91Âé¶¹

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Medical Malpractice Claims History and Insurance Verification

If you wish to have our office prepare a claims history and insurance verification letter for the time you were employed at 91Âé¶¹, please follow the steps below.

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1. Complete Form

i. Please complete the Authorization and Release Form.

ii. Fax it to 706-721-8014 or email it to legal@augusta.edu.


Download Form

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2. Pay $20 Processing Fee

Payment Options:

* Visa, MC, Discover and American Express, as well as web check (ACH) are accepted.

Pay by Check

91Âé¶¹
Cashiers Office
2500 Walton Way
Payne Hall, Room 4B
91Âé¶¹, GA  30904

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3. Wait Patiently

Claims history requests require several days of turnaround time. Therefore, please do not expect to receive the requested information the day after you send the request to Legal Affairs.

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91Âé¶¹

1120 15th Street, 91Âé¶¹, GA 30912

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