| Name | Value |
|---|---|
| NAME | NATL TELEHLTH-PT SITE FY15-Q2 |
| SIMPLEX/DUPLEX | SIMPLEX |
| BRIEF DESCRIPTION | National Telehealth-Patient Site January 2015 |
| TYPE OF USE | OUTPATIENT ENCOUNTER FORM |
| COMPILED? | 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 |
| VERSION | 3 |