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REQUEST # FIN # Rex Healthcare 4420 Lake Boone Trail Health Information Management Raleigh, North Carolina 27607 9197843158; Fax 9197843343AUTHORIZATION FOR RELEASE OF INFORMATION I authorize:Rex
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Oformr facility is a reporting form used to submit information about facility operations.
Any facility that meets the requirements set by the regulating agency.
The form can be filled out online or submitted in hard copy, following the instructions provided by the regulating agency.
The purpose is to ensure that facilities are in compliance with regulations and to track and monitor facility operations.
Facility information, operations details, waste management practices, and emissions data.
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