NATIONAL BLIND REHAB FY22-Q1 (950) ENCOUNTER FORM (357)
Name
Value
NAME
NATIONAL BLIND REHAB FY22-Q1
SIMPLEX/DUPLEX
SIMPLEX
BRIEF DESCRIPTION
National Blind Rehab Service October 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
PAGE INFORMATION
1
SCANNABLE?: YES, PAGE SCANNABLE