Clinical Statement Change Request Template

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(This is a template. Do not edit! Copy and paste source into to a new page)

(An announcement of this Change Request must be submitted to the Clinical Statement list to be formally submitted.)

Editing of Change Requests is restricted to the submitter and the co-chairs of the Clinical Statement Project. Other changes will be undone. Please add comments to the "discussion" page associated with this Change Request.

Back to Clinical Statement Change Requests page.

Submitted by: <<Name>> Revision date: <<Revision Date>>
Submitted date: <<Submit Date>> Change request ID: <<Change Request ID>>

Issue

Recommendation

Rationale

Discussion

Recommended Action Items

Resolution