| 45965-1 | Name:-:Pt:^Patient:Set: | |
| 45396-9 | Social Security # | |
| 46635-9 | Categories:Find:Pt:^Patient:Nar:RFC assessment | |
| 46612-8 | Summary conclusions:-:Pt:^Patient:Set: | |
| 46634-2 | Functional capacity assessment:Find:Pt:^Patient:Nar:RFC assessment | |
| 30947-6 | Date form completed | |
| 46611-0 | Mental residual functional capacity (RFC) assessment form:-:Pt:^Patient:-: | |