VA-CSP DECISION-MAKING CAPACITY NAME REV (12916)    REMINDER DIALOG (801.41)

Name Value
NAME VA-CSP DECISION-MAKING CAPACITY NAME REV
COMPONENTS
  • SEQUENCE:   5
    ITEM:   PXRM COMMENT
    START NEW LINE:   NO
    REQUIRED:   YES
CLASS NATIONAL
EDIT HISTORY
  • EDIT DATE:   2015-10-02 12:08:11
    EDIT BY:   USER,SEVENTEEN
    EDIT COMMENTS:   
    Exchange Install
DIALOG/PROGRESS NOTE TEXT 
Name and role (i.e. DPOA, Guardian, etc.):
ALTERNATE PROGRESS NOTE TEXT 
Who makes health care decisions for the Veteran?
TYPE dialog element
SUPPRESS CHECKBOX SUPPRESS