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Outpatient Referral Form PATIENT:PHONE #: (M)(Alt.)PRIMARY DIAGNOSIS: EVIL & TREAT:PTOTLYMPHEDEMASLP/DYSPHAGIA/LANGUAGEADDITIONAL COMMENTS/CONCERNS/TREATMENT SPECIFICATIONS:PHYSICIAN SIGNATURE:REFERRAL
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What is phone m?
Phone m is a form used for reporting mobile phone usage by employees.
Who is required to file phone m?
Employees who use mobile phones provided by their employers are required to file phone m.
How to fill out phone m?
Phone m can be filled out by documenting the personal and business use of the mobile phone and submitting it to the employer or appropriate department.
What is the purpose of phone m?
The purpose of phone m is to track and report the usage of mobile phones for business purposes.
What information must be reported on phone m?
Information such as calls made, messages sent, data usage, and any personal vs. business use must be reported on phone m.
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