Document

Appx 6 Medical Chart Abstraction Form SAMPLE

ICR 201607-0923-002 · OMB 0923-0051 · Object 66461501.

Document Viewer [docx]

Status: The document is viewable, but some background extraction is still pending.

Queue: Repair is in progress, but the document is still incomplete and remains in the worker queue. (priority 70 · next 2026-05-11 11:57:07)

Missing: html

Download: Source copy (docx)

Primary: docxSource: application/vnd.openxmlformats-officedocument.wordprocessingml.document
Loading document viewer…
Document Metadata
File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleAppx 6 Medical Chart Abstraction Form SAMPLE
AuthorCDC User
File Created2021-01-23
Conversion Statepartial