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MEDICAL ASSESSMENT SERVICES REQUESTED PRESCRIPTION DIAGNOSIS PATIENT/INSURANCE INFORMATION A STATEMENT OF MEDICAL NECESSITY TM ADULT GROWTH HORMONE TREATMENT * Required field SMN Fax: 8005450612 Phone:
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SMN stands for Supplementary Must-notification.
All individuals who meet the criteria set forth by the regulatory body.
SMN can be filled out online through the designated portal or submitted via mail.
The purpose of SMN is to provide additional information or updates to the regulatory body.
Information such as changes in address, contact details, employment status, or any other relevant updates.
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