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UNIVERSITY PHYSICIANS OF BROOKLYN POLICY AND PROCEDURE No. Subject:TELEPHONE REQUESTS FOR PATIENT INFORMATIONPrepared by: Shoshanna Mil stein RHEA, CHP,CCSPage1ofHIPAA263Original Issue Date: Supersedes:
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How to fill out telephone requests for

01
Find a telephone request form.
02
Gather all the necessary information, such as the requester's name, contact details, purpose of the call, and any specific instructions.
03
Fill in the requester's name in the designated field.
04
Provide the requester's contact details, including their telephone number.
05
Specify the purpose of the call, such as making an appointment, requesting information, or filing a complaint.
06
Include any additional details or instructions relevant to the request.
07
Review the filled out form for accuracy and completeness.
08
Submit the telephone request form as per the given instructions, which may involve mailing, faxing, or submitting it in person.

Who needs telephone requests for?

01
Individuals who want to make specific inquiries or requests over the phone.
02
Businesses or organizations that have a dedicated phone line for receiving requests or inquiries.
03
Customer service departments that need to handle customer inquiries or complaints.
04
Administrative offices that require a documented record of phone requests received.
05
Government agencies that process requests or provide information via telephone.
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Telephone requests are used to request information or services over the phone.
Anyone who needs to obtain information or services over the phone may be required to file telephone requests.
Telephone requests can be filled out by calling the appropriate phone number and providing the necessary information.
The purpose of telephone requests is to efficiently obtain information or services without the need for in-person visits.
The information required on telephone requests may vary depending on the specific request, but typically includes personal information and the request being made.
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