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Critical Care Database Access Request Form and Terms of Use

Date: October 2, 2018
Filed under: Critical Care, Critical Care Working Group, Form

This form is used to request access to the Critical Care Database. Please ensure that all fields are filled, including the signature section for approval. Approval should be sought from the site ICU/HAU manager or director or Health Authority Critical Care director, executive director, or medical director.

Download the Request Form and Terms of Use

Request form and terms of use