NATIONAL BLIND REHAB FY15-Q2 (219) ENCOUNTER FORM (357)

Name	Value
NAME	NATIONAL BLIND REHAB FY15-Q2
SIMPLEX/DUPLEX	SIMPLEX
BRIEF DESCRIPTION	National Blind Rehab Service Encounter form-Updated January 2015
TYPE OF USE	OUTPATIENT ENCOUNTER FORM
COMPILED?	NO
USE ICR?	NO
TOOLKIT	YES
RIGHT MARGIN	133
PAGE LENGTH	80
NUMBER OF PAGES	2
SCANNED/MANUAL DATA ENTRY	YES
PAPER SIZE	LETTER (8 1/2 x 11)
ORIENTATION	PORTRAIT
TEXT SIZE	133 COLUMNS x 80 LINES
PAGE INFORMATION	1 SCANNABLE?: YES, PAGE SCANNABLE