TISS76-Form
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Legacy article as of January 1, 2013
The File:TISS76-FORM for ICU citywide2.pdf is the standard form we use to collect TISS76 data.
- For information on how to fill out this form, see: ! TISS76 Collection Guide.
- The TISS form is sent in main office and scanned by the Data Processor using a program called Teleform.
- The form needs to be ordered via the Main Office because exact reproduction is required for the scanning program to correctly scan these forms.