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METROPOLITAN WASHINGTON AREA INTER-AGENCY REFERRAL TRANSFER FORM PATIENT NAME: MR#: TRANSFERRING FACILITY: ADDRESS I APT: TEL #: REFERRAL TO: TEL #: CITY: DOB: AGE: 0 M 1 10 F MARITAL STATUS: S M
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The Metropolitan Washington Area Inter-Agency is a collaborative group consisting of various government agencies in the Washington, D.C. metropolitan area.
Certain individuals and organizations operating within the Washington, D.C. metropolitan area may be required to file the Metropolitan Washington Area Inter-Agency.
To fill out the Metropolitan Washington Area Inter-Agency form, you will need to gather the necessary information and complete the required fields as specified by the respective agency.
The purpose of the Metropolitan Washington Area Inter-Agency is to promote collaboration and coordination among government agencies in the region, particularly in areas of shared interest or concern.
The specific information that must be reported on the Metropolitan Washington Area Inter-Agency form will depend on the requirements of the respective agency. Generally, it may include details about the individual or organization filing, financial information, and any relevant supporting documents.
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