Friendly reminder: when submitting Adverse Events, please be sure to always attach the After Visit Summary. This is required for processing purposes. If client has been admitted, please include the admitting diagnosis. Upon discharge, please make sure to submit the Discharge Summary. Please fax all completed forms to either fax number:
808-536-7225 or 808-536-7200
OR you may email to: info@allisland-cmc.com
If you need a copy of the Adverse Event Form, click the link below to download.
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