Get the free Fax: 425-339-5439 Phone: 425-339-5426

By providing The Everett Clinic with a fax telephone number you are consenting to The Everett Clinic s use of that number for communicating with you by fax. This authorization expires date or event. Authorization will expire in 90 days if not otherwise specified. Patient signature Date Parent or Legal Guardian Relationship to patient if other than patient You may be required to provide legal documentation as proof for power of attorney or guardianship Federal laws prohibit the recipient from...

How to fill out fax 425-339-5439 phone 425-339-5426

How to fill out fax 425-339-5439 phone 425-339-5426

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Fax 425-339-5439 phone 425-339-5426 is a contact number.

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