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The patient is a [text name="variable_1" default="-year-old"] [select name="variable_1" value="male|female"] open to home health for the following services: [checkbox name="variable_1" value="medication teaching|wound care|home safety|knee pilot|hip pilot"].


Pertinent Medical History includes:
[checkbox name="variable_1" value="Diabetes|Heart Failure|HTN|Recent Joint Surgery"]
The patient is a open to home health for the following services: .


Pertinent Medical History includes:
Result - Copy and paste this output: