NATIONAL ECOE E-CON FY21-Q1 (713)    ENCOUNTER FORM (357)

Name Value
NAME NATIONAL ECOE E-CON FY21-Q1
SIMPLEX/DUPLEX DUPLEX,SHORT-EDGE BINDING
BRIEF DESCRIPTION National Epilepsy Center of Excellence E-Consults October 2020
TYPE OF USE OUTPATIENT ENCOUNTER FORM
COMPILED? NO
USE ICR? NO
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 2.1
PAGE INFORMATION
  • 1
    SCANNABLE?:   YES, PAGE SCANNABLE