Appointment of Representative form from HHS

Tuesday, January 14, 2014 | By Scott | 3 Comments

It appears that this is the new Appointment of Representative form that the Department of Health and Human Services Centers for Medicare & Medicaid Services has finally decided to use.  

For both Spanish and English versions, go to:

http://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/CMS-Forms-Items/CMS012207.html

It has taken almost 40 years to have a form for an advocate to fill out and submit…Go figure.

3 Comments to Appointment of Representative form from HHS

  1. January 14, 2014, by arlene

    Send it to http://www.dialysisadvocates.com
    Go and email on the COntact us form

  2. January 14, 2014, by arlene

    Fax them to us1-888-213-5733

  3. January 14, 2014, by arlene

    Fax the form to 1-888-213-5733

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