Prompt: !?25,HD91,!?22,"Compensation and Pension Examination",!
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Prompt: ?33,"# 1325 Worksheet"
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Prompt: ?33,"# 1325 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,"The recommended test substances are sugar, diluted acetic",!?13,"acid, quinine, and common salt. If electrogustrometry",!?13,"is available, it should be used as the preferred test for",!
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Prompt: ?13,"this exam. Report whether loss is partial or complete",!?13,"and whether it is on an organic basis. If a psychiatric",!?13,"basis is suspected, a special psychiatric examination",!?13,"should be ordered.",!!!
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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,"Substances used for testing and results:",!!?13,"1. Sweet -",!!!?13,"2. Sour -",!!!?13,"3. Bitter -",!!!
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Prompt: ?13,"4. Salt -",!!!,$S($D(CMBN):"B. ",1:"E. "),"Diagnostic/clinical test results:",!!!!!!!!!!