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SWHPAuthorizationRequestForm **When completed, pleasefaxtoSWHPHSDat:1.800.626.3042or254.298.3450** Emergent Urgent Routine Retrospective Elective PatientName DOB / / Address: Phone() MemberNumber
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phonemembernumber - trs swhp is a unique identifier assigned to each member in the TRS (Telephone Relay Service) program.
Service providers participating in the TRS program are required to file phonemembernumber - trs swhp for each enrolled member.
phonemembernumber - trs swhp can be filled out by entering the designated information for each member into the system.
The purpose of phonemembernumber - trs swhp is to track and identify individual members in the TRS program.
phonemembernumber - trs swhp must include the member's name, contact information, and relevant details for program participation.
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