{{#each groups}} {{#ifExp ../totalGroups '>' 1}}
{{@key}}
{{/ifExp}} {{#ifExp @key '===' 'Medication, Outpatient'}}
Please indicate if the order is related to the following treatment factors. All Orders Except Controlled Substance Orders
{{#if ../../patientInfo/outpatient_med_related_to.SC}}
SC
{{/if}} {{#if ../../patientInfo/outpatient_med_related_to.CV}}
CV
{{/if}} {{#if ../../patientInfo/outpatient_med_related_to.AO}}
AO
{{/if}} {{#if ../../patientInfo/outpatient_med_related_to.IR}}
IR
{{/if}} {{#if ../../patientInfo/outpatient_med_related_to.SWAC}}
SWAC
{{/if}} {{#if ../../patientInfo/outpatient_med_related_to.SHD}}
SHD
{{/if}} {{#if ../../patientInfo/outpatient_med_related_to.MST}}
MST
{{/if}} {{#if ../../patientInfo/outpatient_med_related_to.HNC}}
HNC
{{/if}}
{{#each this}}
{{#ifExp ../../../totalItems '>' 1}}
{{else}}
{{/ifExp}}
{{description}}
{{#if ../../../patientInfo/outpatient_med_related_to.SC}}
{{/if}} {{#if ../../../patientInfo/outpatient_med_related_to.CV}}
{{/if}} {{#if ../../../patientInfo/outpatient_med_related_to.AO}}
{{/if}} {{#if ../../../patientInfo/outpatient_med_related_to.IR}}
{{/if}} {{#if ../../../patientInfo/outpatient_med_related_to.SWAC}}
{{/if}} {{#if ../../../patientInfo/outpatient_med_related_to.SHD}}
{{/if}} {{#if ../../../patientInfo/outpatient_med_related_to.MST}}
{{/if}} {{#if ../../../patientInfo/outpatient_med_related_to.HNC}}
{{/if}}
{{/each}}
{{else}} {{#ifExp @key '===' 'Documents'}}
{{#each this}}
{{#ifExp ../../../../totalItems '>' 1}}
{{else}}
{{/ifExp}}
{{description}} - {{date}}
{{/each}}
{{else}}
{{#each this}}
{{#ifExp ../../../../totalItems '>' 1}} {{else}}
{{/ifExp}} {{description}}
{{/each}}
{{/ifExp}} {{/ifExp}} {{/each}} {{#each groups}} {{#ifExp @key '===' 'Medication, Outpatient'}}
Service Connection & Rated Disabilities
Service Connected: {{#ifExp ../../patientInfo/scPercent '!==' undefined}} {{../../../patientInfo/scPercent}} %{{else}}None Stated{{/ifExp}}
Rated Disabilities: {{#if ../../patientInfo/disabilities}}
    {{#each ../../../patientInfo/disabilities}}
  • {{name}} ({{#ifExp scPercent '!==' undefined}}{{scPercent}}%{{/ifExp}}{{#if serviceConnected}} - SC{{/if}})
    • {{/each}}
{{else}}None Stated{{/if}}
{{/ifExp}} {{/each}}
Enter Electronic Signature Code