| Parent File | Name | Number | Package |
|---|---|---|---|
| 9001026.01 | INTAKE FORMS TO INCLUDE | 9001026.12 | Patient Care Component |
| Field # | Name | Loc | Type | Details |
|---|---|---|---|---|
| .01 | ORDER OF FORM PRINT | 0;1 | NUMBER |
|
| .02 | INTAKE FORM | 0;2 | POINTER TO HEALTH SUMMARY PWH FORMS FILE (#9001025.06) | ************************REQUIRED FIELD************************ HEALTH SUMMARY PWH FORMS(#9001025.06)
|