
Get the free Fax signed forms to Fidelis Care New York at 1-877-533-2405
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Prior Authorization Form This fax machine is located in a secure location as required by HIPAA regulations. Complete/review information, sign and date. Fax signed forms to Fidel is Care New York at
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Fax signed forms must be sent to the designated recipient or organization.
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The individual or organization that is requested to submit the signed forms must file them via fax.
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