VA-PALLI CONS HX SUBSTANCE GP (2919)    REMINDER DIALOG (801.41)

• SEQUENCE:   5
  ITEM:   VA-PALLI CONS TOBACCO GP
• SEQUENCE:   10
  ITEM:   VA-PALLI CONS ALCOHOL GP
• SEQUENCE:   15
  ITEM:   VA-PALLI CONS OPIOIDS GP
• SEQUENCE:   20
  ITEM:   VA-PALLI CONS SUBSTANCE OTHER GP
• SEQUENCE:   25
  ITEM:   VA-PALLI CONS TEXT BOX (E)
• SEQUENCE:   3
  ITEM:   VA-PALLI CONS BLANK SPACE INC IN NOTE (E)

• EDIT DATE:   2014-03-06 11:35:11
  EDIT BY:   USER,SEVENTEEN
  EDIT COMMENTS:   

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History of any substance misuse, current or prior: