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Clear Form Search Print Page Email Page DEPRESSION CLIENT NAME: Date: Male Female Date of birth: Height: Weight: Tobacco Use: Never used Totally stopped Date stopped: Use now Type of nicotine product:
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Depression - ipg-uscom is a form used for reporting information related to depression in a standardized manner.
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Healthcare providers and facilities treating patients with depression are required to file depression - ipg-uscom.
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The purpose of depression - ipg-uscom is to collect and analyze data on depression treatment and outcomes for research and healthcare quality improvement.
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Information such as patient demographics, depression severity, treatment modalities, and follow-up care must be reported on depression - ipg-uscom.
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