NATIONAL RESP THERAPY FY15-Q3 (341)    ENCOUNTER FORM (357)

Name Value
NAME NATIONAL RESP THERAPY FY15-Q3
SIMPLEX/DUPLEX SIMPLEX
BRIEF DESCRIPTION National Repiratory Therapy (PFT/Sleep/Oxygen) March 2015
TYPE OF USE OUTPATIENT ENCOUNTER FORM
COMPILED? NO
USE ICR? YES
TOOLKIT YES
RIGHT MARGIN 133
PAGE LENGTH 80
NUMBER OF PAGES 3
SCANNED/MANUAL DATA ENTRY YES
PAPER SIZE LETTER (8 1/2 x 11)
ORIENTATION PORTRAIT
TEXT SIZE 133 COLUMNS x 80 LINES
VERSION 2.1
PAGE INFORMATION
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    SCANNABLE?:   YES, PAGE SCANNABLE
  • 1
    SCANNABLE?:   YES, PAGE SCANNABLE