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Medicare
Form CMS-2552-10, which contains instructions for the completion of the new cost report forms to be filed by hospitals and hospital health care complexes
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Personal Authorization Form
The Personal Authorization Form is required under the Right to Privacy Act. It simply is a form on which you give some basic information about yourself - your
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CONGRESSIONAL CASEWORK AUTHORIZATION FORM
Dr. □ Mr. □ Mrs. □ Ms. □ Mx. Name: Current Home Address: City: State: Zip: Email Address: Telephone: (cell). (other). Date of Birth:.
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