“Key what you see” means to literally key what you see. You are trying to replicate the form as it was submitted; you cannot fix errors.
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H31_Physician_Signed
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1.
If Box 31 is blank, leave the
field blank.
2.
If a name is keyed in Box 31,
key the name.
3.
If SIGNATURE ON FILE is keyed
in Box 31, key SIGNATURE ON FILE.
4.
If both a name and SIGNATURE
ON FILE are keyed in Box 31, key the name.
5.
If both a handwritten
signature and SIGNATURE ON FILE appear in Box 31, key the handwritten
signature if legible. If it is not legible, key SIGNATURE ON FILE.
6.
If a hand written signature
appears in Box 31, key the name – ROBERT CRUIKSHANK MD.
If the spelling is unclear, sometimes the name will be keyed in Box 32 or Box 33. Note that you would not add periods to MD or add LCSW that appears in Box 33 to the signature; Box 33 is just being used to help decipher the signature as written. |
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7.
If the signature is illegible
and the name is not keyed in either Box 33 or Box 32, leave the
H31_Physician_Signed field blank.
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H31b_Date
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Hyphens, spaces, periods
and slashes are optional.
If the year is four digits,
set four digits. If the year is two digits, set two digits. If the month or
day is NOT two digits, either add a zero to make it two digits or add
hyphens, spaces, periods or slashes.
Date fields should NOT
contain alphabetic characters. If a date is spelled out (e.g., May 1, 1984),
change it to numbers. If any text appears in the field (e.g., STILL IN), do
NOT key.
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Examples:
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