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1DEPARTMENT OF HEALTH AND MENTAL HYGIENE MARYLAND MEDICAL ASSISTANCE PROGRAM HOSPITAL REPORT OF NEWBORNSDHMH USE ONLY FAX FORM IMMEDIATELY TO:OR MAIL FORM TO:Date Received: Division of Recipient EligibilityDivision

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What is dhmh use onlyfax form?

DHMH Use Only Fax form is a document used for internal communication within the Department of Health and Mental Hygiene.

Who is required to file dhmh use onlyfax form?

Only employees within the Department of Health and Mental Hygiene are required to file DHMH Use Only Fax form.

How to fill out dhmh use onlyfax form?

To fill out DHMH Use Only Fax form, employees need to input the necessary information and submit it through the designated fax machine.

What is the purpose of dhmh use onlyfax form?

The purpose of DHMH Use Only Fax form is to streamline communication within the Department of Health and Mental Hygiene.

What information must be reported on dhmh use onlyfax form?

DHMH Use Only Fax form typically includes details such as the recipient's name, department, message, and date.