Prompt: !?25,HD91,!?22,"Compensation and Pension Examination",!
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Prompt: ?33,"# 0105 Worksheet"
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Prompt: ?33,"# 0105 Worksheet"
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Prompt: !,"Name: ",NAME,?45,"SSN: ",SSN,!?45,"C-number: ",CNUM,!,"Date of exam: ____________________",!!,"Place of exam: ___________________",!!,"Type of Exam: ",?14,HD7
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Prompt: !!!!,"Narrative:"
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Prompt: ?13,"Once a diagnosis is established, details about the",!?13,"permanent medical residuals and how they affect the",!
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Prompt: ?13,"veteran's industrial capabilities are very important as",!?13,"the degree of impairment is used by the rating board to",!
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Prompt: ?13,"determine the percentage of disability and payments therefore.",!!
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Prompt: "A. Medical history (if a disability is already service connected, then",!?22,"provide data since last VA rating examination):",!!!!!!!!!!,"B. Subjective complaints:",!!!!!!!!!!,"C. Objective findings:",!!!!!!!!!!!
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Prompt: $S($D(CMBN):"A. ",1:"D. "),"Specific evaluation information required by the rating board",!?4,"(if the information requested is included elsewhere, do not",!?4,"repeat here):",!!!?8,"1. Blood pressure -",!!!!!!