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DATE B1c CLINICAL NOTES MONUMENTAL STATUS EXAM HOSP. # NAME Adapted: J. Psychic. Res., 1975, vol. 12, no. 3, pp. 189198. 78 yrs. Old BIRTH DATE ADDRESS File most recent sheet of this number ON BOTTOM
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Date hosp adapted j is a form used to report hospital adaptation measures during a specified period.
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Hospitals are required to file date hosp adapted j.
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Date hosp adapted j should be filled out with information regarding hospital adaptation measures taken during the specified period.
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Information regarding hospital adaptation measures implemented, outcomes observed, and any challenges faced must be reported on date hosp adapted j.
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