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Release of Information to Charter Radiology Telephone 443.917.2855Fax 410.346.5775Name: Date of Birth: Type of Procedure: Name of Hospital or Clinic: Please mail films/CD and reports to: Charter Radiology

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Form Importance of MR is a document used to report specific financial activities or transactions to regulatory authorities, ensuring compliance with legal requirements.

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Form Importance of MR requires reporting information such as the nature of the transactions, amounts involved, parties involved, and dates of transactions.

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