.|.|Clinical Dementia Rating||Date Given: <.Date_Given.>|Clinician: <.Staff_Ordered_By.>|Location: <.Location.>||Veteran: <.Patient_Name_Last_First.>|SSN: <.Patient_SSN.>|DOB:
<.Patient_Date_Of_Birth.> (<.Patient_Age.>)|Gender: <.Patient_Gender.>||Dementia Rating| CDR: <-CDR->||Questions and Answers||1. Memory| <*Answer_3903*>|2. Orientation|
<*Answer_3904*>|3. Judgment and Problem Solving| <*Answer_3905*>|4. Community Affairs| <*Answer_3906*>|5. Home and Hobbies| <*Answer_3907*>|6. Personal Care| <*Answer_3908*>|||Information
contained in this note is based on a self-report assessment and is not sufficient to use alone for diagnostic purposes. Assessment results should be verified for accuracy and used in conjunction
with other diagnostic activities and procedures.| $~
|
