NATL HOSP/PALL OTPT FY15-Q4 (437) ENCOUNTER FORM (357)
Name
Value
NAME
NATL HOSP/PALL OTPT FY15-Q4
SIMPLEX/DUPLEX
DUPLEX,SHORT-EDGE BINDING
BRIEF DESCRIPTION
NATIONAL HOSPICE AND PALLIATIVE CARE August 2015
TYPE OF USE
OUTPATIENT ENCOUNTER FORM
COMPILED?
NO
USE ICR?
YES
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
