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Get Meps, Mpc-institutional Event Form (non-hospital ... - Meps Ahrq

ITUTIONAL EVENT FORM COMPLETE ONE FORM FOR EACH STAY QUESTIONS 1 THROUGH 3: TO BE COMPLETED WITH MEDICAL RECORDS. READ ONLY FOR FIRST STAY FOR THIS PATIENT: Someone in (PATIENT)'s family reported that (he/she) was a patient in this facility during 2003. MEDICAL RECORDS 1. What were the admit and discharge dates of the (first/next) stay? MO DAY YR ADMIT: / / DISCHARGE: / / NOT YET DISCHARGED......................1 2a. I need the diagnoses for this stay. I wou.

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