[Federal Register Volume 69, Number 5 (Thursday, January 8, 2004)]
[Notices]
[Page 1291]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-371]


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GENERAL SERVICES ADMINISTRATION


Interagency Committee for Medical Records (ICMR); Revision of 
Optional Form 522

AGENCY: Office of Governmentwide Policy, GSA.

ACTION: Notice.

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SUMMARY: The Interagency Committee on Medical Records revised Optional 
Form 522, Medical Record--Request for Administration of Anesthesia and 
for Performance of Operations and Other Procedures to add different 
types of operations or procedures and elaborate on counseling. You can 
obtain the updated form in two ways:

On the Internet. Address: http://www.gsa.gov/forms/ or;
From GSA, Forms-MCF, Attn.: Barbara Williams, (202) 501-0581.

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

DATES: Effective January 8, 2004.

    Dated: December 23, 2003.
Barbara M. Williams,
Deputy Standard and Optional Forms Management Officer, General Services 
Administration.
[FR Doc. 04-371 Filed 1-7-04; 8:45 am]
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