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Dear Medicare Beneficiary,
Providing a Medical Record Release Form to us is not mandatory, however, it may expedite the record collection process so that you may be able to start purchasing products from us and be reimbursed for them by Medicare sooner.
If you have any questions, please call 1-800-223-9310, otherwise, please click on the link below, print it, completely fill in the blanks, sign and date it, and mail the original to the address below:
Austin Medical Products, Inc.
P.O. Box 1830
Conway, NH 03818
Thank you for your cooperation.
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