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Get Medicare Questionnaire

Waverley Surgery Center 400 Forest Avenue Palo Alto, CA 94301 650.324.0600 Medicare Secondary Payer Questionnaire (Short Form) You only need to complete this form if you are covered by Medicare. 1.

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51 votes

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  3. Complete the blank areas; engaged parties names, addresses and numbers etc.
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  5. Put the particular date and place your e-signature.
  6. Click Done following double-checking all the data.
  7. Download the ready-produced record to your device or print it like a hard copy.

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