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Dear Medicare Beneficiary,
One of the requirements of Medicare is to have a signature on file from the patient authorizing Austin Medical Products to release medical and other necessary information to Medicare for proper processing of the claims we submit for you.
Please click on the link below and read the Authorization Form. If you have any questions, please call us at 1-800-223-9310. If you do not have any questions, please print, sign and date the form and mail the original to:
Austin Medical Products, Inc.
P.O. Box 1830
Conway, NH 03818
Thank you for your cooperation.
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