A family of Microsoft relational database management systems designed for ease of use.
As noted, the three following fields are dependent -- at least in part -- on the value of the initial field, which is an inappropriate design for a relational database application, at least in theory. Some might insist that it's never appropriate. However, in this case, you have to have values for those three fields regardless of the selection in the initial level of care. I'm going to have to think about this one for a bit, to be honest, because I can see it both ways. Let's get some additional input as well.
It's possible to use the AfterUpdate event of the initial ComboBox that selects level of care to assign default values to the other three fields. That's pretty basic coding. Nonetheless, it may not be the most appropriate approach.
BTW: I STRONGLY urge you to clean up the field names. Long, wordy field names are hard to work with. Names with spaces between words, and with non-standard characters like the >, the (, and the ) in them, are undesirable.