NICU Fellowship Program
Thank you for using the WWW based procedure log.

Your procedure log has been emailed to rprudhoe@metrohealth.org.

A copy of this information appears below.
Feel free to print this copy for your records.

MHMC Resident Procedure Record
Fellow's Name/Pin: [FirstName]
Date: [Date]
Procedure: [Procedure]
Patient's MHMC #: [PNumber]
Person Primariliy Doing Procedure: [Role]
Supervisor: [Supervisor]
Procedure Comments: [Comments]

This page was designed and is maintained by David Kaelber, MD/PhD, Internal Medicine/Pediatrics (dck3@po.cwru.edu). (last updated 27 November 2002)