| Parent File | Name | Number | Package | 
|---|---|---|---|
| FORM DEFINITION(#357.95) | CLINICS USING THIS FORM | 357.9501 | Automated Information Collection System | 
| Field # | Name | Loc | Type | Details | 
|---|---|---|---|---|
| .01 | CLINICS USING THIS FORM | 0;1 | POINTER TO HOSPITAL LOCATION FILE (#44) | HOSPITAL LOCATION(#44) 
 |