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Att Z - Proposed changes Initial Hospital Intake Questionnaire
ICR 201511-0920-007 · OMB 0920-0212 · Object 60062801.
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Attachment Z: Changes to the Initial Hospital Intake Questionnaire
Proposed changes are indicated in RED.
Added question about workmen’s compensation
OLD |
NEW |
…. |
20e. Discharges of patients whose bills are paid by workmen’s compensation.
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| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | Att Z - Proposed changes Initial Hospital Intake Questionnaire |
| Author | Williams, Sonja (CDC/OPHSS/NCHS) |
| File Modified | 0000-00-00 |
| File Created | 2021-01-24 |