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Please fax form to 615-255-1330 For Insight Molecular Labs Use Only 2 International Plaza Drive, Suite 510 Nashville TN 37217 Phone 615-255-8880 www.insightmdx.com Accession # Date Received Time Received

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1. Individuals or businesses that prefer using fax as a method of communication. Fax is particularly common in industries such as healthcare, legal, and financial services, where sensitive information needs to be transmitted securely.
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