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CommonLook PDF Compliance Report

Generated by CommonLook® PDF Validator. For full PDF accessibility remediation functionality, Please refer to CommonLook® PDF GlobalAccess

Name of Verified File:

430_AttachmentE_5 Years Old_R.pdf

Date Verified:

12 December 2024

Results Summary:

Number of Pages: 1

Total number of tests requested: 27

Total of Failed statuses: 0

Total of Warning statuses: 123

Total of Passed statuses: 11

Total of User Verify statuses: 184

Total of Not Applicable statuses: 6

Structural Results

Accessibility Results

Section 508 (2001)

SerialPage No.Element PathCheckpoint NameTest NameStatusReasonComments
1(d) ReadabilityForm Annotations - Valid TaggingPassedAll Form Annotations are tagged in Form Tags.
2(d) ReadabilityLink Annotations - Valid TaggingPassedAll tagged Link annotations are tagged in Link or Reference tags.
3(d) ReadabilityTH, TD - Parent and children are validPassedAll Table Data Cells and Header Cells passed
4(d) ReadabilityTHead, TBody, TFoot - Parent and children are validPassedAll THeads, TFoots and TBodies passed.
5(d) ReadabilityTable Row - Parent and children are validPassedAll Table Rows passed.
6(d) ReadabilityTable - Parent and children are validPassedAll Table elements passed.
7(e) Server-side image mapsFound in documentPassedNo Server-side image maps were detected in this document (Links with IsMap set to true).
8(g & h) Data TablesScope AttributePassedAll TH elements define the Scope attribute.
9(g & h) Data TablesHeader CellsPassedAll table cells have headers associated with them.
10(n) FormsTab OrderPassedTabbing order in all pages that contain Form Fields has been set to follow document structure.
11(n) FormsAccessible Radio ButtonsPassedAll Radio Buttons are accessible.
12(a) Text TagsAlternate Text for FormulaNot ApplicableNo Formula tags were detected in this document.
13(b) Multimedia PresentationsSynchronized Alternatives.Not ApplicableNo multimedia elements were detected in this document.
14(d) ReadabilityOther Annotations - Valid TaggingNot ApplicableNo Annotations (other than Links and Widgets) were detected in this document.
15(f) Client-side Image Maps (Not Applicable)Use Client-side image mapsNot ApplicableThis checkpoint is not applicable to PDF.
16(i) Frames (Not Applicable)Provide Titles for framesNot ApplicableThis checkpoint is not applicable to PDF.
17(o) Navigation LinksRepetitive Navigational LinksNot ApplicableNo navigation links were detected in this document.
181Tags->0->0->0(a) Text TagsAlternate Text for FiguresUser VerifyPlease verify that Alt of "ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM logo" is appropriate for the highlighted element.
19Pages->0(c) ColorColor to convey informationUser VerifyPage 1 contains color. Please ensure that all information conveyed with color is also available without color.
20Doc(d) ReadabilityCorrect Reading OrderUser VerifyPlease verify that the reading order of the document is correct.
211Tags->0->0->4->0->0,Tags->0->0->8->0->0,Tags->0->0->160->1->0(j) Flicker RateNo FlickerUser VerifyAn action of type Run a JavaScript attached to the Format trigger of the highlighted element has been detected.AFDate_FormatEx("mm/dd/yyyy");
221Tags->0->0->4->0->0,Tags->0->0->8->0->0,Tags->0->0->160->1->0(j) Flicker RateNo FlickerUser VerifyAn action of type Run a JavaScript attached to the Value modified trigger of the highlighted element has been detected.AFDate_KeystrokeEx("mm/dd/yyyy");
23Doc(k) Text-Only AlternativeAlternate fileUser VerifyIs this document accessible or can it be made accessible? Set to Not Applicable if Yes. If not, has a an equivalent document in accessible format been created? Pass if Yes, Fail if No.
241Tags->0->0->4->0->0,Tags->0->0->8->0->0,Tags->0->0->160->1->0(l) ScriptsScripts and Functional TextUser VerifyA JavaScript is attached to this Annotation by means of it's Format action. Please verify that the information provided by the script is identified with functional text that can be read by assistive technology.AFDate_FormatEx("mm/dd/yyyy");
251Tags->0->0->4->0->0,Tags->0->0->8->0->0,Tags->0->0->160->1->0(l) ScriptsScripts and Functional TextUser VerifyA JavaScript is attached to this Annotation by means of it's Value modified action. Please verify that the information provided by the script is identified with functional text that can be read by assistive technology.AFDate_KeystrokeEx("mm/dd/yyyy");
261Tags->0->0->4->0->0,Tags->0->0->8->0->0,Tags->0->0->160->1->0(m) Applets & Plug-InsConform with 1194.21User VerifyAn action of type Run a JavaScript attached to the Format trigger of the highlighted element has been detected. Does this action load an element which requires an applet or a plug-in? If so, does this applet or plug-in conform with §1194.21(a) through (l)?AFDate_FormatEx("mm/dd/yyyy");
271Tags->0->0->4->0->0,Tags->0->0->8->0->0,Tags->0->0->160->1->0(m) Applets & Plug-InsConform with 1194.21User VerifyAn action of type Run a JavaScript attached to the Value modified trigger of the highlighted element has been detected. Does this action load an element which requires an applet or a plug-in? If so, does this applet or plug-in conform with §1194.21(a) through (l)?AFDate_KeystrokeEx("mm/dd/yyyy");
281Tags->0->0->4->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Date (MM/DD/YYYY)" is appropriate for the highlighted element.
291Tags->0->0->5->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Last Name" is appropriate for the highlighted element.
301Tags->0->0->6->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "First Name" is appropriate for the highlighted element.
311Tags->0->0->7->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "AHCCCS ID #" is appropriate for the highlighted element.
321Tags->0->0->8->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "DOB (MM/DD/YYYY)" is appropriate for the highlighted element.
331Tags->0->0->9->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Age" is appropriate for the highlighted element.
341Tags->0->0->10->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Primary Care Provider" is appropriate for the highlighted element.
351Tags->0->0->11->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "PCP ph. #" is appropriate for the highlighted element.
361Tags->0->0->12->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Health Plan" is appropriate for the highlighted element.
371Tags->0->0->13->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Accompanied By (Name)" is appropriate for the highlighted element.
381Tags->0->0->14->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Relationship" is appropriate for the highlighted element.
391Tags->0->0->15->1->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Current Medications/Vitamins/Herbal Supplements:" is appropriate for the highlighted element.
401Tags->0->0->16->1->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Blood Pressure:" is appropriate for the highlighted element.
411Tags->0->0->17->1->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Temp:" is appropriate for the highlighted element.
421Tags->0->0->18->1->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Pulse:" is appropriate for the highlighted element.
431Tags->0->0->19->1->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Resp:" is appropriate for the highlighted element.
441Tags->0->0->20->1->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Allergies:" is appropriate for the highlighted element.
451Tags->0->0->22->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "lb / kg" is appropriate for the highlighted element.
461Tags->0->0->23->0->0,Tags->0->0->26->0->0,Tags->0->0->29->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "%" is appropriate for the highlighted element.
471Tags->0->0->25->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "cm" is appropriate for the highlighted element.
481Tags->0->0->28->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "kg/m2" is appropriate for the highlighted element.
491Tags->0->0->32->0->0,Tags->0->0->54->0->0,Tags->0->0->61->0->0,Tags->0->0->65->0->0,Tags->0->0->66->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Yes" is appropriate for the highlighted element.
501Tags->0->0->33->0->0,Tags->0->0->55->0->0,Tags->0->0->60->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "No" is appropriate for the highlighted element.
511Tags->0->0->34->1->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Device" is appropriate for the highlighted element.
521Tags->0->0->35->1->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Chart" is appropriate for the highlighted element.
531Tags->0->0->37->0->0,Tags->0->0->40->0->0,Tags->0->0->42->0->0,Tags->0->0->47->0->0,Tags->0->0->50->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Pass" is appropriate for the highlighted element.
541Tags->0->0->38->0->0,Tags->0->0->41->0->0,Tags->0->0->43->0->0,Tags->0->0->44->0->0,Tags->0->0->48->0->0,Tags->0->0->51->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Refer" is appropriate for the highlighted element.
551Tags->0->0->52->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Unable to Perform" is appropriate for the highlighted element.
561Tags->0->0->67->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Twice Daily Brushing/Flossing (With Parent Assistance)" is appropriate for the highlighted element.
571Tags->0->0->68->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Fluoride Supplement" is appropriate for the highlighted element.
581Tags->0->0->69->1->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Last Dental Appointment" is appropriate for the highlighted element.
591Tags->0->0->70->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Future Dental Appointment" is appropriate for the highlighted element.
601Tags->0->0->71->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Scheduled" is appropriate for the highlighted element.
611Tags->0->0->71->2->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Dental Home: Provider Name" is appropriate for the highlighted element.
621Tags->0->0->73->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Nutritionally Balanced Diet/5 Servings Fruits & Veggies" is appropriate for the highlighted element.
631Tags->0->0->74->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Junk Food" is appropriate for the highlighted element.
641Tags->0->0->75->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Soda/Juice" is appropriate for the highlighted element.
651Tags->0->0->76->0->0,Tags->0->0->76->2->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Supplements" is appropriate for the highlighted element.
661Tags->0->0->77->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Activity/Family Exercise (1hr/day)" is appropriate for the highlighted element.
671Tags->0->0->78->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Overweight" is appropriate for the highlighted element.
681Tags->0->0->79->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Underweight" is appropriate for the highlighted element.
691Tags->0->0->80->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Observation" is appropriate for the highlighted element.
701Tags->0->0->81->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Referral" is appropriate for the highlighted element.
711Tags->0->0->84->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Uses Imaginary Characters" is appropriate for the highlighted element.
721Tags->0->0->85->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Matches Colors & Shapes/Prints Some Numbers and Letters" is appropriate for the highlighted element.
731Tags->0->0->86->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Counts to 10" is appropriate for the highlighted element.
741Tags->0->0->87->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Follows Simple Directions" is appropriate for the highlighted element.
751Tags->0->0->88->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Listens and Attends" is appropriate for the highlighted element.
761Tags->0->0->89->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Can Button & Zip Clothing Independently" is appropriate for the highlighted element.
771Tags->0->0->90->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Goes to Bathroom Independently" is appropriate for the highlighted element.
781Tags->0->0->91->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Holds Pencil/Cuts with Scissors" is appropriate for the highlighted element.
791Tags->0->0->92->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Cooperates More in Group" is appropriate for the highlighted element.
801Tags->0->0->94->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Emergency/911" is appropriate for the highlighted element.
811Tags->0->0->95->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Gun Safety" is appropriate for the highlighted element.
821Tags->0->0->96->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Drowning Prevention" is appropriate for the highlighted element.
831Tags->0->0->97->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Choking Prevention" is appropriate for the highlighted element.
841Tags->0->0->98->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Car /Car Seat Safety (Booster Seat for under 4’9” height)" is appropriate for the highlighted element.
851Tags->0->0->99->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Safety at Home" is appropriate for the highlighted element.
861Tags->0->0->100->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Sun Safety" is appropriate for the highlighted element.
871Tags->0->0->101->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Sports/Helmet Use" is appropriate for the highlighted element.
881Tags->0->0->102->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Bullying" is appropriate for the highlighted element.
891Tags->0->0->103->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Good and Bad Touches" is appropriate for the highlighted element.
901Tags->0->0->104->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "TV Screen Time" is appropriate for the highlighted element.
911Tags->0->0->105->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Begins to Agree with Rules" is appropriate for the highlighted element.
921Tags->0->0->106->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Dictates Story to Adults" is appropriate for the highlighted element.
931Tags->0->0->107->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Listens to Authority Figure & Follows Instructions" is appropriate for the highlighted element.
941Tags->0->0->109->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Family Adjustment/Parent Responds Positively to Child" is appropriate for the highlighted element.
951Tags->0->0->110->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Self-Calming" is appropriate for the highlighted element.
961Tags->0->0->111->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Wants to Please & Be with Friends" is appropriate for the highlighted element.
971Tags->0->0->112->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Shows Empathy for Others" is appropriate for the highlighted element.
981Tags->0->0->113->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Positive about Self & Abilities" is appropriate for the highlighted element.
991Tags->0->0->114->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Tells Stories of Convenience (Lying)" is appropriate for the highlighted element.
1001Tags->0->0->115->0->0,Tags->0->0->115->2->0,Tags->0->0->124->0->0,Tags->0->0->124->2->0,Tags->0->0->157->2->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Other" is appropriate for the highlighted element.
1011Tags->0->0->117->1->0->1->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "WNL_Skin/Hair/Nails" is appropriate for the highlighted element.
1021Tags->0->0->117->1->0->2->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Abnormal (see notes below)_Skin/Hair/Nails" is appropriate for the highlighted element.
1031Tags->0->0->117->1->1->1->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "WNL_Eyes/Vision" is appropriate for the highlighted element.
1041Tags->0->0->117->1->1->2->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Abnormal (see notes below)_Eyes/Vision" is appropriate for the highlighted element.
1051Tags->0->0->117->1->2->1->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "WNL_Ear" is appropriate for the highlighted element.
1061Tags->0->0->117->1->2->2->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Abnormal (see notes below)_Ear" is appropriate for the highlighted element.
1071Tags->0->0->117->1->3->1->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "WNL_Mouth/Throat/Teeth" is appropriate for the highlighted element.
1081Tags->0->0->117->1->3->2->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Abnormal (see notes below)_Mouth/Throat/Teeth" is appropriate for the highlighted element.
1091Tags->0->0->117->1->4->1->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "WNL_Nose/Head/Neck" is appropriate for the highlighted element.
1101Tags->0->0->117->1->4->2->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Abnormal (see notes below)_Nose/Head/Neck" is appropriate for the highlighted element.
1111Tags->0->0->117->1->5->1->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "WNL_Heart" is appropriate for the highlighted element.
1121Tags->0->0->117->1->5->2->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Abnormal (see notes below)_Heart" is appropriate for the highlighted element.
1131Tags->0->0->118->1->0->1->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "WNL_Lungs" is appropriate for the highlighted element.
1141Tags->0->0->118->1->0->2->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Abnormal (see notes below)_Lungs" is appropriate for the highlighted element.
1151Tags->0->0->118->1->1->1->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "WNL_Abdomen" is appropriate for the highlighted element.
1161Tags->0->0->118->1->1->2->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Abnormal (see notes below)_Abdomen" is appropriate for the highlighted element.
1171Tags->0->0->118->1->2->1->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "WNL_Genitourinary" is appropriate for the highlighted element.
1181Tags->0->0->118->1->2->2->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Abnormal (see notes below)_Genitourinary" is appropriate for the highlighted element.
1191Tags->0->0->118->1->3->1->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "WNL_Extremities" is appropriate for the highlighted element.
1201Tags->0->0->118->1->3->2->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Abnormal (see notes below)_Extremities" is appropriate for the highlighted element.
1211Tags->0->0->118->1->4->1->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "WNL_Spine" is appropriate for the highlighted element.
1221Tags->0->0->118->1->4->2->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Abnormal (see notes below)_Spine" is appropriate for the highlighted element.
1231Tags->0->0->118->1->5->1->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "WNL_Neurological" is appropriate for the highlighted element.
1241Tags->0->0->118->1->5->2->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Abnormal (see notes below)_Neurological" is appropriate for the highlighted element.
1251Tags->0->0->121->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Blood Lead Testing (Child at Risk/Not Already Done at 12/24 Months)" is appropriate for the highlighted element.
1261Tags->0->0->122->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "TB Skin Test (If at Risk)" is appropriate for the highlighted element.
1271Tags->0->0->123->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Hgb/Hct" is appropriate for the highlighted element.
1281Tags->0->0->126->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "HepA" is appropriate for the highlighted element.
1291Tags->0->0->127->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "HepB" is appropriate for the highlighted element.
1301Tags->0->0->128->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "MMR" is appropriate for the highlighted element.
1311Tags->0->0->129->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Varicella" is appropriate for the highlighted element.
1321Tags->0->0->130->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "DTaP" is appropriate for the highlighted element.
1331Tags->0->0->131->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Hib" is appropriate for the highlighted element.
1341Tags->0->0->132->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "IPV" is appropriate for the highlighted element.
1351Tags->0->0->133->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Influenza" is appropriate for the highlighted element.
1361Tags->0->0->134->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Had Chicken Pox" is appropriate for the highlighted element.
1371Tags->0->0->135->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Given at Today’s Visit" is appropriate for the highlighted element.
1381Tags->0->0->136->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Parent Refused" is appropriate for the highlighted element.
1391Tags->0->0->137->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Delayed" is appropriate for the highlighted element.
1401Tags->0->0->138->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Deferred" is appropriate for the highlighted element.
1411Tags->0->0->139->1->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Reason:" is appropriate for the highlighted element.
1421Tags->0->0->140->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Shot Record Updated" is appropriate for the highlighted element.
1431Tags->0->0->141->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Entered in ASIIS" is appropriate for the highlighted element.
1441Tags->0->0->142->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Importance of Immunizations Discussed" is appropriate for the highlighted element.
1451Tags->0->0->143->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Parent Refusal Form Completed" is appropriate for the highlighted element.
1461Tags->0->0->145->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "ALTCS" is appropriate for the highlighted element.
1471Tags->0->0->146->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Audiology" is appropriate for the highlighted element.
1481Tags->0->0->147->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "CRS" is appropriate for the highlighted element.
1491Tags->0->0->148->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "DDD" is appropriate for the highlighted element.
1501Tags->0->0->149->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Dental" is appropriate for the highlighted element.
1511Tags->0->0->150->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Head Start" is appropriate for the highlighted element.
1521Tags->0->0->151->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "OT" is appropriate for the highlighted element.
1531Tags->0->0->152->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "PT" is appropriate for the highlighted element.
1541Tags->0->0->153->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Speech" is appropriate for the highlighted element.
1551Tags->0->0->154->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "WIC Specialist:" is appropriate for the highlighted element.
1561Tags->0->0->155->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Developmental" is appropriate for the highlighted element.
1571Tags->0->0->156->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Behavioral" is appropriate for the highlighted element.
1581Tags->0->0->157->0->0(n) FormsTool TipsUser VerifyPlease verify that TU of "2nd Newborn Hearing Screen (If Needed)" is appropriate for the highlighted element.
1591Tags->0->0->158->1->0(n) FormsTool TipsUser VerifyPlease verify that TU of "PROVIDER’S SIGNATURE:" is appropriate for the highlighted element.
1601Tags->0->0->159->1->0(n) FormsTool TipsUser VerifyPlease verify that TU of "NPI:" is appropriate for the highlighted element.
1611Tags->0->0->160->1->0(n) FormsTool TipsUser VerifyPlease verify that TU of "Date: (MM/DD/YYYY)" is appropriate for the highlighted element.
1621Tags->0->0->4->0->0,Tags->0->0->8->0->0,Tags->0->0->160->1->0(p) Timed ResponseNo Timed ResponseUser VerifyA JavaScript is attached to this Annotation by means of it's Format action. Please verify that the script does not require the user to perform a timed response, and if it does, it provides the user with a method to indicate more time is required.AFDate_FormatEx("mm/dd/yyyy");
1631Tags->0->0->4->0->0,Tags->0->0->8->0->0,Tags->0->0->160->1->0(p) Timed ResponseNo Timed ResponseUser VerifyA JavaScript is attached to this Annotation by means of it's Value modified action. Please verify that the script does not require the user to perform a timed response, and if it does, it provides the user with a method to indicate more time is required.AFDate_KeystrokeEx("mm/dd/yyyy");
1641Artifacts->9->0,Artifacts->11->0,Artifacts->13->0,Artifacts->15->0,Artifacts->17->0,Artifacts->19->0,Artifacts->21->0,Artifacts->23->0,Artifacts->25->0,Artifacts->27->0,Artifacts->29->0,Artifacts->31->0,Artifacts->33->0,Artifacts->35->0,Artifacts->37->0,Artifacts->39->0,Artifacts->41->0,Artifacts->43->0,Artifacts->45->0,Artifacts->47->0,Artifacts->49->0,Artifacts->51->0,Artifacts->53->0,Artifacts->57->0,Artifacts->59->0,Artifacts->61->0,Artifacts->63->0,Artifacts->66->0,Artifacts->68->0,Artifacts->70->0,Artifacts->73->0,Artifacts->74->0,Artifacts->76->0,Artifacts->77->0,Artifacts->79->0,Artifacts->80->0,Artifacts->81->0,Artifacts->82->0,Artifacts->84->0,Artifacts->86->0,Artifacts->88->0,Artifacts->89->0,Artifacts->91->0,Artifacts->93->0,Artifacts->99->0,Artifacts->100->0,Artifacts->103->0,Artifacts->105->0,Artifacts->107->0,Artifacts->109->0,Artifacts->111->0,Artifacts->113->0,Artifacts->115->0,Artifacts->117->0,Artifacts->119->0,Artifacts->121->0,Artifacts->123->0,Artifacts->125->0,Artifacts->127->0,Artifacts->129->0,Artifacts->131->0,Artifacts->133->0,Artifacts->135->0,Artifacts->137->0,Artifacts->139->0,Artifacts->141->0,Artifacts->143->0,Artifacts->145->0,Artifacts->147->0,Artifacts->151->0,Artifacts->153->0,Artifacts->154->0,Artifacts->157->0,Artifacts->159->0,Artifacts->161->0,Artifacts->163->0,Artifacts->165->0,Artifacts->167->0,Artifacts->169->0,Artifacts->171->0,Artifacts->173->0,Artifacts->175->0,Artifacts->177->0,Artifacts->179->0,Artifacts->181->0,Artifacts->183->0,Artifacts->185->0,Artifacts->187->0,Artifacts->189->0,Artifacts->191->0,Artifacts->193->0,Artifacts->195->0,Artifacts->197->0,Artifacts->199->0,Artifacts->201->0,Artifacts->203->0,Artifacts->205->0,Artifacts->207->0,Artifacts->209->0,Artifacts->211->0,Artifacts->213->0,Artifacts->215->0,Artifacts->217->0,Artifacts->219->0,Artifacts->221->0,Artifacts->223->0,Artifacts->225->0,Artifacts->227->0,Artifacts->229->0,Artifacts->231->0,Artifacts->233->0,Artifacts->235->0,Artifacts->237->0,Artifacts->239->0,Artifacts->241->0(d) ReadabilityUntagged content in documentWarningAn untagged Text element has been detected in this document. CommonLook has automatically placed those in an Artifact.
1651Artifacts->55->0,Artifacts->71->0,Artifacts->96->0,Artifacts->97->0,Artifacts->102->0,Artifacts->149->0,Artifacts->156->0(d) ReadabilityUntagged content in documentWarningAn untagged Path element has been detected in this document. CommonLook has automatically placed those in an Artifact.
1661Artifacts->94->0(d) ReadabilityUntagged content in documentWarningAn untagged XObject element has been detected in this document. CommonLook has automatically placed those in an Artifact.