DISCLOSURE OF ADVERSE EVENT NOTE (1323)    TIU DOCUMENT DEFINITION (8925.1)

Name Value
NAME DISCLOSURE OF ADVERSE EVENT NOTE
PRINT NAME DISCLOSURE OF ADVERSE EVENT NOTE
TYPE TITLE
CLASS OWNER CLINICAL COORDINATOR
STATUS INACTIVE
BOILERPLATE TEXT 
DATE, TIME, AND PLACE OF DISCUSSION:



OFFER OF ASSISTANCE INCLUDING BEREAVEMENT SUPPORT:



QUESTIONS ADDRESSED IN THE DISCUSSION:




ADVISEMENT OF 1151 CLAIMS PROCESS AND RIGHT TO FILE ADMINISTRATIVE
TORT CLAIM:



CONTINUED COMMUNICATIONS REGARDING THE ADVERSE EVENT:





NAMES OF THOSE PRESENT:



DISCUSSION POINTS OF THE ADVERSE EVENT:
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TIMESTAMP 2005-11-15 16:17:36