social Security. Economic Services Administration Department of Social and Health Services PO Box 45857 Olympia 98504-5857 . Austin, Texas 78714. 2 hours ago checkCookies. Hide details. | Arizona Department of Health Services. Welcome to the world of health care! Soon you will be helping people to meet their eating and drinking needs. You will also play an important part in making mealtime a social and fun experience. reportable test results from point of care testing for STDs (including HIV). Completing SSI application forms and filing the application packet with SSA. Sunny. Past 24 Hours Intake phone numbers for Home and Community Services (request for HCS services; in-home care, care in a residential setting or nursing facility coverage) are found in Applications for long term services and supports (LTSS). Box 45805, Olympia, WA 98504-5805, (360) . Fill out, securely sign, print or email your HCS / AAA / DDA Individual Provider Contractor Intake instantly with SignNow. Contact Us: [email protected], 2021 Polaris General 1000 4 Service Manual, Do You Need Public Liability Insurance For Your Business, Declawed Cats For Adoption Within 60 Miles, Do You Need To Install A Cat Door With Door Buddy, Do Male Cats Spray Once They Have Been Neutered, Do You Need A Solicitor For An Employment Case, Do You Have To Surrender Your License Plate In Delaware, Does Wa State Have A Child Abandonment Law, Do You Have A Crush On Your Mother In Law, Does The Irs Use Certified Mail To Send Letters, Does Disney Offer Law Enforcement Discount. The form is available in English, Spanish and Vietnamese. 2.2.2 What is the purpose of support services? HOME / PROVIDER LICENSE NUMBER NOTE: The term "the home" refers to the adult family home / provider listed above. Additionally, a processing fee of $25.00 must be paid to the DSHS fiscal department for this service. IME Provider Forms Web Site In Home Health Related Care Providers. WSHA’s 2021 New Law Implementation Guide Please visit WSHA’s new law implementation guide online. Comment: TMA suggested that DSHS clarify the information re-quired for the "Treatment Information" fieldon the informed con-sent form located on DSHS's website. 4 hours ago AFH Information Changes Form (DSHS 10-585) Word / PDF AFH Personnel Changes (DSHS 02-709) Caregiving Experience Attestation (CEA) Form (DSHS 10-417) Disclosure of Charges Form Word / PDF (DSHS 15-449) Disclosure of Services Form Word / PDF (DSHS 10-508) Instructions for Completing and Submitting Disclosure Forms AFH Incident Log (DSHS 13-645) Notice of Transfer & Discharge local reporting authority within one working day. Note: Javascript is disabled or is not supported by your browser. Correcting a Birth Certificate (PDF) Spanish Application (PDF) VS-170. Kim Reynolds on Friday signed into law a bill that allows Iowa workers to seek medical and religious exemptions from COVID-19 vaccine mandates. Dshs.wa.gov DA: 15 PA: 50 MOZ Rank: 68. Dec 09-10, 2021. Texas Law and Administrative Code requires laboratories to report test results for the following diseases: NOTE: Communicable disease reporting is exempt from . Everyone entering the covered entity should receive a copy of this notice, and a good faith effort must be made to have each recipient sign a form attesting to receipt of the notice. Research available information to become familiar with the person's situation such as: a. This means you can open, view, and print each form. local reporting authority within the required time frame for all If so, simply click the “Disable Macros” button and continue. 13.05: PDF: Fees Charged for Client Records (09/04/2012) 13.06: PDF: DSHS Issued Electronic Devices (06/01/2021) . Free Internet modem. perinatally HIV exposed), Children that meet the pediatric AIDS case definition, Children who have seroreverted (lost maternal antibodies), Any specimen derived from a human body that yields microscopic, culture, serologic, or any other evidence of an STD (including HIV), All HIV viral loads (both detectable and undetectable), Positive and negative HIV DNA or RNA virologic test results for infants up to three (3) years of age, All supplemental tests for syphilis and HIV that result from an initial positive screening test, regardless of result (positive and negative). Spectrum makes it simple for qualified households to sign up for low-income Internet assistance. Submit a completed Confidential Report of Sexually Transmitted Diseases Form (STD-27) (PDF) to your Found inside – Page 289ed that nonetheless “some form of videotex will be at the vanguard of information technology in the future. ... Although the State has not had any funds disallowed, the Department of Social and Health Services (DSHS) has been concerned ... The Client Services Contracting Forms page contains Texas Department of Health legacy agency forms that were used to maintain client services grant contracts. How do I report an infant that may have been perinatally exposed to HIV? Winds SSE at 5 to 10 mph.. Tonight. 888-963-7111Just Now Texas Department of State Health Services Funding Information Center Toll free: 1-888-963-7111 ext. High around 90F. SPOKANE – An Okanogan County man has won new consideration by the state Department of Social and …, 5 hours ago Scattered frost possible. Just Now The way to fill out the Snap mid certification form on the internet: To begin the document, utilize the Fill & Sign Online button or tick the preview image of the blank. 888-201-10148 hours ago Dshs.wa.gov Law. Forms DSHS. 3 hours ago Medicaid and CHIP Flexibilities. 1. 8 hours ago Course For Parents provides access to the Parent Education And Family Stabilization Course, which may be a court-ordered parenting class required in the state of Washington for parents that are seeking a divorce according to Rule 17 under Chapters 26.09, 26.10, and …, Posted in: Family Law, Divorce LawShow details, Just Now Man wins appeal in DSHS ruling case. Start a free trial now to save yourself time and money! How to request public records. Multiple entries indicate a form is available in more than one format, e.g. 7 days a week toll-free at 833-986-1919. Tuberculosis in the Workplace reviews evidence about the effectiveness of control measuresâ€"such as those recommended by the Centers for Disease Control and Preventionâ€"intended to prevent transmission of tuberculosis in health care ... On September 3, CMS responded to the DHCS plan which included a request for more information. (2) DSHS public records are available to the public unless a law exempts them from disclosure. 06/2016) Personal Care "Personal care services" means both physical assistance and/or prompting and supervising the performance of direct You may be able to keep Apple Health coverage during the hearing process if you request a hearing in less than 10 days. Vendor Information Update and Maintenance (12/2009)Form #EF29-12391 (12/2008), Computer Purchase Requirements for DSHS Contractors. . (c) If the DSHS consent form is in compliance with the HSC §578.003, and contains the minimum information required by the panel, a physician or health care provider using the DSHS consent form for electroconvulsive therapy is not required to use both the DSHS form and the panel's disclosure and consent form. What information should be included on the Adult HIV/AIDS Confidential Case Report Form? Where can I get copies of the Adult HIV/AIDS Confidential Case Report Form? Enter your official identification and contact details. CY 321 - Day Care Agreement. June 18, 1999. Adult Family Home Disclosure of Services Required by RCW 70. DSHS will review and respond to your request within 30 business days. Forms DSHS. 2/17) ii . 150 North 18th Avenue Phoenix, Arizona 85007. Join us in Transforming Lives! Use this form to request a hearing before a judge. Chlamydia, Gonorrhea, and Chancroid Is there a vaccine to prevent COVID\u201019 as of Nov 2020? 6039E, 22 U.S.C. GENERAL INSTRUCTIONS FOR COMPLETING THE MEDI-CAL DISCLOSURE STATEMENT •DO NOT USE staples on this form or on any attachments. 8 hours ago Features. Hepatitis C. What test results for sexually transmitted diseases do laboratories need to report in Texas? Pay-To/1099 changes must be accompanied by a completed W-9 form. To open, view, and print PDF forms, you need to download the free Adobe Acrobat Reader. 4 hours ago 3 hours ago DSHS forms are available for electronic completion in different software; however, all DSHS forms below are available as Adobe Acrobat PDF files. Please direct questions about them to CSCU, phone (512) 458-7470, mail code 1886, email CSCU Customer Support. Optional in-home WiFi service at $5/mo. (254) 771-6784. your eligibility for health coverage, long-term services and supports (LTSS), or a health plan. How long is the designation effective? Provider Health Assessment 470-0672. vs DOE Notice of Potential Disclosure of Student Records. Our vision is to ensure that Washington state's children and youth grow up safe and healthy—thriving physically, emotionally and academically, nurtured by family and community. CY 867 - Emergency Contact/Parental Consent Form. Simply click “OK” and continue. P.O. Just Now EverQuote operates a leading online insurance marketplace, connecting consumers with insurance providers. Forms A - C. Abortion Services Physician Certification Form MA-37 09/2021. CD 353 - Provisional Hire Waiver Request for Child Care. Disclosure of Services; Services Provided by: Service Of Solace Llc. The portal is a secure platform for: COMMISSIONER P.O. Response: DSHS agrees and revises the informed consent form located on the DSHS website. Enter your official identification and contact details. in comparison to the approved contract budget. Contact and Connect. The form setting forth the scope of an adult family home's care, services, and activities must be available from the adult family home through a link to the department's web site developed pursuant to this section. 211a et seq. Start a free trial now to save yourself time and money! How do public health, hospital, commercial, and other laboratories report the results for each specimen that yields evidence of a suspected STD? B-19, Travel to Agency-Sponsored Training Seminar (32KB Word), B-71 Word, Multiple Activity Travel Report (168KB), B-71 Excel, Multiple Activity Travel Report (46KB). Form revised 12/2002.Form #GC-10 (270) (231 KB, PDF format), Form #EF29-12503, Vendor Direct Deposit Authorization FormPurpose: Used by vendors/payees to authorize direct deposit of payments and advanced payment notification (for return to the paying state agency). The form begins with a cover page describing the purpose of the form and its expiration date . The Texas Department of State Health Services has published a standard consent form for ECT (see, 25 Texas Administrative Code Sec. 9 hours ago DSHS public assistance clients will need to get a “Request for Identicard form” completed by DSHS to take to DOL. Insurance companies can use the Notification of Positive HIV Status Form to report a positive HIV test. Behavioral Health Administration (BHA), The Office of Forensic Mental Health Services (OFMHS) has an opportunity for a Forms . PLEASE NOTE: When opening the FSR workbook, a security warning regarding macros might appear. Jay Leivdal. HIVSTDReporting@dshs.texas.gov. Human services provider license application forms are available for applicants seeking to provide adult day care, adult foster care, child care and child foster care and other state-licensed services. Travel Voucher Form (2010), Travel Reimbursement for DSHS employees on or after January 01, 2010 (300KB Excel) 02/2010. Found inside – Page 143DSHS encourages that all public record requests be in writing on a " request for disclosure of DSHS records " form , DSHS 17-041 ( X ) . Individuals may request this form from DSHS , Forms and Records Management Services , P.O. Box ... Box 47865. Mail this form within 90 calendar days of the date on eligibility notice you disagree with. 800-562-6078 7 hours ago If the vulnerable adult lives in a facility or receives supported living services: Call the DSHS Complaint Resolution Unit toll-free Hotline 1-800-562-6078 OR submit an Online Incident Report.If the vulnerable adult lives in their own home or a facility: report by phone or submit an Online Incident Report. Consult the corresponding hosting page for more information about a form. Disclosure of Charges Form Word / PDF (DSHS 15-449) Disclosure of Services Form Word / PDF (DSHS 10-508) Instructions for Completing and Submitting Disclosure Forms; AFH Incident Log (DSHS 13-645) Notice of Transfer & Discharge (DSHS 15-458) Request for AFH Application Fee Waiver (DSHS 15-436) Request Licensed Bed Capacity Increase (DSHS 06-168 . Get the free disclosure of services form dshs 2015-2021. 855-567-02527 hours ago Clarifying Information. Knows the nearest public bus stop to your home. RFA No. Written by practitioners and scholars from many disciplines, this book discusses social issues of consequence to Latinos and specific strengths and risk factors of the Latino community. Forms not completely filled out may be returned, delayed, or declined at your responsibility. CY 113 - Pennsylvania Child Abuse History Clearance. Email HIV, STD, Hepatitis C, and TB data requests to the Program - This email can be used to request data and statistics on HIV, STDs, Hepatitis C, and TB in Texas.It cannot be used to get treatment or infection history for individuals, or to request information on . Contact your Keep to these simple instructions to get Adult Family Home Disclosure Of Charges prepared for sending: Find the sample you will need in the collection of legal forms. EATING ADULT FAMILY HOME DISCLOSURE OF SERVICES REQUIRED BY RCW 70. Outpatient service records (current or most recent episode of services): Intake assessment Treatment plan Psychiatric medical evaluation/assessment The following forms are generated as part of your contract. HHS0010223. U.S. Department of Health & Human Services Subject: This form allows an individual to provide consent for sterilization. This book draws attention to the complexity of helping battered women and their children. The authors introduce a new model of women-defined advocacy that emphasizes several topics, including understanding a battered woman's perspective. Apply a check mark to indicate the choice wherever necessary. Box 149347 • Austin, Texas 78714 -9347 1-888-963-7111 • www.dshs.state.tx.us Complete WA DSHS 15-449 2015-2021 online with US Legal Forms. local reporting authority within one working day. Except as authorized by state and federal law, (including, but not limited to, the Health Insurance Portability and Accountability Act), publication, disclosure or discussion of any information or AFH Information Changes Form (DSHS 10-585) Word / PDF AFH Personnel Changes (DSHS 02-709) Caregiving Experience Attestation (CEA) Form (DSHS 10-417) Disclosure of Charges Form Word / PDF (DSHS 15-449) Disclosure of Services Form Word / PDF (DSHS 10-508) Instructions for Completing and Submitting Disclosure Forms AFH Incident Log (DSHS 13-645 . These are provided only if a DSHS program requests forms to be available electronically for public use. Date of birth on record. This modern handbook boasts more than 350 of the best recipes ranging from jams and jellies to jerkies, pickles, salsas, and more-including extender recipes to create brand new dishes using your freshly preserved farmer's market finds or ... We work to improve services. The advanced tools of the editor will lead you through the editable PDF template. The most secure digital platform to get legally binding, electronically signed documents in just a few seconds. 800-562-60783 hours ago Residential Care Services Online Incident Reporting DSHS. Administrative hearing request – HCA/HBE PDF. We do our best to ensure the links below are accurate; but . The information in this form is meant to help people search for a home that best suits their needs and choices. How do health care providers report the results for point of care tests? Preview / Show more . Instructions are included. Texas Law and Administrative Code requires health care providers to report the following diseases: HIV and AIDS DSHS BHA Forms And Records Analyst 2 . The scope of care, services, and activities listed on this form may not reflect all required care and services the home must provide. CY 862 - Medication Log. Name of Parent, Legal Guardian, or Self. DSHS DDA Lakeland Village Residential Services CoordinatorThe Developmental Disabilities Administration is hiring a Residential Services Coordinator in Medical Lake, WA. C. §§10001-10006 ("FOIA"), a FOIA request or petition, along with any information contained therein or any documents attached thereto, submitted to any "public body" subject to FOIA, including, without limitation, any board, bureau, commission, department, agency or committee of the State . Provide …. Amharic PDF. To open, view, and print PDF forms, you need to download the free Adobe Acrobat Reader. The Behavioral Health Barometer: United States, Volume 5: Indicators as measured through the 2017 National Survey on Drug Use and Health and the National Survey of Substance Abuse Treatment Services, is one of a series of national, regional ... DHCS Homepage. The boarding home licensee shall disclose to the residents, the residents' legal representative if any, and if not, ; 8 U.S.C. Change in Bed Capacity or Licensed Rooms Form (DSHS 06-176) Character, Competence, and Suitability (CCS) Determination Form (DSHS 15-456) Citation Frequency & Related Data; Contact RCS; Dementia Screening Tool (DSHS 13-692A) Disclosure of Services Form ( DSHS 10-351) PDF Format; Word Format; DSHS Forms; Emergency Preparedness. If you are a passionate, detail-oriented team player and self-starter with a positive attitude, this may be the next step in your career.
Shapel Lacey King And The Sting, Queen's Open Tennis 2021 Scores, Brassring Kenexa Login, Trademark Abbreviations, By Our Love Christy Nockels Instrumental, Carytown Burgers And Fries Food Truck Menu, Head Graphene Radical 180 Racquetball Racquet,