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CommunityBenefit

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Your name * 
Hospital/Location Code * 
Department Number * 
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Date Activity Began (MM/DD/YY) * 
Date Activity Ends  
Number of hours spent on this project * 
Tell us what you did * 
    Work on this project was done on behalf of WakeMed
    This is a PR/PN Project
For PRPN only: Who is your Supervisor?  
    This work was done during normal work hours.
Category of Activity  
Name of Activity  
List WakeMed expenses associated with this event  
Total Expenses  
WakeMed Raleigh Campus WakeMed North Healthplex WakeMed Cary Hospital WakeMed Fuquay-Varina Outpatient and Skilled Nursing Facility WakeMed Zebulon/Wendell Outpatient and Skilled Nursing Facility WakeMed Clayton Medical Park

Heart Center
Women's Pavilion & Birthplace
Children's Center
Center for Patient Safety
Emergency Services/Trauma
Rehab


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