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Place Pt Demographic Label Here UNC HEALTH CARE SYSTEM REQUEST AND CONSENT FOR PROCEDURE HIM #248s I authorize and/or associates and assistants of his/her choice at Surgeon Name Entity Name (referred
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Start by visiting the UNC Health Care System website or contacting their customer service for more information.
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UNC Health Care System is a not-for-profit integrated health care system owned by the state of North Carolina.
UNC Health Care System employees and patients may be required to file information with the system.
To fill out UNC Health Care System forms, individuals can usually do so electronically or by submitting paper forms.
The purpose of UNC Health Care System is to provide quality health care services to the community.
Information such as medical records, insurance information, and personal details may need to be reported on UNC Health Care System.
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