EMPLOYEE HEALTH ICD-10 (372)    ENCOUNTER FORM (357)

Name Value
NAME EMPLOYEE HEALTH ICD-10
SIMPLEX/DUPLEX DUPLEX,LONG-EDGE BINDING
BRIEF DESCRIPTION EMPLOYEE HEALTH W/ ICD-10
TYPE OF USE OUTPATIENT ENCOUNTER FORM
COMPILED? NO
USE ICR? NO
TOOLKIT YES
RIGHT MARGIN 133
PAGE LENGTH 80
NUMBER OF PAGES 4
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
  • 1
    SCANNABLE?:   YES, PAGE SCANNABLE
  • 2
    SCANNABLE?:   YES, PAGE SCANNABLE
  • 3
    SCANNABLE?:   YES, PAGE SCANNABLE
  • 2
    SCANNABLE?:   YES, PAGE SCANNABLE
  • 4
    SCANNABLE?:   YES, PAGE SCANNABLE
  • 5
    SCANNABLE?:   YES, PAGE SCANNABLE