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Adult Outpatient Referral Form Mental Health and Addictions Pages 1 and 2 must be completed in full for all referrals (incomplete forms will not be processed) Additional Required Information Form
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To fill out a fax cover sheet, follow these steps:
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Start by writing the word 'Fax' or 'Fax Cover Sheet' at the top of the page to indicate its purpose.
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Next, include your own contact information. This typically includes your name, address, phone number, and email address.
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Fax this cover sheet is a document used to provide information about the fax being sent, such as the sender's contact details, recipient's contact details, and any additional notes or instructions.
Any individual or organization sending a fax may be required to file a fax cover sheet, depending on the specific requirements of the recipient or organization.
To fill out a fax cover sheet, simply input the required information in the designated fields, such as sender's name, recipient's name, fax number, subject, and any additional notes.
The purpose of a fax cover sheet is to provide essential information about the fax being sent and to ensure it reaches the intended recipient in a timely and organized manner.
Information such as sender's name, recipient's name, fax number, subject of the fax, number of pages, and any additional notes or instructions must be reported on a fax cover sheet.
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