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Office Only: Received by IDs Attached Date ENROLLMENT FORM NM MCP # Exp. Date MDL# Patient name Address City County Zip Phone Cell phone Email address AUTHORIZATION TO RELEASE INFORMATION: I agree
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How to fill out office only received by:
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Start by writing the date in the designated space. Make sure to use the correct format, such as DD/MM/YYYY or MM/DD/YYYY.
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Office only received by is typically needed in situations where confidentiality or privacy is essential. For example, if you are sending a sensitive document that should only be accessed by a specific person or department, you would use this designation.
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This designation can also be used when there are multiple recipients of a document, but you want to ensure that one particular person or department receives the document directly.
By using office only received by, you can ensure that confidential or sensitive information reaches the intended recipient while minimizing the risk of unauthorized access or distribution.
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