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DOPA FORM FEES AND POLICY Effective January 1st, 2019THE FOLLOWING FORM FEE WILL BE CHARGED IF DONE OUTSIDE THE WELL VISIT:Type of form:Charge:Fax fee: $5.00Medication notesNONOPECO and other Electric

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Get a copy of the DHPA form fees from the relevant authority or download it from their website.

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Anyone who needs to request or apply for a specific service, permit, or license that requires the DHPA form fees must complete this form.

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