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Useful Resources

Project Developed Forms and Related Documents

Note: Due to the complex nature of these forms, we offer them in two formats: 1) the original Word format, which may be edited; and 2) the PDF format which will display and print. If you need further assistance with these forms, please call Barbara Lewis at 202-619-1351.

Medicare FYI
• Fraud and Abuse Referral Form
   • PDF PDF Version [23K]
   • HTML HTML Version [10K]
   • Microsoft Word Microsoft Word Version [17K]

• Peer Education Referral Form
   • PDF PDF Version [5K]
   • HTML HTML Version [6K]
   • Microsoft Word Microsoft Word Version [21K]

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New Hampshire Senior Advocacy Program - Protecting Quality Health Care
• Health Care Fraud and Abuse Referral Form
   • PDF PDF Version [7K]
   • HTML HTML Version [7K]
   • Microsoft Word Microsoft Word Version [12K]

• Client Release Form
   • PDF PDF Version [7K]
   • HTML HTML Version [4K]
   • Microsoft Word Microsoft Word Version [11K]

Coalition of Wisconsin Aging Groups
• Fraud and Abuse Referral Form
   • PDF PDF Version [10K]
   • HTML HTML Version [12K]
   • Microsoft Word Microsoft Word Version [14K]

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PDF Help
To view a PDF file, you will need Adobe® Acrobat® Reader installed on your personal computer. Acrobat® Reader can be downloaded from Adobe's web site at no cost.

Opening/Saving/Printing
You may choose to "click" on the link to open/view the file using Adobe® Acrobat® Reader or "right-mouse click" on the link (Mac: command + click) and choose the option "save target as", "save link as", or "save file as" to save the file on your computer.

If you choose to print, press the "print" icon (picture of a printer) on the Acrobat® Toolbar. If you choose to save the PDF after viewing, click on the "save" icon (picture of a disc) on the Acrobat® Toolbar; then browse to where you would like to save the file.

Adobe® Acrobat® Tool Bar

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For more information on Adobe® Acrobat® or to get the free plug-in please click on the Adobe® link below.

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