17. Alice B. Cooper, dependent wife of SSG James Cooper, has come to the
Outpatient Clinic to be treated for the first time. Use the simulated DA Form 3444 file
folder to initiate an Outpatient Treatment Record for her. She is 34 years old; her birthday
is 10 June 1958; her SSN is 477-88-9231; her husband's SSN is 132-98-8936; your
hospital is a teaching facility; and the treatment year is 1992. Be sure that you complete
the DA Form 3444 file folder number, write the color of the tape you would attach at
appropriate locations, and write the color of the folder.
Check Your Answers on Next Page
MD0751
1-30