You may print this form for approval signature. This form is not required by the Bay Area Point of Care Coordinators; it is merely a tool to gain authorization within your institution.
INFORMATION DISCLOSURE RELEASE The Bay Area Point of Care Coordinators are creating a website for their membership. The purpose of the website is to exchange information professionally among peers. The information is being presented in an open, unsecure format. This document certifies that the Laboratory Staff (specifically, Point of Care) are allowed to post information about the products used in this hospital. It also allows contact information to be posted without restriction. No classified or proprietary information will be posted. This information will help communication between members when troubleshooting instruments, writing procedures and enhancing the Point of Care program at this hospital.
Approval: ____________________________________ Title: ________________________________ Date: ___________________
It is the responsibility of the Point of Care staff to maintain a copy of this release if it is a necessary document to this hospital. If the release has been approved, go to http://www.pointofcare.net/bayarea/ra.htm to notify the Bay Area Point of Care Coordinators that your information may be posted. Do not send a copy of the Information Disclosure Release. |
Last updated: 09/15/2003
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