Document
Att T - Ambulatory Surgery Patient Record Form
ICR 201302-0920-001 · OMB 0920-0212 · Object 37585201.
This document may belong to an older filing. More recent activity for OMB 0920-0212:
Document Viewer [docx]
Status: The document is viewable, but some background extraction is still pending.
Queue: Repair is queued and waiting for the next worker pass. (priority 70 · next 2026-07-14 20:31:29)
Missing: html
Download: Source copy (docx)
Loading document viewer…
Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Att T - Ambulatory Surgery Patient Record Form |
| Author | Troy Agnew |
| File Created | 2021-01-29 |
| Conversion State | partial |