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2018 CMS Addendum E Inpatient Only List
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Authorization to Release Medical Information Forms
Note: The form can faxed to 919-350-7985 or mailed to: Medical Record Services - ROI, 3000 New Bern Avenue, Raleigh NC 27610
These forms are printed by WakeMed and can be ordered online and mailed to your practice in bulk at no charge.
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3000 New Bern Ave.
Raleigh, NC 27610