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Memorial Hermann Health System ANNUAL REPORT ON FINANCIAL INFORMATION AND OPERATING DATA (Pursuant to S.E.C. Rule 15c212) Fiscal Year End June 30, 2013, Contact Information: Dennis L. Faraway Chief
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Gather all necessary personal information such as full name, address, contact number, date of birth, and social security number.
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Visit the Memorial Hermann website or contact their customer service to access the online enrollment form or request a physical copy of the enrollment form.
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If completing the enrollment form online, ensure that you save or print a copy of the submitted form for future reference.
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For any questions or assistance during the enrollment process, reach out to Memorial Hermann's customer service or visit one of their enrollment centers.

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Memorial Hermann Healthcare System is a non-profit health system in Texas, United States.
Healthcare providers and facilities affiliated with Memorial Hermann Healthcare System are required to file.
Memorial Hermann Healthcare System forms can be filled out online or by submitting physical forms to the specified address.
The purpose of Memorial Hermann Healthcare System is to collect and report healthcare data for analysis and improvement of patient care.
Information such as patient demographics, medical procedures, treatments, and outcomes must be reported on Memorial Hermann Healthcare System forms.
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