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RELEASE OF INFORMATION AUTHORIZATION Refuge Health Center Fax Number 845.354.3305 Patient Name: Date of Birth: Chart Number: Street Address: Other Name: Email Address: City/State/Zip Code: Telephone
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To fill out fax number 845, follow these steps:
02
Start by locating the fax number section on the designated form or document.
03
Enter the area code '845' in the appropriate field.
04
Input the remaining digits of the fax number following the area code.
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Double-check the filled-in fax number for accuracy and completeness.
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Save or submit the form with the completed fax number.

Who needs fax number 845?

01
Fax number 845 may be needed by:
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- Individuals or businesses located in the 845 area code who want to receive faxes.
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- Organizations that have designated 845 as their fax number prefix.
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- Anyone who wishes to communicate via fax with entities utilizing the 845 area code.
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Fax number 845 is used for the submission of certain documents or information.
Entities or individuals specified in the instructions for fax number 845 are required to file.
Fax number 845 should be filled out according to the provided instructions, ensuring all required information is included.
The purpose of fax number 845 is to collect specific data or information for regulatory or reporting purposes.
Information such as name, contact details, and any relevant data specified in the instructions must be reported on fax number 845.
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