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1506 Charting Drive P.O. Box 1096 Salisbury, MD 21801 Phone: (410) 2199000 Fax: (410) 2195112 INITIAL CONTACT FORM (ICF) Referral Source/ Name : Telephone of Referring Source : Patient Name Social
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What is initial contact form icf?
Initial contact form icf is a form used to gather information about the first contact made by a person or entity with another party.
Who is required to file initial contact form icf?
Any individual or organization who initiates contact with another party is required to file the initial contact form icf.
How to fill out initial contact form icf?
To fill out the initial contact form icf, you need to provide details about the nature of the contact, the parties involved, and the date and method of the contact.
What is the purpose of initial contact form icf?
The purpose of the initial contact form icf is to document and track initial contact made between parties for future reference.
What information must be reported on initial contact form icf?
The initial contact form icf must include information such as the name of the contacting party, the purpose of the contact, and any relevant details about the interaction.
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