NEXT OF KIN DOT MATRIX (9)    FOLLOW-UP FORM LETTER (165.1)

 
 
                                             |LAST(FOLLOW-UP ATTEMPTS:FOLLOW-UP ATTEMPT DATE)|
 
 
 
|LOWERCASE(ONCOFIRSTNAME LASTNAME(LAST FOLLOW-UP CONTACT))||TAB|
|LOWERCASE(LAST FOLLOW-UP CONTACT:STREET ADDRESS 1)|
|WRAP|
|LOWERCASE(LAST FOLLOW-UP CONTACT:STREET ADDRESS 2)|
|LOWERCASE(LAST FOLLOW-UP CONTACT:STREET ADDRESS 3)|
 
|NOWRAP|
|LOWERCASE(LAST FOLLOW-UP CONTACT:ZIP CODE)|
 
Dear |LOWERCASE(ONCOFIRSTNAME LASTNAME(LAST FOLLOW-UP CONTACT))|,
 
Our hospital has a clinical program which is engaged
in following the progress of our former patients.  We
are interested in knowing about the following person:
  
                   |FIRST-LAST|
 
 
Would you be kind enough to complete the information
requested below?  Your assistance will add to the
success of this program and help us achieve better
patient care at our hospital.  A self-addressed,
stamped envelope is enclosed for your convenience.
 
Thank you for your assistance.
 
                           Sincerely,
|INDENT(15)|
 
 
 
 
                           |Tumor Registrar|
                           Tumor Registrar
 
 
 
Present whereabouts of: |LOWERCASE(FIRST-LAST)|
|C. HOSPITAL NAME|            
 
     Address:
 
 
Doctor who is now caring for this person:
 
     Name:
     Address:
 
                                     Name: |FIRST-LAST|
                          |HOSPITAL STREET ADDRESS|
                                      SSN: |$E(SSN,8,11)| 
 
                         |HOSPITAL CITY,ST ZIP|