Interagency Committee for Medical Records (ICMR); Revision of SF 504, Medical Record-History-Part 1

---
identifier: "/us/fr/02-25918"
source: "fr"
legal_status: "authoritative_unofficial"
title: "Interagency Committee for Medical Records (ICMR); Revision of SF 504, Medical Record-History-Part 1"
title_number: 0
title_name: "Federal Register"
section_number: "02-25918"
section_name: "Interagency Committee for Medical Records (ICMR); Revision of SF 504, Medical Record-History-Part 1"
positive_law: false
currency: "2002-10-11"
last_updated: "2002-10-11"
format_version: "1.1.0"
generator: "[email protected]"
agency: "General Services Administration"
document_number: "02-25918"
document_type: "notice"
publication_date: "2002-10-11"
agencies:
  - "General Services Administration"
fr_citation: "67 FR 63429"
fr_volume: 67
effective_date: "2002-10-11"
fr_action: "Notice."
---


#  Interagency Committee for Medical Records (ICMR); Revision of SF 504, Medical Record—History—Part 1

**AGENCY:**

Office of Communications, GSA.

**ACTION:**

Notice.

**SUMMARY:**

The General Services Administration/ICMR revised the SF 504, Medical Record—History—Part 1 to add sponsor information, update the patient identification information and make the form authorized for local reproduction. You can obtain the updated form in two ways: On the internet. Address: *http://www.gsa.gov/forms/* or; From GSA, Forms-CAP, Attn.: Barbara Williams, (202) 501-0581.

**FOR FURTHER INFORMATION CONTACT:**

Ms. Barbara Williams, General Services Administration, (202) 501-0581.

**DATES:**

Effective October 11, 2002.

Dated: September 26, 2002.

Barbara M. Williams,

Deputy Standard and Optional Forms Management Officer, General Services Administration.