NATIONAL ECOE TELE FY22-Q1 (932) ENCOUNTER FORM (357)
Name
Value
NAME
NATIONAL ECOE TELE FY22-Q1
SIMPLEX/DUPLEX
DUPLEX,SHORT-EDGE BINDING
BRIEF DESCRIPTION
National Epilepsy Center of Excellence Telephone October 2021
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
