NATIONAL ADDICTION FY22-Q1 (948) ENCOUNTER FORM (357)
Name
Value
NAME
NATIONAL ADDICTION FY22-Q1
SIMPLEX/DUPLEX
DUPLEX,LONG-EDGE BINDING
BRIEF DESCRIPTION
National Addiction October 2021
TYPE OF USE
OUTPATIENT ENCOUNTER FORM
COMPILED?
NO
USE ICR?
YES
TOOLKIT
YES
RIGHT MARGIN
133
PAGE LENGTH
80
NUMBER OF PAGES
11
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
2
SCANNABLE?: YES, PAGE SCANNABLE