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HCR MANORCARE ADVANCED HEART CARE PROGRAM AUTHORIZATION FORM Note: You must complete this form and return to Health Design Plus before ANY procedure can be scheduled under the program. EMPLOYEE NAME:.

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  3. Read through the recommendations to determine which details you will need to include.
  4. Click the fillable fields and put the requested info.
  5. Put the relevant date and place your e-autograph as soon as you complete all other fields.
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  7. Save the filled out document to your gadget by hitting Done.
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