Mychart.nhrmc.org

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New Hanover Regional Medical Center NHNHRMC AND …

WEBCompleting this request will establish a MyChart record for you and/or for the patient. Return all forms to: NHNHRMC Attn: HIM Department PO Box 2400 Wilmington, NC …

Actived: 8 days ago

URL: https://mychart.nhrmc.org/mychart/en-US/docs/MyChart-Adult-Proxy.pdf

THIS FORM IS PART OF THE PERMANENT MEDICAL RECORD

WEBCompleting this form will establish a MyChart record for you and for your child. Return all forms to: NHNHRMC. or. Fax (910) 667-5631 HIM Department PO Box 2400 …

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