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Alabama Trauma Registry (ATR) No Trauma Cases

Alabama Department of Public Health Alabama Trauma Registry
Healthcare Facility NTC Form (No Trauma Cases to Report)

In an effort to meet reporting guidelines and requirements of the Alabama Trauma Registry (ATR) and the Alabama Head and Spinal Cord Injury Registry (AHSCIR) program, this document serves to notify ATR/AHSCIR that during the reporting month, there were NO trauma or head and spinal cord cases diagnosed or treated at this facility and therefore no cases to report for this month.

* Reporting Hospital


Other:

* Select Reporting Month


Use Shift or Ctrl keys to select multiple values.

* Reporting Year


* Name of Reporting Individual

* Email Address

If you have any questions, please contact Sara Matthews at
334-290-6241, or email her at [email protected].