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CMS Addendum E Inpatient Only List

Surgery and Special Procedures

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

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