ASSISTIVE DEVICE REGISTRATION (20) ORDER TYPE (791810.1)

Name	Value
NAME	ASSISTIVE DEVICE REGISTRATION
TYPE ABBREVIATION	G
PATIENT OR STATION	PATIENT
DISPLAY COSTS?	DO NOT DISPLAY COSTS
SHORT NAME	ASSTR
NON-CONTRACT ITEMS	ASSUME NON-CONTRACT ITEMS
ASK TO VIEW ADDRESS	ASK TO VIEW ADDRESS
ITEM EDIT STRING	.05;.03;.02;.11;101
EDIT FIELDS	EDIT FIELD NUMBER: 1 FIELD NUMBER IN 791810: .08 REQUIRED FOR COMPLETION: REQUIRED FOR COMPLETION PROMPT: Request. By VARIABLE NAME: RMPFADP EDIT FIELD NUMBER: 2 FIELD NUMBER IN 791810: .09 REQUIRED FOR COMPLETION: REQUIRED FOR COMPLETION PROMPT: Req. Date VARIABLE NAME: RMPFODP EDIT FIELD NUMBER: 3 FIELD NUMBER IN 791810: 2.01 REQUIRED FOR COMPLETION: REQUIRED FOR COMPLETION PROMPT: Dis. Code VARIABLE NAME: RMPFDC EDIT FIELD NUMBER: 4 FIELD NUMBER IN 791810: S RMPFMOD="" EDIT FIELD NUMBER: 5 FIELD NUMBER IN 791810: 10.01 PROMPT: Remarks VARIABLE NAME: RMPFRMK
PRODUCT GROUP(S)
AVAILABLE TO ROES MENU #
DISABILITIES ALLOWED	AMP AO BLD DEAF ORTH
ITEM REQUIREMENTS STRING	.01;.03;.11