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["#","Form","Change","Current Location","Reason"]
[1,"CMS 10160","Changed instructions.  Step 1 - removed example of social security number text from the end of the sentence.","1st page Instructions","CMS No longer needs this information in the form Medicare number will soon change."]
[2,"CMS 10160","Inserted Step 4 ","1st page Instructions","Additional instruction due to section 4 being added to the Authorization Form"]
[3,"CMS 10160","Changed instructions numbering. Step 3 to Step 4","1st page Instructions","Move down a line due to addition of Step 4 to the Authorization Form instructions."]
[4,"CMS 10160","Changed instructions numbering. Step 4 to Step 5","2nd page Instructions","Move down a line due to addition of Step 4 to the Authorization Form instructions."]
[5,"CMS 10160","Changed instructions numbering. Step 5 to Step 6","2nd page Instructions","Move down a line due to addition of Step 4 to the Authorization Form instructions."]
[6,"CMS 10160","Changed instructions numbering. Step 6 to Step 7","2nd page Instructions","Move down a line due to addition of Step 4 to the Authorization Form instructions."]
[6,"CMS 10160","Changed instructions numbering. Step 7 to Step 8","2nd page Instructions","Move down a line due to addition of Step 4 to the Authorization Form instructions."]
[7,"CMS 10160","Changed Authorization Form.  Inserted section 4 Fill in the reason for the disclosure (you may write \"at my request\") to the Authorization Form and inserted two lines for the information.","Authorization Form 2nd page","Move down a line due to addition of section 4 to the Authorization Form"]
[8,"CMS 10160","Changed Authorization Form.  Changed number 5 to number 4.","Authorization Form 2nd page","Move down a line due to addition of section 4 to the Authorization Form"]
[9,"CMS 10160","Changed Authorization Form.  Changed number 6 to number 5.","Authorization Form 3rd page","Move down a line due to addition of section 4 to the Authorization Form"]
[10,"CMS 10160","Changed Authorization Form.  Changed number 7 to number 6.","Authorization Form 4th page","Move down a line due to addition of section 4 to the Authorization Form"]
[11,"CMS 10160","Changed Authorization Form.  Replaced PRA disclosure with updated PRA disclosure","Authorization Form 4th page","Required language update per PRA Reports Clearance Office"]

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