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METROPOLITAN WASHINGTON AREA INTERAGENCY REFERRAL TRANSFER FORM PATIENT NAME:MR#:TRANSFERRING FACILITY:ADDRESS I APT:TEL #:REFERRAL TO:TEL #:CITY:DOB:AGE:0 M110FMARITAL STATUS:iMedicare ID #:SSN #:DIA&BIAMEDICAID
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The Metropolitan Washington Area refers to the region surrounding Washington D.C. which includes parts of Maryland and Virginia.
Any individual or organization conducting business in the Metropolitan Washington Area may be required to file.
You can fill out the Metropolitan Washington Area form online or submit a physical copy by mail.
The purpose of the Metropolitan Washington Area filing is to track business activities and revenue in the region.
Businesses must report details such as revenue, expenses, and the nature of operations in the Metropolitan Washington Area.
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