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Form Approved OMB No. 0920-0666 Exp. Date: 12/31/2017 www.cdc.gov/nhsn Surgical Site Infection (SSI) Page 1 of 4 *required for saving **required for completion Facility ID: Event #: *Patient ID: Social
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How to fill out patient name last

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01
Start by locating the designated field for the patient's last name on the form.
02
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04
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In conclusion, filling out the patient's last name correctly is crucial for medical professionals, insurance companies, pharmacies, administrative personnel, researchers, and statisticians to carry out their respective roles and responsibilities efficiently.
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