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Winter Weather Closings/Delays

Thursday, January 18: WakeMed Physician Practices, urgent cares, and most outpatient services - lab, imaging, rehab and Healthworks - are closed. 

Friday, January 19:  All urgent care locations will open at 8 am. WakeMed Physician Practices and most outpatient services - lab, imaging, rehab and Healthworks - will delay opening until 10 am. 

Learn more about our closings and delays and remember, our hospitals and emergency departments are always open.

Forms Request

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2018 CMS Addendum E Inpatient Only List

Anesthesia Forms

Heart & Vascular

Labor & Delivery

  • Anesthesia for Labor and C-Section  English  |  Spanish
  • Women's Pavilion & Birthplace Pre-Registration Form  English  |  Spanish

Surgery and Special Procedures

Authorization to Release Medical Information Forms

  • Authorization to Release Medical Information  English  |  Spanish

Note: The form can faxed to 919-350-7985 or mailed to: Medical Record Services - ROI, 3000 New Bern Avenue, Raleigh NC 27610

Imaging Services

Rehabilitation

Diabetes

 

Mail Order Forms

These forms are printed by WakeMed and can be ordered online and mailed to your practice in bulk at no charge.

Physician Office Orders