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Get the free INPATIENT TREATMENT RECORD COVER SHEET. DA FORM 3647-1, 1 MAY 1979 - apd army

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INPATIENT TREATMENT RECORD COVER SHEET(For Plate Imprinting) For use of this form, see AR 40-400; the proponent agency is the Office of The Surgeon General. LINE PATIENT DATA ITEMS 1 30 (Excluding
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The inpatient treatment record cover includes detailed information about a patient's stay in a healthcare facility, including diagnosis, treatment, and outcomes.
Healthcare providers, hospitals, and facilities are required to file inpatient treatment record covers.
The inpatient treatment record cover must be filled out accurately and completely, including the patient's demographic information, diagnosis, treatment plan, and outcomes.
The purpose of inpatient treatment record cover is to document and track a patient's stay in a healthcare facility, including the care provided and outcomes.
Information such as patient demographics, diagnosis, treatment plan, medications administered, procedures performed, and outcomes must be reported on inpatient treatment record cover.
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