<?xml version="1.0" encoding="utf-8"?>
<systemform>
  <formid>{aa5bd14d-4223-4343-bf44-b76cdc569d5c}</formid>
  <IntroducedVersion>1.1.0.3</IntroducedVersion>
  <FormPresentation>1</FormPresentation>
  <FormActivationState>1</FormActivationState>
  <form>
    <tabs>
      <tab verticallayout="true" id="{ae778368-b9dc-49d0-a39f-4a8d80eb367d}" IsUserDefined="1">
        <labels>
          <label description="General" languagecode="1033" />
        </labels>
        <columns>
          <column width="100%">
            <sections>
              <section showlabel="false" showbar="false" IsUserDefined="0" id="{af923b38-c657-4d9e-94fa-d838fee25764}">
                <labels>
                  <label description="General" languagecode="1033" />
                </labels>
                <rows>
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                    <cell id="{5241c082-1674-3568-0532-5a6024a809b4}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Marketing List" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_marketinglist_text" classid="{4273EDBD-AC1D-40d3-9FB2-095C621B552D}" datafieldname="vhacrm_marketinglist_text" disabled="false" />
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                  </row>
                  <row>
                    <cell id="{c2725c61-a708-80a8-7092-ebe3bc3a7d07}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="First Name" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_firstname_text" classid="{4273EDBD-AC1D-40d3-9FB2-095C621B552D}" datafieldname="vhacrm_firstname_text" disabled="false" />
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                  </row>
                  <row>
                    <cell id="{da25d3b5-b054-7c8b-225e-b915a9a63d25}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Middle Name" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_middlename_text" classid="{4273EDBD-AC1D-40d3-9FB2-095C621B552D}" datafieldname="vhacrm_middlename_text" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{62853614-9e1b-2558-9d2c-ab4e4a0c013b}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Last Name" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_lastname_text" classid="{4273EDBD-AC1D-40d3-9FB2-095C621B552D}" datafieldname="vhacrm_lastname_text" disabled="false" />
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                  <row>
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                      <labels>
                        <label description="Suffix" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_suffix_text" classid="{4273EDBD-AC1D-40d3-9FB2-095C621B552D}" datafieldname="vhacrm_suffix_text" disabled="false" />
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                  </row>
                  <row>
                    <cell id="{eab09547-81ca-66db-1830-45ede3c276e6}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Gender" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_gender_code" classid="{3EF39988-22BB-4f0b-BBBE-64B5A3748AEE}" datafieldname="vhacrm_gender_code" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{384cc8dc-0499-7815-1174-2b67ed11d213}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="SSN" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_ssn_text" classid="{4273EDBD-AC1D-40d3-9FB2-095C621B552D}" datafieldname="vhacrm_ssn_text" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{7ae0282a-39d9-d21b-27bc-3d7957cd98c6}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Date Of Birth FMT2" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_dateofbirth_fmt2_date" classid="{5B773807-9FB2-42db-97C3-7A91EFF8ADFF}" datafieldname="vhacrm_dateofbirth_fmt2_date" disabled="false" />
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                  </row>
                  <row>
                    <cell id="{cee1e2dc-9892-6724-a9ee-3026ebe2d5ee}" showlabel="false" userspacer="true">
                      <labels>
                        <label description="" languagecode="1033" />
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                  </row>
                  <row>
                    <cell id="{620e7be9-610a-8037-939b-0dce177044d8}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="EDIPI" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_edipi_text" classid="{4273EDBD-AC1D-40d3-9FB2-095C621B552D}" datafieldname="vhacrm_edipi_text" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{4e3dc6b6-20d4-7be3-6727-0863c8e155e4}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="ICN" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_icn_text" classid="{4273EDBD-AC1D-40d3-9FB2-095C621B552D}" datafieldname="vhacrm_icn_text" disabled="false" />
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                  </row>
                  <row>
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                      <labels>
                        <label description="" languagecode="1033" />
                      </labels>
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                  </row>
                  <row>
                    <cell id="{6ba2a7a6-44be-e870-bc1c-11d950a5b447}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Phone Number" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_phonenumber_text" classid="{4273EDBD-AC1D-40d3-9FB2-095C621B552D}" datafieldname="vhacrm_phonenumber_text" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{8c33d511-161a-4978-2a69-b8e1ea5ebae4}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Phone Type" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_phonetype_text" classid="{4273EDBD-AC1D-40d3-9FB2-095C621B552D}" datafieldname="vhacrm_phonetype_text" disabled="false" />
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                  </row>
                  <row>
                    <cell id="{b408d428-beb0-c272-2711-22beb663175a}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Email Address" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_emailaddress_text" classid="{ADA2203E-B4CD-49be-9DDF-234642B43B52}" datafieldname="vhacrm_emailaddress_text" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{de45c780-e707-a0e6-5eb1-3da129495a72}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Address Line 1" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_addressline1_text" classid="{4273EDBD-AC1D-40d3-9FB2-095C621B552D}" datafieldname="vhacrm_addressline1_text" disabled="false" />
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                  </row>
                  <row>
                    <cell id="{eab1c7d2-016d-2e49-66d4-57d35d263b73}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Address Line 2" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_addressline2_text" classid="{4273EDBD-AC1D-40d3-9FB2-095C621B552D}" datafieldname="vhacrm_addressline2_text" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{37dce852-31a6-a6ca-70dd-7a25ee7e3460}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="City" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_city_text" classid="{4273EDBD-AC1D-40d3-9FB2-095C621B552D}" datafieldname="vhacrm_city_text" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{a835654c-4e83-da77-dd09-50ae82c21ca3}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="State/Province (Lookup)" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_stateid" classid="{270BD3DB-D9AF-4782-9025-509E298DEC0A}" datafieldname="vhacrm_stateid" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{5d44d548-4899-8841-bb56-10d765db6330}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="State" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_statecode_text" classid="{4273EDBD-AC1D-40d3-9FB2-095C621B552D}" datafieldname="vhacrm_statecode_text" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{bca563ea-a398-ca04-46dd-2e57eb6a1385}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Zip" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_zip_text" classid="{4273EDBD-AC1D-40d3-9FB2-095C621B552D}" datafieldname="vhacrm_zip_text" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{8ba72011-b138-1d7d-dc7d-8176d77837d2}" showlabel="false" userspacer="true">
                      <labels>
                        <label description="" languagecode="1033" />
                      </labels>
                    </cell>
                  </row>
                  <row>
                    <cell id="{a17938cb-2281-458b-9994-013633542ab8}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Application Date" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_applicationdate_date" classid="{5B773807-9FB2-42db-97C3-7A91EFF8ADFF}" datafieldname="vhacrm_applicationdate_date" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{8bb51203-03ab-cd5e-9457-474aa2c4baa6}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="status" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_status_text" classid="{4273EDBD-AC1D-40d3-9FB2-095C621B552D}" datafieldname="vhacrm_status_text" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{c904bedb-50a6-55e0-34c5-8e75ab7cb4e5}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Enrolled" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_enrolled_text" classid="{5B773807-9FB2-42db-97C3-7A91EFF8ADFF}" datafieldname="vhacrm_enrolled_text" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{c6066872-cc40-0a55-eea2-eddea58cd4c5}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Eligibility" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_eligibility_text" classid="{4273EDBD-AC1D-40d3-9FB2-095C621B552D}" datafieldname="vhacrm_eligibility_text" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{be2b9832-eeab-ed60-701c-619ab9b51868}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="SC Combined Percent" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_sccombinedpercent_text" classid="{4273EDBD-AC1D-40d3-9FB2-095C621B552D}" datafieldname="vhacrm_sccombinedpercent_text" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{98558269-a778-6d25-b58e-409041631e3c}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Appt Requested" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_apptrequested_bool" classid="{67FAC785-CD58-4f9f-ABB3-4B7DDC6ED5ED}" datafieldname="vhacrm_apptrequested_bool" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{4b39e6b4-776c-c7b8-8a67-02558d5c9d74}" showlabel="false" userspacer="true">
                      <labels>
                        <label description="" languagecode="1033" />
                      </labels>
                    </cell>
                  </row>
                  <row>
                    <cell id="{10ddcd5d-9678-169b-0da1-941dc268e00d}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Preferred Facility" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_facility_text" classid="{4273EDBD-AC1D-40d3-9FB2-095C621B552D}" datafieldname="vhacrm_facility_text" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{d334a3c3-7251-b632-8b77-143a0d3b46d1}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="VISN" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_visnid" classid="{270BD3DB-D9AF-4782-9025-509E298DEC0A}" datafieldname="vhacrm_visnid" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{783c8603-8908-d58e-8583-ea4ecda1a1e1}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="PG" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_pg_text" classid="{4273EDBD-AC1D-40d3-9FB2-095C621B552D}" datafieldname="vhacrm_pg_text" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{3223bc50-d721-6aa5-3352-3cb161927017}" showlabel="false" userspacer="true">
                      <labels>
                        <label description="" languagecode="1033" />
                      </labels>
                    </cell>
                  </row>
                  <row>
                    <cell id="{7301552b-c382-5d91-17de-d394475020b8}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Created On" languagecode="1033" />
                      </labels>
                      <control id="createdon" classid="{5B773807-9FB2-42db-97C3-7A91EFF8ADFF}" datafieldname="createdon" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{56144973-0b9a-8d06-8753-7cc073720ab7}" showlabel="true" locklevel="0">
                      <labels>
                        <label description="Status Reason" languagecode="1033" />
                      </labels>
                      <control id="statuscode" classid="{5D68B988-0661-4db2-BC3E-17598AD3BE6C}" datafieldname="statuscode" disabled="false" />
                    </cell>
                  </row>
                  <row>
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                      <labels>
                        <label description="" languagecode="1033" />
                      </labels>
                    </cell>
                  </row>
                  <row>
                    <cell id="{a5963746-e26c-4007-ad25-f5b4b457540f}" showlabel="true" locklevel="0" visible="false">
                      <labels>
                        <label description="Name" languagecode="1033" />
                      </labels>
                      <control id="vhacrm_name" classid="{4273EDBD-AC1D-40d3-9FB2-095C621B552D}" datafieldname="vhacrm_name" disabled="false" />
                    </cell>
                  </row>
                  <row>
                    <cell id="{79795623-5161-4ac4-83a4-cc1c181749e6}" showlabel="true" locklevel="1" visible="false">
                      <labels>
                        <label description="Owner" languagecode="1033" />
                      </labels>
                      <control id="ownerid" classid="{270BD3DB-D9AF-4782-9025-509E298DEC0A}" datafieldname="ownerid" disabled="false">
                        <parameters>
                          <AutoResolve>true</AutoResolve>
                          <DisableMru>false</DisableMru>
                        </parameters>
                      </control>
                    </cell>
                  </row>
                </rows>
              </section>
            </sections>
          </column>
        </columns>
      </tab>
    </tabs>
    <Navigation>
      <NavBar></NavBar>
      <NavBarAreas>
        <NavBarArea Id="Info">
          <Titles>
            <Title LCID="1033" Text="Common" />
          </Titles>
        </NavBarArea>
        <NavBarArea Id="Sales">
          <Titles>
            <Title LCID="1033" Text="Sales" />
          </Titles>
        </NavBarArea>
        <NavBarArea Id="Service">
          <Titles>
            <Title LCID="1033" Text="Service" />
          </Titles>
        </NavBarArea>
        <NavBarArea Id="Marketing">
          <Titles>
            <Title LCID="1033" Text="Marketing" />
          </Titles>
        </NavBarArea>
        <NavBarArea Id="ProcessCenter">
          <Titles>
            <Title LCID="1033" Text="Process Sessions" />
          </Titles>
        </NavBarArea>
      </NavBarAreas>
    </Navigation>
  </form>
  <IsCustomizable>1</IsCustomizable>
  <CanBeDeleted>1</CanBeDeleted>
  <LocalizedNames>
    <LocalizedName description="Information" languagecode="1033" />
  </LocalizedNames>
  <Descriptions>
    <Description description="A form for this entity." languagecode="1033" />
  </Descriptions>
</systemform>