Click "Input ITR".

 

ValueOptions Auth Req
Functions
       SPECIFY CLIENT
             Specify Client
       Inpatient Treatment Report
             Input ITRClick Here
             Print ITR
       Outpatient Review Form
             Input ORF 2
             Print ORF 2
       CAP/Targeted Case Mgmt Form
             Input CTCM
             Print CTCM
       Fax to ValueOptions
             Fax Selections
Quit