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PARENTING AWARENESS AND DRUGGIST EDUCATION REFERRAL FORM funded by DSS Client Information: Date: Name: DOB: Race/Ethnicity: Phone: Alt. Phone: Address: City: State: Zip: County: Referring Agency Name:
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Begin by gathering all the necessary information for the fax. This may include a cover sheet, any relevant documents or attachments, and the recipient's contact information.
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Fax to 512-869-1667 email is a method of sending scanned documents via fax to the specified fax number which in this case is 512-869-1667.
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The purpose of fax to 512-869-1667 email is to securely and quickly transmit important documents or information to the recipient at the specified fax number.
The information that must be reported on a fax to 512-869-1667 email will depend on the specific requirements of the sender or recipient. It could be anything from signed contracts, legal documents, medical records, or other sensitive information.
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