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[traumanurses] Re: Request form & confidentiality statement

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Subject: [traumanurses] Re: Request form & confidentiality statement
From: "Long, Bev" <Bev.Long@dhha.org>
Date: Wed, 11 Jun 2003 07:13:07 -0600
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Thread-topic: [traumanurses] Re: Request form & confidentiality statement
Here is Denver Health's

________________________________________
Bev Long
Service Line Administrator for Trauma/CC/EMS
Denver Health Medical Center
777  Bannock, MC 0206
Denver, CO 80204
(303) 436-6586
bev.long@dhha.org
________________________________________


-----Original Message-----
From: Clements, Rebecca K. [mailto:Clements.Rebecca@mayo.edu]
Sent: Wednesday, June 11, 2003 5:37 AM
To: 'traumanurses@mailman.listserve.com'
Subject: [traumanurses] Re: Request form & confidentiality statement


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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Attachment: Report Request Form.doc
Description: Report Request Form.doc

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