NATL HT SWS FY21-Q3 (881)    ENCOUNTER FORM (357)

Name Value
NAME NATL HT SWS FY21-Q3
SIMPLEX/DUPLEX SIMPLEX
BRIEF DESCRIPTION National CCHT Social Work Services April 2021
TYPE OF USE OUTPATIENT ENCOUNTER FORM
COMPILED? NO
USE ICR? 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