Document

Medical Abstraction Form

ICR 201504-0920-005 · OMB 0920-1011 · Object 55204601.

Document Viewer [docx]

Status: Original and derived artifacts are available for this document.

Download: docx | pdf | html

Primary: docxSource: application/octet-stream
Loading document viewer…

Document Metadata

Record metadata
application/octet-stream
Medical Abstraction Form
CDC User
Writer
2014-05-23
2026-09-20
complete