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Step 1: Fax this form, along with the patients' referral (if applicable) with the designated specialty to 877.645.8361 Step 2: A Medical Office Scheduler will contact the patient within 24 hours to
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It is a form used for referencing core information in 2019.
All individuals or entities with core information from 2019 are required to file core-refer form2019docx.
You can fill out core-refer form2019docx by entering the required core information from 2019 in the designated fields.
The purpose of core-refer form2019docx is to provide a reference point for core information from 2019.
Core-refer form2019docx must include all core information relevant to 2019.
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