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  • Cape Fear Urology Patient Forms

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Tion referring physician full name referring physician & practice date of birth (m/d/y) referring physician signature address address city/state/zip office phone home phone alternate phone insurance information copy of insurance cards along with any authorizations required office fax contact person reason for referral diagnosis medical records attached no insurance * if the patient s name is different from the name on the insurance card, please include the subscriber s name,.

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Cape Fear Valley Medical Center: (910) 615-4000.

Fax Completed Form to: (910) 321-6253 - Cape Fear Valley Health ...: Fill out & sign online | DocHub.

Cape Fear Valley Medical Center: (910) 615-4000.

Currently there are 14 designated Trauma Centers in North Carolina. These consist of six Level I Trauma Centers, three Level II Trauma Centers and five Level III Trauma Centers.

Cape Fear Valley ED numbers have historically been high because the medical center is a safety net hospital, serving patients from across southeastern North Carolina. Its ED is also a state-designated, Level III Trauma Center, which treats critically injured patients when other nearby EDs cannot.

If you have any questions, please contact Human Resources at 910-615-6646, Monday-Friday, 7am - 5pm.

Trauma/Critical Care Medical Director It is designated a Level III Trauma Center. Our providers perform a wide variety of surgery, including minimally invasive procedures for acute and chronic conditions as well as acute care surgery.

Robert Godwin - Director - Cape Fear Valley Health System | LinkedIn.

Should you have any questions about which one is appropriate, please feel free to contact our medical records department at (910) 323-3183 ext. 103.

High energy, quick thinking and excellent assessment skills are what we look for in the nurses who join our Level 3 Trauma Center and Emergency Department. This dynamic division, along with the Pediatric Emergency Department treats more than 130,000 patients annually.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232