NATIONAL SWS MH FY15-Q3 (345)    ENCOUNTER FORM (357)

Name Value
NAME NATIONAL SWS MH FY15-Q3
SIMPLEX/DUPLEX SIMPLEX
BRIEF DESCRIPTION National Social Work Service Mental Health 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 3
PAGE INFORMATION
  • 1
    SCANNABLE?:   YES, PAGE SCANNABLE
  • 2
    SCANNABLE?:   YES, PAGE SCANNABLE