Get the free Fax this form to 410 244-1366 Referral Source

REFERRAL TO BALTIMORE CITY ASTHMA PROGRAMS Fax this form to: (410) 2441366 Referral Source: Attention: Referral Coordinator Date of Referral: / / Baltimore City Health Department: Community Asthma

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1. Start by carefully reading through the form to understand the required information and any specific instructions.
2. Gather all the necessary documents and details that are required to complete the form, such as personal information, identification numbers, or supporting documents.
3. Use a pen with black ink to fill out the form neatly and legibly. Avoid using pencil or other colored inks.
4. Write your full name, including any middle names or initials, in the designated space.
5. Provide your contact information, such as a phone number and email address, so that the recipient can reach you if needed.
6. Fill in any required identification numbers, such as a social security number or driver's license number, if applicable.
7. Double-check your entries before moving on to the next section, ensuring that all information is accurate and matches your supporting documents.
8. If the form requires a signature, sign it using your legal signature. Make sure to sign within the designated space, and avoid crossing any lines or going beyond the given area.
9. If there are any additional sections or pages to be filled out, ensure that you complete them accurately, following the same guidelines as mentioned above.
10. Once the form is filled out completely, carefully review it once again to ensure accuracy and completeness.

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2. It could be necessary to fax the form to a government agency, such as a tax office, for official documentation or processing purposes.
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