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INTERMOUNTAIN MEDICAL CENTER DUTY FAMILY EDUCATION CENTER 5121 S. COTTONWOOD STREET MURRAY, UTAH 84157 7:30 AM 4:30 PM S E P T E M B E R 1 8, 2 01 0 SATURDAY INTERMOUNTAIN TRAUMA AND ACUTE CARE CONFERENCE
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01
Start by gathering all necessary information and documentation needed to fill out the form.
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Review the form instructions carefully to ensure you understand the requirements and sections of the form.
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Begin by entering the patient's personal information, such as their full name, date of birth, and contact information.
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Next, provide details about the trauma or acute condition, including the date and time it occurred, the location, and a brief description of the incident.
05
Fill out the medical history section, which may require information about any pre-existing conditions, allergies, medications, and previous medical procedures related to the trauma or acute condition.
06
If applicable, provide information about the healthcare providers involved in the treatment of the trauma or acute condition, including their names, specialties, and contact information.
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Review the completed form for accuracy and make any necessary corrections before submitting it.
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Sign and date the form, indicating your acknowledgment and consent to the information provided.
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Keep a copy of the filled-out form for your records.

Who needs intermountain trauma and acute?

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Individuals who have experienced a traumatic event or are currently suffering from an acute medical condition.
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Patients who require medical assistance and treatment for traumatic injuries, such as fractures, burns, or severe wounds.
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Healthcare professionals who need to document and assess the severity of a trauma or acute condition for proper diagnosis and treatment.
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Emergency medical service providers who respond to and provide care for traumatic incidents or acute medical emergencies.
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Insurers or legal representatives who may require the intermountain trauma and acute form as part of claims processing or legal proceedings related to the incident or condition.
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