PCICS Protocols Warehouse Submission
Please complete this form for each protocol you are submitting.
Name
*
First Name
Last Name
Email
*
example@example.com
Institution
*
Type of Protocol (Check all that apply)
*
Feeding Protocols
Hematologic Protocols
Medical Protocols
Pain and Sedation Protocols
Post-operative Protocols and Algorithms
Title of Protocol
*
Please format the file as a PDF
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Date Protocol Written/Last Edited
*
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Month
-
Day
Year
Date
Today's Date
*
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Month
-
Day
Year
Date
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