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VII. e. Adult Cardiac Surgery Database, v2.61 Training Manual Hospital Name Clarification Report Participant ID: 99999 Important: This report MUST be completed and returned to the STS Data Warehouse.

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How to fill out the Sts Report Sample online

Completing the Sts Report Sample is essential for accurate data submission to the STS Data Warehouse. This guide will walk you through each section of the form, ensuring that every detail is filled out correctly.

Follow the steps to fill out the Sts Report Sample effectively.

  1. Click ‘Get Form’ button to obtain the Sts Report Sample and open it in the online editor.
  2. Review the Hospital Name section. You will see a list of Hospital Names associated with your Participant ID. Ensure that each name is accurate and as it appears in your database.
  3. For each Hospital Name listed, circle one of the options: 'No Change' if the name is correct, or 'Change To' if you need to provide a corrected name. Remember to spell out any abbreviations.
  4. Make sure to correct any misspellings or variations in the names provided. If the name is marked as '<Missing>', fill in the appropriate name.
  5. Once all needed changes are made, sign and date the form at the bottom.
  6. After completing the form, save your changes. You may also choose to download, print, or share the form as needed.
  7. Finally, submit the completed form along with the Analysis Sign-Off to the STS Data Warehouse via fax at (919) 668-7074.

Complete your documents online to ensure a successful submission!

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232