Prompt: !?25,HD91,!?22,"Compensation and Pension Examination",!
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Prompt: ?33,"# 0610 Worksheet"
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Prompt: ?33,"# 0610 Worksheet"
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Prompt: !,"Name: ",NAME,?45,"SSN: ",SSN,!?45,"C-number: ",CNUM,!,"Date of exam: ____________________",!!,"Place of exam: ___________________",!!,"Type of Exam: ",HD7
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Prompt: !!!!,"Narrative:"
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Prompt: ?13,"A complete and detailed examination of the entire",!?13,"genitourinary system is needed with close correlation",!?13,"between this, the history and laboratory studies.",!?13,"Any penile deformity should be described in detail.",!!
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Prompt: "A. Medical history:",!!!!!!!!!!,"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):",!!!
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Prompt: ?8,"1. Extent of loss -",!!!!!?8,"2. Erectile power preserved -",!!!!!?8,"3. If impotent, state cause -",!!!!!
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Prompt: ?8,"4. State whether impotence is permanent or if erectile power",!?11,"can be restored -",!!!!!?8,"5. Describe any penile deformity in detail -",!!!!!!
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Prompt: $S($D(CMBN):"B. ",1:"E. "),"Diagnostic/clinical test results:",!!!!!!!!!!