NATL HT SWS FY15-Q4 (440)    ENCOUNTER FORM (357)

Name Value
NAME NATL HT SWS FY15-Q4
SIMPLEX/DUPLEX SIMPLEX
BRIEF DESCRIPTION National CCHT Social Work Services July 2015
TYPE OF USE OUTPATIENT ENCOUNTER FORM
COMPILED? NO
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