Here is ours.
Becca
Rebecca Clements, RN BSN
Immanuel St. Joseph's-Mayo Health System
Trauma Services
1025 Marsh St
Mankato, MN 56002-8673
Office: 507-389-4822
Fax: 507-389-4873
clements.rebecca@mayo.edu
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-----Original Message-----
From: Jill_Buttry@deaconess.com [mailto:Jill_Buttry@deaconess.com]
Sent: Friday, June 06, 2003 11:01 PM
To: TraumaNurses@TraumaNurseSoc.org
Subject: [traumanurses] Request form & confidentiality statement
Would anyone be willing to share their confidentiality form for peer review
protection. A request form for registry data would also be helpful. Thank
you.
Jill Buttry, RN, MSN, CNS
Deaconess Trauma Program Manager
jill_buttry@deaconess.com
www.deaconess.com/trauma
Office: (812)450-3867
Fax: (812) 450-5049
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DATA REQUEST FORM.doc
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