ࡱ> @C? B bjbj ;0ee 62228j~2!!!!!!$JXEEZFK/}7F p0}`EE}. : Abnormal Results Contact Attempt Record Please note: All attempts to contact a patient must be recorded in the patients individual medical record at the time of the contact. This is a legal safeguard. Practice staff MUST NOT give out test results to patients unless expressly advised to by the PCP Patients NameDOBPatients Physical InitialsUrgency of consultType of test, e.g. blood, papTime, date, phone no. & staff initials of 1st phone callTime, date, phone no. & staff initials of 2nd phone callTime, date, phone no. & staff initials of 3rd phone callDate 1st letter sentMail returned?Date 2nd letter sentMail returned?Date Registered Mail SentPost office confirmation received receipt     http://www.acponline.org/practiceforms '(), - @ D I e j }     ! " 9 : M O Z [ _ ` f h t y z ʼʵ hhSeh`UhSeH*hSeh hh hSehhSeh5>*CJaJhSehCJaJhSeh>*CJaJhbrc>*CJ(aJ(h?+>*CJ(aJ(hh>*CJ(aJ(;(), - < = > ? @ $Ifgdgd$a$gd @ A E F G H I I@@@@@ $Ifgdkd$$Ifl@r *u( 3K K K K L t0644 layt`UI J ] f g h i j I@@@@@@ $Ifgdkd$$Ifl@r *u( 3K K K K L t0644 layt`Uj k ~  I@@@@@ $Ifgdkd$$Ifl@r *u( 3K K K K L t0644 layt`U I@@@@@@ $Ifgdkd$$Ifl@r *u( 3K K K K L t0644 layt`U I@@@@@@ $Ifgdkd$$Ifl@r *u( 3K K K K L t0644 layt`U     @kd$$Ifl@r *u( 3K K K K L t0644 layt`U $Ifgd ! " : V [ \ @kd*$$Ifl@r *u( 3K K K K L t0644 layt`U $Ifgd\ ] ^ _ ` u v w @kd$$Ifl@r *u( 3K K K K L t0644 layt`U $Ifgdw x y z @kd8$$Iflgr *u( 3K K K K L t0644 layt`U $Ifgd @kd$$IflUr *u( 3K K K K L t0644 layt`U $Ifgd I@@@@@ $IfgdkdF$$Ifl^r *u( 3K K K K L t0644 layt`U I@@@@@@ $Ifgdkd$$Ifl^r *u( 3K K K K L t0644 layt`U          ? A B h h5(ujh5(uUhhCJaJ hh hhSehSeh     KBBBBBB $IfgdkdT$$Iflr *u( 3K K K K L t0644 layt`U     KFFDFDFgdSekd$$Iflr *u( 3K K K K L t0644 layt`U    > ? @ A B $a$gd gdSe9&P1h0:p = /!"#`$`% $$If!vh#vK #vL :V l@ t065K 5L yt`U$$If!vh#vK #vL :V l@ t065K 5L yt`U$$If!vh#vK #vL :V l@ t065K 5L yt`U$$If!vh#vK #vL :V l@ t065K 5L yt`U$$If!vh#vK #vL :V l@ t065K 5L yt`U$$If!vh#vK #vL :V l@ t065K 5L yt`U$$If!vh#vK #vL :V l@ t065K 5L yt`U$$If!vh#vK #vL :V l@ t065K 5L yt`U$$If!vh#vK #vL :V lg t065K 5L yt`U$$If!vh#vK #vL :V lU t065K 5L yt`U$$If!vh#vK #vL :V l^ t065K 5L yt`U$$If!vh#vK #vL :V l^ t065K 5L yt`U$$If!vh#vK #vL :V l t065K 5L yt`U$$If!vh#vK #vL :V l t065K 5L yt`U^ 666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~_HmH nH sH tH @`@ NormalCJ_HaJmH sH tH DA`D Default Paragraph FontRi@R 0 Table Normal4 l4a (k ( 0No List jj  Table Grid7:V044 Se0Header H$66 Se0 Header CharCJaJ4 @"4 Se0Footer H$616 Se0 Footer CharCJaJPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭V$ !)O^rC$y@/yH*񄴽)޵߻UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSebORD۫qu gZo~ٺlAplxpT0+[}`jzAV2Fi@qv֬5\|ʜ̭NleXdsjcs7f W+Ն7`g ȘJj|h(KD- dXiJ؇(x$( :;˹! I_TS 1?E??ZBΪmU/?~xY'y5g&΋/ɋ>GMGeD3Vq%'#q$8K)fw9:ĵ x}rxwr:\TZaG*y8IjbRc|XŻǿI u3KGnD1NIBs RuK>V.EL+M2#'fi ~V vl{u8zH *:(W☕ ~JTe\O*tHGHY}KNP*ݾ˦TѼ9/#A7qZ$*c?qUnwN%Oi4 =3N)cbJ uV4(Tn 7_?m-ٛ{UBwznʜ"Z xJZp; {/<P;,)''KQk5qpN8KGbe Sd̛\17 pa>SR! 3K4'+rzQ TTIIvt]Kc⫲K#v5+|D~O@%\w_nN[L9KqgVhn R!y+Un;*&/HrT >>\ t=.Tġ S; Z~!P9giCڧ!# B,;X=ۻ,I2UWV9$lk=Aj;{AP79|s*Y;̠[MCۿhf]o{oY=1kyVV5E8Vk+֜\80X4D)!!?*|fv u"xA@T_q64)kڬuV7 t '%;i9s9x,ڎ-45xd8?ǘd/Y|t &LILJ`& -Gt/PK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 0_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!0C)theme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] B)0 5558 B @ I j  \ w  B  L# @0(  B S  ?  @C  @C  >>C`U?+@05:brcSevj5(usT~8'~`WD $2u  @BH@UnknownG*Ax Times New Roman5Symbol3. *Cx ArialA$BCambria Math"hrئȳ4g"ֆtt`xr0  3HP ?2!xx  Akila Berry Windows UserOh+'0  < H T `lt| Akila Berry Normal.dotmWindows User3Microsoft Office Word@F#@`V"@+%@A/}t՜.+,0 hp   ƹϵεapp   Title  "#$%&'()*+,-.012345689:;<=>ABERoot Entry FP:M/}DData 1Table!WordDocument ;0SummaryInformation(/DocumentSummaryInformation87MsoDataStore [4/}K/}GX0HQAEKSS3Q5W1==2 [4/}K/}Item  PropertiesUCompObj r   F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q