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Date Faxed: Please fax completed form to 303-785-9333 COLORADO MEDICAID CERTIFICATE OF MEDICAL NECESSITY FOR OXYGEN BENEFITS* Certification Type/Date: INITIAL / / REVISED / / RECERTIFICATION SECTION
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What is date faxed please fax?
Date faxed please fax refers to the date on which a document or information was sent via fax machine.
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To fill out date faxed please fax, simply write down the date on which the document was faxed.
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The purpose of date faxed please fax is to provide a record of when a document was transmitted via fax.
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The information that must be reported on date faxed please fax includes the date of transmission.
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