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HCA SHARED SERVICES CENTER 10030 N. MacArthur Blvd. Irving TX 75063 The Dallas Shared Services Center contracts with HealthPort to process requests for copies of medical records. I agree to pay this fee when I receive an invoice from Healthport. PLEASE PRINT PHONE NAME - ADDRESS Street City SIGNATURE DATE 888 749-7952 HealthPort Fee Sheet roi State DPC00332 New. Pertinent information an abstract for patient care includes transcribed reports discharge summary history and physical operative...
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