STS Clinical Question Request Form

IMPORTANT: FOR HIPAA COMPLIANCE PURPOSES, PLEASE NOTE THAT ANY PATIENT IDENTIFYING INFORMATION1SHOULD BE REDACTED FROM THIS SUBMISSION. 

1The identifiers that should be removed include name, address, and geographic subdivisions below the state level, dates of birth/admission/discharge (but not age unless over 89), telephone, fax, e-mail, and Social Security numbers. Notably, you are not required to remove the nature of the condition, or the name of the hospital or physician.

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