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MAN No. ASSIST Acute Screening of Swallow in Stroke/TIA Print name & profession: Name:. Address:. Date of Birth: Sex: Please fill in if patient label is unavailable Signature: DATE //20 Time of Assessment:
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Start by entering the date in the designated field. Use the format of day/month/year, with leading zeros if necessary. For example, if the date is January 5th, 2022, enter 05/01/2022.
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Next, indicate the exact time in the specified field. Please use the 24-hour clock format, where hours range from 00 to 23 and minutes from 00 to 59. For instance, if the time is 3:30 PM, input 15:30.
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