Get the free laboratory identified mdro or cdi event form - cdc

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Form Approved OMB No. 0920-0666 Exp. Date 12/31/2017 www. cdc.gov/nhsn Laboratory-identified MDRO or CDI Event Instructions for this form are available at http //www. Cdc.gov/nhsn/forms/instr/57128. pdf Page 1 of 1 required for saving Facility ID Patient ID Secondary ID Patient Name Last Gender M F Ethnicity Specify Event Social Security Medicare First Middle Date of Birth Race Specify Event Details Event Type...
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