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MRI REQUISITION Fax Requests to: Phone: (519) 2541727 Fax: (519) 2552125 INCOMPLETE / ILLEGIBLE REQUESTS WILL BE RETURNED Resulting in delay of appointment booking Patient Information (Please Print)
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How to fill out fax requests to

01
Start by gathering all the necessary information and documents that you will need to fill out the fax request form.
02
Begin by entering your personal information, such as your name, address, phone number, and email address.
03
Next, provide the recipient's information, including their name, address, and fax number.
04
Specify the type of request you are making, whether it's for medical records, legal documents, or any other purpose.
05
Clearly state the purpose of your request and provide any additional details or instructions that may be needed.
06
Attach any supporting documents or evidence that may be required to support your request.
07
Double-check all the information you have entered to ensure accuracy and completeness.
08
Once you have thoroughly reviewed the form, sign and date it.
09
Make a copy of the completed form for your records.
10
Fax the request to the designated fax number, ensuring that all pages are transmitted successfully.
11
Keep a record of the date and time you sent the fax, as well as any confirmation or reference numbers provided.
12
Follow up with the recipient if necessary to ensure that your request has been received and processed.

Who needs fax requests to?

01
Fax requests are commonly required by individuals or organizations in various situations, including:
02
- Medical professionals or healthcare facilities requesting medical records or test results.
03
- Legal professionals submitting documentation for court proceedings.
04
- Businesses or individuals requesting documents, such as invoices, contracts, or information from other parties.
05
- Government agencies or departments that require official communication or documentation.
06
- Educational institutions requesting transcripts or other academic records.
07
- Insurance companies processing claims or requesting information from policyholders.
08
- Individuals seeking to communicate and exchange information with organizations or individuals who prefer fax as a mode of communication.
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Fax requests are typically submitted to a particular department or individual within an organization.
Any individual or entity that needs to send information via fax may be required to file fax requests.
Fax requests can be filled out by providing the necessary information on a fax cover sheet and sending it through a fax machine.
The purpose of fax requests is to transmit documents or information quickly and securely.
Fax requests typically include the sender's and recipient's contact information, the number of pages being sent, and any additional notes or instructions.
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