[Federal Register Volume 60, Number 16 (Wednesday, January 25, 1995)]
[Notices]
[Pages 4915-4916]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-1826]



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GENERAL SERVICES ADMINISTRATION


Interagency Committee for Medical Records (ICMR) Cancellation and 
Establishment of Medical Forms

AGENCY: General Services Administration.

ACTION: Notice.

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SUMMARY: Standard Form 522, Medical Record--Request for Administration 
of Anesthesia and For Performance of Operations and Other Procedures is 
being cancelled and replaced by Optional Form 522, Medical Record--
Request for Administration of Anesthesia and For Performance of 
Operations and Other Procedures. Several states have different 
requirements in order to meet the standards in providing informed 
consent for anesthesia and the performance of operations. A single 
standard form will not meet all of the states needs. Therefore SF 522 
is being cancelled and replaced by OF 522 giving the agencies leeway 
when having to use a state form. The optional form is authorized for 
local reproduction. Upon request, a camera copy of OF 520 will be 
provided by the General Services [[Page 4916]] Administration (CARM), 
Attn.: Barbara Williams, (202) 501-0581.

FOR FURTHER INFORMATION CONTACT:
Ms. Barbara Williams, General Services Administration, (202) 501-0581.

    Dated: January 10, 1995.
Theodore D. Freed,
Chief, Forms Management Branch.
[FR Doc. 95-1826 Filed 1-24-95; 8:45 am]
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