| Last, First Name [Agency ID] | Emergency Priority | Emergency Contact | Offsite Contact? |
City, Zipcode | Team | Payer | Current Assessment | |
|---|---|---|---|---|---|---|---|---|
|
#Pt_Last#, #Pt_First# |
|
|
|
#Pt_City#, #Left(Pt_Zip,5)# | Team |
|
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