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Get GSA SF 513 1992

APPROVED PLACE OF CONSULTATION BEDSIDE ON CALL ROUTINE TODAY 72 HOURS EMERGENCY CONSULTATION REPORT RECORD REVIEWED YES NO PATIENT EXAMINED YES NO (Continued on reverse side) SIGNATURE AND TITLE IDENTIFICATION NO. DATE ORGANIZATION REGISTER NO. WARD NO. PATIENT'S IDENTIFICATION (For typed or written entries give: Name - last, first, middle; grade; rank; rate; hospital or medical facility) USAPPC V1.00 CONSULTATION SHEET Medical Record STANDARD FORM 513 (REV. 8-92) Prescribed.

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Keywords relevant to GSA SF 513

  • PROVISIONAL
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  • consultation
  • Typed
  • BEDSIDE
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