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Delaware Referral Hormone: 877985MEDS (6337)Fax: 8666797131 Complete Patient Demographic Information in Section Below OR Attach Face Sheet from Patient Chart First Name: Middle Initial: Last Name:
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The phone number is used to submit medical information via fax.
Healthcare providers and medical facilities are required to file the fax.
Fill out the fax with the required medical information and send it to the provided phone number.
The purpose of the fax is to securely transmit medical information.
The fax must include patient information, medical diagnoses, and treatment details.
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