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Office Use Only Past Patient: YES NO Financial Class: WC MV Diagnosis 1 (Disc/ICD9): MR CH LG MC MD MCC SP Diagnosis 2 (Disc/ICD9): Evaluation Date/Time CM CP Evaluating Therapist: PT ST OT other
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Form complexity and challenges refer to the level of difficulty and obstacles faced when completing a particular form.
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Any individual or organization who needs to provide information related to complex issues and challenges is required to file a form.
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To fill out form complexity and challenges, one must carefully review the instructions provided and ensure all relevant information is accurately reported.
What is the purpose of form complexity and challenges?
The purpose of form complexity and challenges is to gather data and insights on complex issues and obstacles that individuals or organizations may encounter.
What information must be reported on form complexity and challenges?
Form complexity and challenges may require detailed information on the specific issue being addressed, the impact it has, and any proposed solutions or strategies.
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