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  <IntroducedVersion>1.1.0.2</IntroducedVersion>
  <FormPresentation>1</FormPresentation>
  <FormActivationState>1</FormActivationState>
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                <rows>
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                      <labels>
                        <label description="Referred to Traumatic Brain Injury Clinic" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_outcomereferredbrainclinic_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_outcomereferredbrainclinic_bool" disabled="false" />
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                  <row>
                    <cell id="{a2513286-e2bc-430d-26d5-35496c98d54b}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Referred to Health Care for Homeless Veterans" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_outcomereferredhealthcare_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_outcomereferredhealthcare_bool" disabled="false" />
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                  <row>
                    <cell id="{ed02861c-981d-0212-722e-25cbdcd04ca9}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Referred to Health Care for Re-entry Vets Program" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_outcomehealthcarerentry_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_outcomehealthcarerentry_bool" disabled="false" />
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                  <row>
                    <cell id="{801aa0c6-756d-90b6-7471-0bb5e609404c}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Referred to Grant and Per Diem Program" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_outcomegrantper_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_outcomegrantper_bool" disabled="false" />
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                  <row>
                    <cell id="{58c6e688-b971-6aaa-65dd-9dcde8ad15b1}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Referred to MH-Residential Rehab Treatment Program" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_outcomemhrehab_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_outcomemhrehab_bool" disabled="false" />
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                  <row>
                    <cell id="{c88d15a9-8413-5c7c-047b-0d1cd0417590}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Referred to HUD/VA Supportive Housing" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_outcomesupportivehousing_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_outcomesupportivehousing_bool" disabled="false" />
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                  <row>
                    <cell id="{9d81b807-8697-ec2d-8244-5e8512654039}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Referred to Vet Center" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_outcomevetcenter_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_outcomevetcenter_bool" disabled="false" />
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                  </row>
                  <row>
                    <cell id="{e3e77a31-e217-595a-223a-365b14c234e2}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Referred to Veterans Benefits" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_outcomevetbenefits_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_outcomevetbenefits_bool" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{16a063ec-7cce-7705-b990-d8494cb608ee}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Referred to Other Federal Agency" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_outcomefedagency_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_outcomefedagency_bool" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{324a2734-0e69-7372-e163-5118e1e911ee}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Referred to Community Based Homeless Provider" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_outcomecommunity_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_outcomecommunity_bool" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{dcccca70-1e9c-c780-b312-eabcc160ad33}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="VA Mental Health Appt made" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_outcomehealthappt_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_outcomehealthappt_bool" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{18e616d6-d2d0-d7d5-d5ba-ab3aceb348ab}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="VA Medial Appt. made" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_outcomemedialappt_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_outcomemedialappt_bool" disabled="false" />
                    </cell>
                  </row>
                </rows>
              </section>
            </sections>
          </column>
        </columns>
      </tab>
    </tabs>
    <DisplayConditions Order="2">
      <Role Id="{627090ff-40a3-4053-8790-584edc5be201}" />
      <Role Id="{119f245c-3cc8-4b62-b31c-d1a046ced15d}" />
    </DisplayConditions>
  </form>
  <IsCustomizable>1</IsCustomizable>
  <CanBeDeleted>1</CanBeDeleted>
  <LocalizedNames>
    <LocalizedName description="Veteran Outcome 2" languagecode="1033" />
  </LocalizedNames>
</systemform>