Adverse Events
Friendly reminder: When submitting AE, please be sure to attach the After Visit Summary. This document is required for processing purposes. If client has been admitted to the hospital/facility, please include the Admitting Diagnosis. Upon discharge, please make sure to submit the Discharge Summary.
Fax or Email AE documents to:
Fax: 808-536-7200
Email: info@allisland-cmc.com
Please download a copy of the updated Adverse Event Form. Click the link below to Download (form is fillable).
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