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WebIf capability arises as an issue, DUA may require a claimant to submit a health provider form. ... Note: DUA uses continues to use a Health Care Provider’s Statement of Capability (see Appendix Q) that questions whether “the patient [is] currently able to work part-time with no restrictions.” The questions on the form concerning full time ... Weba) Minimum Data Set. b) Time and means of the patient's arrival. c) Patient's complete medical history. d) APGAR. B). Time and means of the patient's arrival. 8. Which of the following statements is true of the process that should be followed in making corrections in paper-based health record entries? a) Addendum should be backdated. WebHealth Care Provider (HCP) must fully complete Section B and certify the information at Section . It is your resC ponsibility to ensure that the HCP completes this form and it is … the table nz