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THE SOCIETY OF THORACIC SURGEONS APPLICATION FOR ASSOCIATE MEMBERSHIP Please complete both sides. NAME: LAST FIRST MI DEGREE DATE OF BIRTH: GENDER: o M of CURRENT HOSPITAL OR HEALTH SYSTEM AFFILIATION:
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How to fill out current hospital or health:

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Start by gathering all necessary personal information such as name, date of birth, address, and contact details. This information will be crucial for identifying patients and ensuring accurate records.
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Current hospital or health refers to the most recent hospital or health information.
Individuals who have been hospitalized or received medical treatment may be required to file current hospital or health.
You can fill out current hospital or health by providing accurate and up-to-date information about your hospitalization or medical treatment.
The purpose of current hospital or health is to maintain accurate records of an individual's medical history and treatment.
Information such as the date of hospitalization or treatment, the name of the healthcare provider, and the reason for the hospitalization or treatment must be reported on current hospital or health.
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