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Ballard Wright, M.D., P.S.C. The Pain Treatment Center2416 Regency Road Lexington, KY 40503280 Pasadena Drive Lexington, KY 40503Phone: (859) 2781316×Fax: (859) 2763847New Patient Referral Form REFERRING
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01
Start by reading the instructions on the ref form WIP Jan.
02
Fill out your personal information accurately, including your name, address, and contact details.
03
Provide the details of the person you are referring, such as their name, contact information, and relationship to you.
04
Answer any specific questions on the form, following the given guidelines.
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If necessary, attach any supporting documents or evidence that may be required for the referral process.
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Review the filled-out form for any errors or missing information.
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Once you are confident that all the information is accurate, sign and date the form.
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Submit the completed ref form WIP Jan to the designated authority or organization.

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Anyone who wants to make a referral for a specific purpose as indicated on the ref form WIP Jan.
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The ref form wip jan is a form used for reporting work in progress inventory in January.
All businesses that have work in progress inventory in January are required to file ref form wip jan.
To fill out ref form wip jan, businesses need to provide details of their work in progress inventory as of the end of January.
The purpose of ref form wip jan is to accurately report work in progress inventory for January.
Businesses must report the value of work in progress inventory as well as any relevant details that may impact the inventory value.
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