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Page 1 of 3Impact Youth801 S. Wayne Street, Monroe NC 28112PARENTAL PERMISSION AND MEDICAL AUTHORIZATION Nonparticipant Name: Birth date: My contact: Address: Office: 7042893186 Ext: 30 Cell: Email:
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To fill out the City of Monroe NC form, follow these steps:
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The City of Monroe NCHOW is an acronym for North Carolina Hospital Outpatient Worksheet.
All hospital outpatient departments in the city of Monroe are required to file the NCHOW.
The NCHOW form must be filled out online through the designated portal provided by the city of Monroe.
The purpose of the NCHOW is to track and report outpatient services provided by hospitals in the city of Monroe.
The information required to be reported on the NCHOW includes details on outpatient procedures, visits, and revenue generated.
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