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M3132 Rev. 2/15 Patient Name: Medicine Date of Birth: DUKE HEALTH ENTERPRISE AUTHORIZATION FOR RELEASE OF PROTECTED HEALTH INFORMATION Medical Record Number: Phone Number: Release From: 9 Duke University
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Duke Health Enterprise is the healthcare system of Duke University, providing clinical care, medical education, and research.
All healthcare institutions and providers affiliated with Duke University are required to file Duke Health Enterprise.
Duke Health Enterprise can be filled out online or by submitting the required forms to the appropriate department at Duke University.
The purpose of Duke Health Enterprise is to track and report on healthcare activities, finances, and outcomes within the Duke University system.
Duke Health Enterprise requires reporting on patient care, financial data, research activities, and quality metrics.
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