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PO Box 14346 Research Triangle Park, NC 27709 t 9193139672 f 9192872476Request Form for Copy of Laboratory Report from Patient or Authorized Patient Representative In order to provide a copy of the
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How to fill out request form for copy
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To fill out a request form for a copy, follow these steps:
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Obtain the request form from the relevant authority or organization.
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Provide specific details about the copy you need, such as the document type, date, and any additional information that will help identify the requested copy.
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If applicable, indicate the purpose for which you require the copy.
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Sign and date the form.
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Attach any supporting documents or evidence if required.
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Review the completed form to ensure all information is filled in correctly.
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Submit the form as per the instructions provided, either by mailing it, submitting it online, or delivering it in person.
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Keep a copy of the completed form for your records.
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Follow up with the relevant authority or organization if you do not receive a response within the specified timeframe.
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The request form for a copy may be required by individuals who need to obtain a copy of a document or record.
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