| Name | Value |
|---|---|
| NAME | SECONDARY DIAGNOSES CODES |
| FORM | NATIONAL BLIND REHAB FY14-Q2 |
| BLOCK'S STARTING ROW | 36 |
| BLOCK'S STARTING COLUMN | 0 |
| WIDTH IN CHARACTERS | 132 |
| HEIGHT IN LINES | 40 |
| OUTLINE TYPE | SOLID LINE |
| BLOCK HEADER | PLEASE CHECK OFF DIAGNOSIS TREATED THIS VISIT |
| HEADER APPEARANCE | BC |
| BRIEF DESCRIPTION | Selection list - ICD-9 dx codes |
| TOOLKIT ORDER | 0 |